Tag Archives: Allistaire

Long Before COVID-19, This Girl Wore a Mask

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Leaving the bathroom, I grip the paper towels from washing my hands and turn the door handle.  Through each door the paper towels create a barrier between my flesh and surfaces that hundreds of others have touched.  My coworkers tease me with only a little mockery in their voices as I use the corner of my sweater or sleeve to open doors or my knuckle to push buttons on the copy machine.  At home in the medicine cabinet is an arsenal of supplements and fast acting immune boosters to ingest at the first hint of possible symptoms.  I own a thermometer, two in fact. I know how to move through the world touching nothing, alert to danger everywhere, on the ready to defend against a virus that could bring death. But this alertness, this habit of caution, did not begin with a pandemic.

Nine years ago there was one single human I was called upon to protect.  I had lived with an audacity to believe I could move through the world haphazardly, blithely ignoring any caution for the spread of illness.  I mean I was healthy right?  I never got sick.  Yeah I washed my hands, sometimes.  Arrogantly I thought my health was all about me.  Then cancer forced the stripping of my child’s immune system through the indiscriminate destruction of chemotherapy.  Humbled and frightened, I came to see how the piddly rhino virus (common cold), could take down my sweet girl.  Part of her treatment were two $14,000 shots of Synagis (palivizumab), a drug made up of virus-fighting antibodies which can help prevent respiratory syncytial virus (RSV).  When she did in fact contract RSV a year later, as we attempted to get her cancer under control for a bone marrow transplant, she received $85,000 in Ribavirin, as RSV is known to be fatal in transplant.

My eyes bolted open, alert to a world swirling with danger, invisible and everywhere.  I learned to create a sterile field to change Allistaire’s dressing over her double-lumen Hickman catheter.  I eyed the nurse as she scrubbed the end of the tubes for 30 seconds and let it dry for 30 seconds to ensure it was safe to draw blood.  Outside of the hospital I was responsible for Allistaire’s line care and occasional fluids or antibiotics.  My mind began to become adept at following all the possible steps for bacteria or viruses to enter the body of my child.  My eyes squinted, scanning for potential danger, intent to protect my girl. Not only did I need to protect her directly, but I had to ensure my own health, knowing how easy it would be for me to unknowingly infect her with my own body’s fight with a virus.  My health was no longer simply about me.  Protecting my own health was a direct and powerful means to stop the spread of infection and in so doing, show love to others in the most practical way possible, especially the most vulnerable among us.

Allistaire herself would don the little Disney character covered masks or the fancy custom mask made especially for her with pink rhinestones and a little monogrammed “A.” We knew it did little to really protect her from an array of viruses hanging in the air, but it was a step we could take to guard the life of our girl.

To date there are 1,039,757 cases of COVID-19 in the United States, killing 60,964 people.

Each year an estimated 15,780 children are diagnosed with cancer in the United States, killing about 1,900.

In 2020, an estimated 1,800,000 Americans will be diagnosed with cancer.  Last year 606,880 people died of cancer in the United States.

Those with cancer know what it is to live with the terror of viruses.  Now the whole earth has become keenly awakened to the danger.

For the 8th year in a row I am asking you to support research at Fred Hutch Cancer Research Center through their annual fundraiser, Obliteride.  This August I will again ride my bike in thanks for those researchers whose relentless pursuit to cure cancer gave my child double her life span.  I ride in hope that more people will have the treatment to overcome cancer and even prevent it in the first place.  Allistaire died 4 years ago today.  I can’t tell you how much I miss my little wild cat, and it is joy to honor her life and those who will be forced to follow her.

This year Obliteride dollars will fund both Cancer and COVID-19 research!

“Because this pandemic poses an urgent threat, particularly for people affected by cancer, 50% of the funds Obliteride raises in 2020 will support Fred Hutch’s work to halt COVID-19, and 50% will continue to fuel our core goal: curing cancer faster. Right now, Fred Hutch researchers are applying their deep expertise across the research spectrum, from immunology to public health, to advance cancer discoveries and track, prevent, and treat COVID-19.” (Direct quote from Obliteride Director, Jim Birrell)

Sickness and death come in many forms and no one wants research to begin once cancer or a pandemic strike.  Funding research now, ahead of the curve, only makes sense!  To donate to Obliteride in my name and support both cancer and COVID-19 research, click HERE.

