It Was a Different Kind of Sunday

by Alison on November 21, 2011

“It’s basically excruciating…”

He was referring to the pain in his feet, nerve pain, one of the unpleasant side-effects of the “low-dose” chemotherapy drug Vincristine.

And this was supposed to be the easy stuff.

Ian received 6 doses of Vincristine, one each week while he was undergoing Proton Therapy. It was the chemo part of his chemoradiotherapy*, part of the double-whammy-go-at-it-with-everything-you’ve-got way that Medulloblastoma is treated.

Nausea wasn’t an issue for him, at least, not once the steroid kicked in, helping with the scary brain swelling issue he had going.

The hair falling out wasn’t really a big deal. I mean, sure, I got all emotional about it after focusing so much on all of the issues from the Posterior Fossa Syndrome**, and it just seemed so overwhelmingly cancer-ish… But Ian didn’t seem to mind. He’s always liked the buzzed look and has been pretty much waiting until adulthood and Army boot camp to finally shave his head.

The tingly fingers was mild at first, and only on his fingertips. We were told that tingling, numbness, and pain in the hands and feet were side-effects from Vincristine. I think the word common was used. It was said very casually. We were told to mention it, if it happened, which we did. We were told to say something if it got worse, so we mentioned it again when it spread further up his fingers and into his toes.

This drug may cause damage to certain nerves in the body, which can lead to a condition called peripheral neuropathy. This can cause numbness, weakness, pain, or feelings of burning or tingling, often in the hands or feet. These are sometimes related to being exposed to hot or cold temperatures. These symptoms can sometimes progress to include trouble walking or holding things in your hands. Let your doctor know right away if you notice any of these symptoms. If they are severe enough, this drug may need to be stopped or the dose reduced until they get better. – www.cancer.org

We weren’t really told what it was or why it happened, just that it came with the territory.

Neurologic – Frequently, there is a sequence to the development of neuromuscular side effects. Initially, only sensory impairment and paresthesia may be encountered. With continued treatment, neuritic pain and, later, motor difficulties may occur. There have been no reports of any agent that can reverse the neuromuscular manifestations that may accompany therapy with Vincristine sulfate. - www.drugs.com

It’s been a month since Ian’s last does of Vincristine, and the bit of tingling/numbness has not diminished. It has spread, further up his fingers and throughout his whole feet. It has progressed beyond tingling to pain, serious pain. Excruciating was his word yesterday morning.

Excruciating was the reason we stayed home from church yesterday.

We’re thinking that the steroid he was taking may have been masking some symptoms, as after we finished tapering him off of that drug, his symptoms all became more pronounced. His last dose of the steroid was last Sunday morning, and it was a long week of headaches, exhaustion, fevers (complete with 2 hospital runs for IV antibiotics, chest x-rays, and full lab work-ups), weakness, and progressing and increasing pain. His fine motor skills have gone downhill. His speech has gotten “thicker”. His pain has become constant.

His dad and I have become obsessive researchers, more so than ever before.

Ian was due to be admitted to the Children’s Hospital in Minneapolis last Wednesday, for the start of the first of nine rounds of Maintenance Chemotherapy, but the 2nd fever of the week on Tuesday caused us to move that back to Friday. He was due to get more Vincristine, multiple doses, along with other, more powerful, more toxic, more dangerous chemotherapy drugs.

We continued to research .

Thursday came, and as Ian’s apparent toxicity side-effects increased, so did our uneasiness about heading back in for more…

We talked, and we agreed, and I called the clinic to let them know that we wouldn’t be bringing Ian in to start his Maintenance Chemo the next morning. I asked if we could have a conference with his oncologist instead.

We’re meeting with his oncologist today.

We’ve been building a list of questions and concerns. We’ve been learning a lot about not only cancer, but the cancer industry. We’ve been researching natural and alternative treatments. We’re nervous, a bit scared, and a whole lot determined to help our son.

We could use your prayers- for wisdom, guidance, & direction, for strength & healing for Ian’s body, and an extra measure of His grace for each of us as we walk through this valley together.

Thank you, no really, thank you…

 

*Treatment that combines chemotherapy with radiation therapy. Also called chemoradiation. -National Cancer Institute
**If you haven’t read much of our story, Ian’s story, please do read that link…

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  2. He Is Faithful
  3. All Is Quiet On My Western Front
  4. Some Things to Be Thankful For
  5. Friday Night Update

{ 23 comments… read them below or add one }

1 Jess November 21, 2011 at 11:35 am

Praying for wisdom and discernment. It’s so hard to see them suffer at the hands of drugs that are supposed to save them. We were fortunate and the effects of Vincristine (countless doses over 28 months) subsided when treatment was over. However, I know others who had smaller doses and less of them and had permanent effects. Each case, each body, is unique.