You can also participate in Obliteride by joining our Team Baldy Tops as a 5K walker/runner or ride the 25, 50 or 100 mile routes.  To get a glimpse of Obliteride, watch this 1 minute video:

 

 

Seven Years, Three Years, Seasons

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I know it is redundant, I’ve spoken of it before, but there are just those points about which your mind continues to circle back to, the strange attractor.  In the afternoon of Friday, March 11, 2011, a 9.0 magnitude earthquake occurred, centered “about 45 miles east of Tohoku, Japan, at a depth of about 15 miles below the surface.” “The quake occurred as the Earth’s crust ruptured along an area about 250 miles long by 100 miles wide, as tectonic plates slipped more than 18 meters, said Shengzao Chen, a USGS geophysicist.”  The result?  The earthquake moved the main island of Japan 8 feet to the east, shifted the earth on its axis by an estimated 4 inches and sped up the rotation of the earth by 1.8 microseconds.

How could such a thing occur, such a radical shift with mind-boggling results? “The temblor (earthquake) completely released centuries of built up stress between the two tectonic plates, a recent study found”

As of yesterday, June 30th, I have lived in Montana, for the second time, for seven years.  It has been just over three years since Allistaire died.  For the passed six plus months or so, there has been a building tension, a weariness more and more intensified, the layers of pain and loss compressing down.  My cry of lament to the Lord has been a pleading to bring this season of loss and sorrow to a close. Can we please be done with this Lord?  Can you please bring me into a new season, a season not marked by loss and sorrow and deep loneliness?  Many times I have sat across the room with my clients who ask me with plaintive, pleading eyes, the searing question that resonates in my own being, why should I go on with this overwhelming pain?  If this is all there is, why can I not just die?  The sorrow, the loss, the betrayal, the empty, the radical deep loneliness of feeling cut off, cast out and pervasive, cellular, visceral not-belonging.  The small room swells heavy with the questions, honorable questions, questions with the grit and scouring of reality – questions that greet me as I yet again enter an empty house at the end of a long day, as I lay my head on the pillow and wonder what it’s all about, a weariness that lacks the energy to circle round yet again, desperate to find the propulsion that will keep me going.

The rung upon which I cling is the hope that it will not always be this way. I take in their tears, the rage in their voice, the demand for an answer, their moaning that contorts their body as they draw back toward the office wall, an unconscious bodily response of repulsion of the horror that greets them daily. I sit alongside them, my own shoulders weighed down with grief in every direction, the questions pummeling even as I am already on the ground. I hold out my small hands, feeble, cupped as a bowl, and offer to hold hope.  Hope for them, hope for myself, that it will not always feel like this, be like this, protecting and nurturing that wee little flame that clings to life, the fervor small and frail that has tasted of something beyond this suffocation.

For six months I daily sat in this chair by the window, studying for my Licensed Clinical Social Worker exam, 21 years since grad school, trying to cram in thousands of new words into a brain that already felt saturated.  At times I wanted to scream out that my brain had already been asked too much, had finally learned the language of medicine and cancer. Once foreign and new to me, I learned to speak fluently – febrile, nadir, kinase, cytokine storm, monoclonal antibody, gemtuzumab ozogamicin, bortizomib, mitozantrone, ejection fraction, LFTs, vancomycin-resistant enterococcus, and my all time favorites – the “vincristine push” and Entresto – no, not “Ernesto” – it’s heart drug, not a Hispanic man.

And now I was asking this same brain, who had already learned this language of oncology, cardiology, immunology, pulmonology and nephrology, because the actual life of my child was on the line if I failed to master it, to yet again sit with a gun to my head.  Again it felt like a life was on the line – this time mine.  Learn this language of psychology and therapy…or else.  So I memorized the 12 criteria for catatonia which is easily recalled by the phrase “Stupid Cat Flexed and Grimaced at the Posterior of an Agitated Man who Steered his Mutts, Echolalia and Echopraxia, by their Necks” which is supposed to help you remember Stupor, Catalepsy, Flexing, Grimacing, Posturing, Agitation, Mannerisms, Stereotypy, Mutism, Echolalia, Echopraxia and Negativism – easy peasy lemon squeezy as Allistaire would say.  Lists of typical and atypical antipsychotic drug names got smashed in there along with SSRIs, MAOs and SSNRIs.  Now I can tell you all about Erik Erickson’s stages of development, Piaget’s stages of cognitive development, and Kolberg’s theoretical stages of moral development.  I can tell you how many times a week over what period of time you have to binge eat to qualify for binge-eating disorder, how many days in a row you must have exhibited “expansive mood” to qualify for having bi-polar I versus bi-polar 2 and how to differentiate between schizophrenia and schizoaffective disorder.  You know, your mom may just be the way she is because she’s stuck in the anal stage according to Freud.  On and on it goes, all the while I feel the cold pressure of the gun’s muzzle against my cranium frantic to cram in more and deliver it in sensible manner during that four hour exam during which I am not even allowed to drink water.