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2 an ordinary mom November 27, 2011 at 10:33 pm

“Each case, each body, is unique.” Yes, and unfortunately, Ian’s body happens to be rather sensitive to several meds so far…

We’re definitely hoping and praying for all of the side-effects to subside when his treatment is finally over!

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3 Mandy November 21, 2011 at 11:53 am

Oh, Ali! Praying so much for you and Ian, and for your family during this time! Praying for wisdom and for healing!

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4 an ordinary mom November 27, 2011 at 10:37 pm

Thank you, so much, Mandy! Every prayer is so appreciated!

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5 Sylvia November 21, 2011 at 12:05 pm

I feel I hardly dare to comment Alison as I have no experience of what Ian and all of you have been going through, and the decisions you are having to make. Have been reading your blog for a while from afar(UK) All I can do is stand in prayer with you and can do nothing else but intercede for you.

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6 an ordinary mom November 27, 2011 at 10:41 pm

“All I can do is stand in prayer with you”

Oh, Sylvia, do not think that is something little. We covet your prayers, and sincerely thank you for each and every one. Truly, thank you!

(and a side-note, I have a lovely younger sister named Sylvia!)

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7 michelle November 21, 2011 at 12:09 pm

Praying for you today!

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8 Kate (Knits in Class) November 21, 2011 at 12:43 pm

Praying for Ian and your family today. I hope you had a productive meeting with your oncologist today.

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9 Marla November 21, 2011 at 12:46 pm

I’m sitting here feeling so frustrated for you and will most certainly be praying, for wisdom, for peace, for discernment when dealing with the medical estabilishment, for open minds and ears on their end, and especially for the Lord’s merciful healing for Ian.
Lord, please keep your promise to work all this for Ian’s good. Also for Alison’s good as well. We trust you and know you to be a good and gracious God. We do not have to understand the process to trust the results. Glorify yourself not only by giving Ian strength to endure, but also by healing him swiftly from the side effects of these cancer treatments. Calm Alison’s fears and help her to remember that you are Sovereign even over a flawed medical system. We love you, Lord and recognize our complete dependence on your mercy and love towards us. For Christ’s sake…Amen.

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10 Nikki (Simplystriving) November 21, 2011 at 1:01 pm

Your family is on my mind and heavy on my heart, Ali. Will continue to pray. Thanks so much for keeping us posted. And Thank You, Father, that we don’t have to go through valleys alone. To God be the glory.

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11 Tammy Skipper (@Tammy_Skipper) November 21, 2011 at 1:10 pm

I am praying for you…I have been following you on Twitter for a while but just saw a link for this prayer request and read his story. Your family’s story. My son is 16, sings, leads, helps…every word I read I could see my own son’s face in the story and I cannot begin to imagine everything you are all going through. What he is going through. Prayers, countless, enduring prayers are coming your way. May God provide every. single. need. immeasurably more than you could ask or imagine.

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12 Bethany November 21, 2011 at 2:47 pm

Praying, praying, praying for wisdom and strength. Praying for Ian’s endurance as he faces this road.

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13 Child of God November 21, 2011 at 4:38 pm

Praying for you guys often. This cancer business just stinks! Praying that these side effects will diminish and Ian feels better soon. Keep covering him in prayer and rebuking this cancer.

Have you consider a diet change? I don’t know much about it but I have heard that there are good results. Praying for wisdom and correct choices.

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14 Beth K November 21, 2011 at 9:39 pm

Ali,
Time for me to let you know this is how I keep up with your family and that I have been praying from the beginning that God will help you to know what you need to know when you need to know it. I see His faithfulness to answer that prayer in today’s post. Looking ahead, you can’t see much of the path, but looking back is where you see all the ways in which God’s character has been real for you and your family. Since God doesn’t change, his provision for you won’t change either.

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15 Cathy November 22, 2011 at 12:25 pm

Praying for relief from pain, peace, and guidance.
I know the cancer/insurance world is complex, difficult, and brings an intense weight with it. The decisions that have to be made are tough. My brother (who is also battling cancer) once said, “the thing that brings me the most comfort is knowing that the medicine isn’t in control, the insurance companies aren’t in control, the doctors aren’t in control, I’m not in control, Only God is in control and this is all a part of His will” Praying for you and your family.

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16 Marin November 22, 2011 at 6:10 pm

Keeping Ian and your family in our prayers.

Have you checked Dr. Mercola’s website for cancer treatment alternatives?

Thank you for sharing your story . . . Your faith is inspiring.

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17 Karen November 22, 2011 at 8:59 pm

Just wanted to let you know that we’re still praying for you and for your family. I hope that you are able to get the answers that you need from the oncologists. I cannot imagine watching my child go through what Ian is going through and my heart just goes out to you.