The winter has been relentless, even absurdly reaching 32 degrees and snowing on June 20th.  The relentlessness of the winter has paralleled this domination of sorrow and gun against my head sufficiently propelling me to not relent, to press on, desperate to be on the other side of it all.  And as the exam of May 29th approached and my studying seemed to reach its culmination, I found myself in a sort of quiet lull, and eerie time between times.  The hair raised on the back of my neck and I felt my throat clamped tight.  What is this, I asked with voice low and cautious.

It was as though in all my rush and fury, blurring of tears and frantic ceaseless action, I had unknowingly come to the edge, to the end of the horizon.  Suddenly I realized I had no idea what lay on the other side.  Just as I had focused all my energy and courage to get through my first pregnancy and just have my child safely delivered, I found the looming question, “now what?”  For eight years I have lived with and become accustomed to the terror of life-or-death.  The black form of the reaper has ever stood in the corner of the room, it’s heavy dark presence sucking in any light that dares come into its orbit, always in my periphery.  So intimately familiar with impending storm that ravages and destroys, with the metallic taste of blood and salt while thrashing out in the dark waves, I found myself bending forward, eyes squinting, what now?  The bottom has dropped out time and time again.  The potential for loss remains.  Turns out there is no quota for suffering, there may be and likely is more to come.  My Papa Murphy will be 96 years old this September.  “Forty-plus possible more years of this?” my heart cried. Oh God, oh God. Must I go on if this is all there is?  Let me be done God.

With only seconds remaining,  I pushed the button on the computer to say I had completed the exam.  My hands shook, my stomach cramped and heat stung the back of my neck.  Passed.  And just like that, the efforts of the past two and a half years since my husband walked out of our life, leaving me reeling, grasping for some path toward financial stability, it was done.  On June 6th I received word from the Montana Board of Behavioral Health that I had earned my Clinical Social Work License, a credential that means little or nothing to most who hear it, but is the pivot point for me financially and professionally, opening doors before me.

You see, I never wanted to be a therapist, it had never even occurred to me.  What I knew from the time I was an adolescent, is that employment is a trade, an exchange of money for your life.  Literally, I carve out these hours here and these hours there, like scrapes of my skin, flints of my bone, ounces of blood and I hand them over. In return?  I get money.   It’s all a bit sickening really, gross but necessary.  So I determined that such an exchange was not enough for me.  No, there must be more.  So I set out to look for work that would yield more than money.  Passing through medicine I landed on social work.  I have memorized the six core social work values, honestly having forgotten their specifics from schooling so long ago.  They are Service, Social Justice, Dignity and Worth of the Individual, the Importance of Human Relationships, Competency and Integrity. They are summed up in love and laying down your life for all – every single one of us humans, bearing the resplendent, other-worldly, image of the living God. And more, there is a fierceness in that love that stands in shield of those whose very lives and well-being threaten to be crushed by all the brokenness of this world.  It seems that God, incarnate in Christ Jesus, was the very first social worker, who declared worth and value and treasuring of those often disregarded, dismissed, passed-by, reviled – the poor, the orphan, the widow, the barren, the sick, the imprisoned, the foreigner, the not-belonging.

I have felt the sting of these.  For me there is not even a word.  I am a mother whose child is dead.  I am on the outside of my own native tongue which does not even offer me a place, a standing.  I offered to carpool to a work meeting the other day, when my co-worker gawked at my Suburban, asking me why I drive such a thing.  The question of why one individual would drive a vehicle clearly made for more, inherent.  I stuttered and stumbled, trying to explain that it once made sense though little now does. I remember learning long division in elementary school.  How satisfying it was when the little number fit so perfectly into the big one and how agitating a “remainder,” as though no one knew what to do with this extraneous left over bit, the little hunk of dough left after cutting out biscuits, fit only to be thrown away.  I feel the sting of being a remainder, a family of one-point-five.  I don’t fit anywhere and no one really knows what to do with me, other than to remember me on major holidays and invite me to their gatherings, never apparently being worth including of my own accord in an ordinary week.

My sorrows do not make it possible for me to know what it is to have as your first memory being taken from your mother in a police car with stuffed animals in the back seat, daily gasping at the blunt force trauma ever fresh that somehow you were not wanted, not deemed worth keeping and can only guess that you must have been too ugly a baby.  I cannot taste on my tongue the cigarette smell of your father’s mouth pressed on your little girl lips and his hand putting your hand on his crotch.  I cannot imagine that Disney’s Lion King is synonymous with remembering the panties you wore as you were raped in that bed, perpetrator on one side, your little sister on the other.  How can I begin to imagine the impossible decision before you to keep that baby or not, to consider a second abortion when you daily struggle just to survive in your own skin, unfathomable that you have the capacity to care for this new innocent so frail life when you have asked in agony again and again how you are to live out each day.

My own path does not allow me to know what it is to have walked that of another, but it has led me to sit in community with those who also ask weighty questions in the darkness, hearing our voices consumed by the black with no seeming answer in replay, no clear way to bind up the oozing, festering of lacerations, that even mere air passing over causes a wincing recoil.

As I moved the cursor and it hovered over the word “complete,” I shook from head to toe.  And with the appearing of the word, “passed,” the tears came hot and unrelenting for twenty minutes or more, I incapable of stopping them, trying to force a smile so the test proctor would not be too concerned as he approached me with forehead knotted.  “I’m fine, I passed,” I weakly uttered.  To the back bathroom stall out of the testing center I fled, and sat there on the toilet, face in hands, crying and shaking.  All I could say over and over was, “thank you God, thank you God, thank you.”  How many times have I walked and stumbled, my hand shooting out to regain balance, tears blurring my sight, muscles weary and mechanical, a mantra simply to walk through the next open door?  How many times have I stood on the other side of the door, mouth gaping, shaking my head in awe – He did it again, my God went before me.  Every single time feels like a miracle, because it is.

That most recent door of becoming an LCSW, is one more way to live out the absurd privilege that God has granted me.  Who am I to have been born an American in the 21st Century in a white girl body to English speaking parents who loved me and raised me in a stability that has yielded 50 years of their marriage to one another and financial means to send me to college and grad school and a brain that works decently well and a personality that has helped shape this path?  Do I get to take credit? Nope, I sure don’t.  But I am compelled to live out the belief that this privilege calls me to wield it in a way that cares for the lives of others, many of whom have had much more difficult, often brutal, starting points. Hence I am a social work and mighty proud of it, and God has seen fit through heart, personality, education, experience, the guidance and mentoring of those wiser and further down the road than myself, and little pieces of paper with letters like LCSW, to hone my craft of care bit by bit to more effectively love.

Having the fantastic relief and joy of passing my exam and earning my license, gushing in came the repeated refrain of “now what” tied tight to the longing to be done with this season.  There seemed to arise a pulse of my flesh which pressed out the words, “I am ready to set down this grief.” I don’t know that one can “will” the Lord into doing what you ask, but through flex of arm and movement of leg, and scanning of eyes, I have set about in this past month to purge my home of all that belonged to a life that once was and is no more.  At long last I have determined to live in the present.  Turns out to be a radically difficult feat for me, but into the trash I tossed the little purple piggy bank I painted with Allistaire’s name. The great green monstrosity of my wedding album, the dog brush whose matted hair has sat for five or six years unmoving, the pack-n-play and board books, the little shovel and rake all went sailing into the trash.  One of my clients works at the receiving door of Goodwill and just shakes his head as Sunday after Sunday I pull up with a car load full to the brim.  I’ve sorted bags and bags of cards received after Allistaire’s death, countless drawings by kids who said they loved Allistaire and prayed for her every night with crayola drawings and spelling challenging to decipher.  I sat for a whole half a day on the carpet with a ring of papers surrounding me – echocardiograms, bone marrow biopsies, flow cytometry and chimerisms, labs and bills. There were pages scrawled with notes in my own hand trying to make sense of it all, trying desperately to comprehend the words the doctors were telling me – to somehow use my rational, analytical pre-frontal cortex to make a way through while my limbic system was screaming in agony, a frenzied blur of misfired direction to survive – fight? flee? stuck like a frozen version of myself having no clue which way to turn.  I whittled it all down to a few inches thick of paper that now sits neatly in a little plastic bin with a green handle.