Someone mentioned diet. Have you looked at the Hallelujah Acres website? http://www.hacres.com I won’t comment much – some people think it’s hokey, some believe in it – I cannot say what I’d do if I were in your shoes so I’ll just throw it out there. Their headquarters are about 10 miles from us so if there is anything I could do personally (go in and talk to them for you), I’d be happy to.

{great big hugs}

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18 Stacy November 24, 2011 at 6:38 am

Praying for all of you and the medical staff that is handling everything.

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19 Charity November 25, 2011 at 9:23 am

How did the conversation with the oncologist go?

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20 sophie November 27, 2011 at 4:46 pm

hello to you and your family,

ive been reading your blog for a few days now and i cant help to leave a comment . My family’s nightmare started on sept 16 when my 20 year old son was told that he had a brain tumor. As in your case, the neurosurgeon was hopeful that it had been there a while also since he wasnt feeling really sick just basic headaches and some nausea. well he scheduled brain surgery for Sept 22 but the day the family was to meet the surgeon and
have the “talk” about what to expect, my son got very very sick that morning and was immediately admitted and in surgery by 12pm. 8 hours later surgery was over and the doctor told us that the next 24 to 48 hours would be crucial as to his prognosis. Well like your son, my Anthony developed posterior fossa syndrome and the following monday we recieved the worst news of our lives, it was a Medulloblastoma. so now we had to talk to doctors about the treatments which was proton and chemo ( vincristine) like your son. my son was in the hospital 6 days then in rehab for another 2 and half weeks. he had his surgery sept 21st and we are now at home with 2 more weeks of chemo and proton . he still cannot walk and his speech is awfull, we barely understand him . the side effects of radiation are his skin is really red and he gets very hot on his spine and neck head, he lost his hair, throat is sore, nausea is occasional mostly after chemo day, tomorrow he starts his posterior fossa boost for the last 10 proton treatments but no one has mentioned any other form of chemo after the next 2 treatments so im curious as to why your son has to have it? our story is so similar i just had to write you and tell you im like you i look all over the internet for help in dealing with this but there isnt much out there… i have 2 other sons a 12 and 18 year old, like you we drive a lot and its so depressing to see a healthy boy turn into a cancer patient * sigh* he was 174 lbs playing football and bball and going to school and now he is in a wheelchair and 148 lbs.. frail and sickly looking this is the hardest thing ive ever been thru and i dont wish it on my worst enemy.
well ill stop here and ill keep reading your blog to get some update on your son. i wish you and your family the very best,
sophie

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21 an ordinary mom November 27, 2011 at 10:29 pm

Oh, Sophie, I’m so sorry that your family, and especially your son, is having to go through this valley as well- I wouldn’t wish it on anyone…

Because Ian was 17 at diagnosis, he is being treated with the pediatric protocol, which includes surgery, radiation with chemo (vincristine), and a long course of maintenance chemo. The radiation is a bit lower overall dose in the pediatric treatments, as there are more side-effects in younger people. It’s my understanding that the adult protocol is for surgery and a higher dose of radiation w/vincristine, and no follow-up chemotherapy.

I’m so sorry that your son has to deal with such a scary diagnosis as medulloblastoma, and I’m even sorrier that you all have to experience the nightmare of posterior fossa syndrome… it has been the hardest part of it all for me- to see him day after day struggle to walk, to eat, so speak, it breaks my heart over and over again as I hurt for him each day.

I will be praying for your son, and for your mom-heart…

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22 sophie November 29, 2011 at 8:24 pm

hi Ali
thanks so much for replying. its amazing that i got more answers from you then from Anthony’s radiation oncologist… they coulnt tell me why he didnt need anymore chemo then he allready had. Thank you for your kind words its encouraging in a sad way to know someone REALLY understands what we are all going though as a family. how are your other children handling all this? i dont want to pry please im only trying to see if we are still ” normal” here…
do you think that the diffrent therapies work? im really confused as to what needs to happen and no one is very helpfull. when we left the hospital after the surgery Anthony spent 2 and half weeks in in- patient rehab but it seemed like a big waste of time.. do you think its helping Ian? im so sorry he has the bad side effects of the tingling caused by vincristine, so far Anthony is ok with it.
im so glad a friend of mine told me about your blog i will keep up with Ian’s progress and let you know how my son is doing as well. best wishes and ill pray for you and your family to stay strong and weather this difficult time.

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23 bonny November 27, 2011 at 6:12 pm

i just checked back on your blog… hope by today there have been answers and changes for Ian. praying for your family, and for your mother’s heart as you watch your boy go through all of this. HE is faithful, even when we simply do not understand!

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