I have two full outside garage cans worth of papers to recycle.  Over half of my books have been swept off the shelves, many of which came from a time in my life in which I was steeped in a world that sought to debate nuances of theology for which I now have little to no energy.  It seems King Solomon’s words in Ecclesiastes still ring true, “I saw all that God has done.  No one can comprehend what goes on under the sun.  Despite all their efforts to search it out, no one can discover the meaning.  Even if the wise claim they know, they cannot clearly comprehend it.”  Even as I write this I laugh, knowing there are those who will feel compelled to debate me on this bit of scripture.  God’s word absolutely matters, and these days I am easing back into His grace knowing there’s a lot I won’t get “right” but setting my intention to live out a reflection of his love.  Do I join my client in going to her abortion?  Do I leave her alone in the dark of her misery and agony so as to ensure that my “stand for truth” will not be muddied?  Can I love and value the life of the unborn and the life of my patient too – at the same time?  I’m sure gonna try and I trust God’s grace can handle it.  A tangent I know…

I sorted through all the photo albums, having to throw out the evidence of an entire life which cannot go forward into the next.  Her closet is finally empty, having at last folded up the Disney night gown in which she loved to twirl. At long last, I went to the funeral home and had them divide Allistaire’s ashes into the two blue urns, one for me and one for her dad.  I asked with cracking voice if I could make a strange request, realizing as the words came out of my mouth that the funeral director had probably heard it all. “Can you set aside a few bits of her bone?” I could see them white in the bag of grey ashes, a bag weighing only 2.25 pounds. “The remains” – language the funeral director kept using in reference to my baby girl who weighed 8 pounds 3 ounces when she was born.  How could I explain that somehow I needed to have those bits of bone, the only remains of molecule connected to molecule to create the flesh that had begun in my womb.  How could I explain that these bones were the birth place of her death, a marrow that spewed out rot and broken when it should only have been the means of life.  What would I do with these bits of bone, I did not and do not know, only that while somehow I can imagine spreading her ashes in the wind or water, I must hold onto some fragment of her flesh.

And as the spaces empty and I contrive how to get rid of more, there is a lightening, there is getting out from under a pressing weight. Just over a week ago, I sat once again on a Saturday morning, drinking my coffee, staring out the window watching the aspen leaves shudder and quake and glitter in the morning sun.  I sat with a little book with purple binding on my lap, and honestly a grumpy assumption I was about to dive into another cheesy Christian women’s devotional that would make me want to puke and dump it too into the trash. But Tara had heard this woman speak and mailed me this book, thinking of me.  I ought to at least take a look at it.

I haven’t the time at present nor energy to begin to describe what happened next.  I can only say that just as after years of building tension, such a cataclysmic shift occurred on the earth that the island of Japan moved and the earth tilted on its axis, so in a twinkling of an eye did the Lord shift my heart.  Years of build up proceeded this moment, but it manifested in the time it took to read three pages.  The Lord gave me a taste for what may lay down the road, off in the distance there is the shimmer on the horizon of a place worth journeying to, a path worth treading, a way out of the darkness that demands an answer for the point of my existence.  The refrain that rose spoke, “perhaps endeavoring to alleviate some of the pain of others is reason sufficient to endure my own agony.”  Funny, sounds like my all time favorite verse – in Hebrews it tells of a man who though he huddled in agony in a garden, asking repeatedly for the Lord to let this cup pass, He concluded that “for the joy set before Him, He, Jesus Christ, would endure.”

To be honest, I’m tired and hungry and have the lawn to mow and the bathrooms to clean in anticipation of my parents visit.  This is one rare day off from work I’ve taken and I didn’t want to spend hours of it writing here, and certainly had not planned to do so.  Yet in my sorting I came across a series of pictures, pictures I took to show in a way no words ever can, what cancer IS – the bulging pressure of insane dividing cells that will not stop but press out the eye of your child so you can hardly bare to look at the ghastly white of eye that you should never see, nor the black blood that drains out of her nose because the cancer cells are filling her sinuses and purple of bruise along her cheek or the call for more pain meds because your little sweets is suffering and now matter your heart, you can’t make it stop.

I have no energy to go back through this post and correct the inevitable spelling and grammatical errors.  The truth is that in just over one month, I will for the seventh time, swing my leg over the saddle of my orange bike and pedal my way through miles of Seattle asphalt in a feeble human attempt to slow, and dare we hope – stop, the onslaught of cancer.  I am again asking you to consider helping support cancer research at Fred Hutchinson Cancer Research Center.  The series of pictures show not the progression ,but rather, the retreat of Allistaire’s cancer in the face of this beautiful monoclonal anti-body drug conjugate, Mylotarg, sometimes known as Gemtuzumab ozogamicin.  Dr. Irv Bernstein’s lab at Fred Hutch developed this drug years before my little girl would be in desperate need of its weaponry.  Allistaire is dead and her cancer overtook her in the span of two weeks with a white cell count of over 256,000 – 14,000 being about normal.  Her blood was sludge from being packed with acute myeloid cancer cells.  I watched my child’s grey mouth move like a dying fish on the shore and I will have to live with that image and the sounds that accompanied it.  I will have to live with the letter from the boy who writes to tell me their horse just had a baby they named after Allistaire – Sapphire Rainbow Sparkle Jewel, instead of seeing that bright spark of a girl continue to burst forth extravagantly in this life.

Allistaire’s cancer cells are stored at Fred Hutch in Dr. Soheil Meschinchi’s lab which holds the largest repository of pediatric AML cells in the world.  I will not forget the tears of this brilliant man over the loss of this seemingly insignificant six year old girl whose life cost $10 million to try and save.  I have said it before and I will say it again, until cancer is cured, Obliteride is no more or I am dead, I will continue to exert my small human efforts to try to alleviate some of this human suffering.  What more is the worth of my life than this?  What better task to put my hand to, to give my money to, to exchange the minutes and hours of my life for than to call out to the Lord for life again and again and again.

Every where I turn there is brokenness and loss and rot in staggering array.  Ever where I turn I can see if I am looking, that life presses on, that the light overcomes the darkness, that the winter ends, that out of the dark grime of dirt comes resurrection.  I cup my hands in this feeble bowl and I hold hope.  I am looking for redemption and I stand boldly in the throne room of grace asking the Lord to show His goodness in the land of the living, because He has invited me to do so, on the basis of my magnificent Jesus who sits on the throne.

To exchange a bit of your life for the well-being of others by financially supporting cancer research at Fred Hutch, support me in Obliteride by giving HERE

To read more about the crazy amazing doctors and research at Fred Hutch that directly relates to my girl who was a whole lot more than med rec number 1184859, check THIS out 🙂

For any arriving late to this story, or for those who wanted to make it to Allistaire’s service but couldn’t, here’s a link to that service three years ago in which I attempt to articulate what transpired.  Plus, I guess I should have provided this link long ago – oops.


Facets of Broken

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I sat in the chair across the small room from this young man I have begun to know, a man who lives much of life in retreat, in self-shelter, and who was speaking of his immense fear.  As I have been granted entrance, each footstep is placed with care as I walk into the space of sacred ground, of places tender and vulnerable.  Here, where I have been allowed in to catch a glimpse behind the veil of one beating heart, of one life…flashes of beauty, wells of dark, flutters of fear, and wounds.  Wounds upon wounds.  Wounds echoing in life after life.  Wounds of loss, of abandonment, of rejection, of being cast off, of not being counted worth it.

We talk of fears, of “what ifs?”  What if you went another way?  What if you looked down at those two rutted out tracks you’ve traveled a hundred thousand times and decided this time, this time you will go another way?  Inertia would be of essence, that force to get up and out and travel a new path.  What if there were a way to see your fear before you, to look it in the eye, to walk forward and through?  What if this time you didn’t try to run away, to deflect, to distract, to drug the senses so you just don’t have to feel?

“So conquer my fear?” he ventures.  He describes a decimation, an assault, a radical diminishing of power of that fear, a destruction, an attempt to remove, crush and do away with the fear.  This word conquer doesn’t feel quite right, for what do we do with fears that are as real as anything we know? Not fears simply imagined, or fears exaggerated and inflated, but fears real and concrete?  What if that fear should be full of power and might and tower before you?  There are whole spectrums and realms of fears, but what of those fears that in their terror actually reflect things of immense value?  We wrestle with our thoughts, with our words, turning them over this way and that, trying to get a gauge on them, trying to make out our approach to these unwieldy monoliths.

I have a handful of fears.  No, no really far, far more, but of the whole bunch there are some whose dark shadows cast the most terror.  Fears whose fruition can never be undone, whose aftershocks quake endlessly underfoot.  Despite all my might, the entirety of my intellect, all the great force of my will, despite the swell of my fierce love, I have known the fulfillment of two of my greatest fears.  There seems to be no motion in the thousands of moments in each of my days, that I do not feel the barbs dragging sharp across the tender raw flesh of my heart.  There is no getting away from these vast sorrows who penetrate and saturate nearly every action, every thought, every time of day, every place and interaction.  Sometimes I am engulfed, find myself swamped, going down, going under, the flailing and fight to stay with my mouth straining for air above the waves.  And sometimes the quiet longing of no more, just be done, just gone.

When the last wave of devastation finally came for Job, he sat in silence with his friends for seven long days, unable to speak, no words remotely sufficient to even begin to form some perimeter to define the loss, to take stock of what was left.  Just silence, just mouth gaping, just horrified awe and a terrible lack.  Over a year has passed and still my jaw lies slack.  Little fits of words, a cluster of sentences here and there. How to begin?  Where?  The questions too numerous, too vast, so daunting.  The ravaging of the storm so great that seemingly little remains, even the scaffolding torn, ripped up from its footings.  Questions as big as the vast blue Montana sky, no equation to measure the diameter, much less the means to traverse.

But there was a prologue to the woes that would come, nearly a year of stirrings, of invisible and radical rearrangement.  Months of wrestling that would eventually flow into these day: On Labor Day weekend of 2011, after a long evening at a friend’s house, like some broiling infection desperate for the lancing, my husband finally let loose with the reality that he was no longer a Christian, no longer a believer in God.  I found myself going down, down into the vast darkness of a crevasse of the unknown, of uncertainty, of radical sorrow, of assailing questions.  We were only days away from going to Hawaii in celebration of our 10 year anniversary.  I had no idea how to celebrate, no idea how to orient myself to this fundamental shift of trajectory, one that had been shared, been a binding between us, now severed.  The next wave brought buoyant hope that we would at long last be able to move to Montana with the offer of a great job in Bozeman.  And that wave came crashing down, slamming our limbs into the rocks the very next morning on December 1st, 2011, when the word “leukemia,” was first uttered in conjunction with our little beloved Allistaire, then only 21 months old.

But before all this, in that year that preceded, I think the Lord began to make evident His answer to my prayer, prayed in times past.  After what felt like years of stagnation, I told the Lord one New Year’s Eve, “I want to grow.  I want to be like those plants whose leaves are dark and sturdy with age but who also have those tender, delicate, bright green leaves of new growth.”  I could never have imagined what growth would look like, what growth would require, what radical pruning would be necessary.  I had no idea that what growth I really needed went down to the root.

The wrestling of that near year is summed up by my rage and fury that I was finite, that I could not seem to change myself nor my circumstances and that God wasn’t fulfilling what I thought was His end of this being a Christian bargain.  The deal goes something like this: I’m jacked up so You/God will fix me, make me all better and pretty and nice and I go on my way, and while you’re at it, cause You’re all-powerful and all, make my life look like I want it, what I deem as “good.” I sort of got that I was finite and that I needed God since He’s a whole lot bigger and stuff, but the part I didn’t get, the part where God absolutely cut me at my knees and knocked me to the ground was this: that my need for God was of far vaster proportions than I could have ever guessed nor ever wanted to accept and God gets to decide, God gets to determine what is good and I don’t get to boss Him around to do my bidding.  He is God and on one spring day in 2011, I fell to my face in radical submission to Him, to His will and to His declaration of what is good and what my life should look like.  And by the way, I had thought I was okay with needing God, but what I discovered was that I was not at all okay being utterly dependent on Him; that thought was revolting to my finite, western American, 21st Century mind.  But flat on my face before God, I think I had my first real glimpse of His utter “otherness,” His holiness, His Godhood.  It was my first real taste of the “fear of The Lord.”

I had no idea what was coming, nor how much would be stripped away from me.  But in God’s gentle and profound grace to me, He had already brought about a radical transformation in my heart in which I had begun to find delight, goodness and life in the yielding to Him, in the saying “Yes, You are God and You get to choose.” As I look back over the long treacherous road stretching out behind me, I can see how over and over, He went before me.  He cashed provision for me around the bend, long before I could see the “how” of His care.

I stood on the shore of that California beach with Matt, tall and lanky, giving me instructions on how to make my way into the ocean.  “You swim through the waves,” he told me.  Determined I strode forward and attempted to re-enact in my body the words he had offered.  Before I knew it, I had been slammed down with the force of the wave, body twisting in the churning water, a sense of desperation to get my footing, a gasp of air and another wave knocking me back down.  Wave after wave hit, never enough time or sense of direction to get myself upright before the next one came.  Eventually I sat exhausted, spent, shaking in the sand.

It has been five and a half years, wave after relentless wave crashing down, scouring grit and sand against my skin, being beaten against the rocks, ceaseless gasping for air, the sensation of going down, being sucked under now common place.  Disorientation, baffled, bewilderment, mouth gaping, eyes wide with terror, utter exhaustion, and tears burning, salt stinging in ragged cuts, abrasions.  Wounds upon wounds.  I am still here, though sometimes I’d desperately like not to be.

At multiple points in these years, Sten declared his un-love to me, his not-love, his I no longer love you.  I have felt so desperately alone, fear thick, heavy, both hot and cold tightening around my throat.  That deeply rutted road of my mind and heart, neural pathways laid down thick ensuring speed, ensuring unwavering direction, the pulsing cells of my heart contracting in unison, a relentless chanting of FIGHT!  The structure of my brain stem oriented utterly toward not flight, not freeze but Fight!  With every fiber of my being, every exertion of my intellect, every coursing hot throb of love, with all my great might I could gather and bring to bear, I fought for Allistaire.  I held nothing back and I set everything aside with one singular aim, one white-hot center point of target, I fought for her life.

And it was not enough.

I could not determine the outcome.

It was out of my hands…out of my finite grasp.

And I have struggled and gasped and gagged trying to sit “God is good,” next to “my child is dead.”

Her foot hit the door of her bedroom as Sten carried her stiff body out of the house that dark April night, and they zipped her into the bag with the fancy fabric, and the van drove out of sight down our driveway, Solveig wailing into the darkness, I knew.  I knew it was “game on.”  One fight had come utterly to its end after so very long, after so many twists and turns, highs and lows, there was nothing left to fight for.  And rushing into that vacuum, that space left behind as she left our lives, came crushing the fight for my husband, for my marriage, for another cornerstone of my life, my identity, my place in the world.  In all those long years, “we” had to take second with the vast majority of our attention fixated on caring for Allistaire.

But it was not enough.

I could not determine the outcome.

His heart had already departed from me.

On September 5th, 2016, Sten made known there was no more “us.”  After fifteen years of marriage, his pursuit of his own happiness meant for him walking out of the threshold, of severing the hundreds of thousands of cells that had grown between us.  On May 22, 2017, our divorce was final and with his permission I took his face in my hands one last time, and with a kiss on his forehead I declared to him the great intention and longing of my heart, “I leave you with a blessing and not a curse.”

He once slammed into a tree while snowboarding.  There was forever a dent there, and indentation where the cells never grew back and filled in.  I used to like to put my hand there, to cup that place of lack, the tree unseeable but its impact never to be undone, forever seen.  There are great caverns, places hollowed out in me where once dwelt he and Allistaire, beings so precious and dear to me, flesh of my flesh.  Gone.  You look at me and you cannot see them, but their absence will never by undone, gouged out for all my days.

I remember days in the hospital with Allistaire, nights I would go to sleep crying, waking with the morning and still crying, lying there in the couch that turns into a bed, terrified to set my foot to the floor, terrified to begin the day, so well acquainted with the reality that the entire earth could tilt on its axis before day’s end.  There has been no let up, no ceasing from the striving, no option to stop, just a constant harried insistent demand that I put one foot in front of the other, a willing to move through each day.  Relief when night comes and I no longer have to live through that day.

I no longer walk through a mine field, never knowing what step might be one more reason for Sten to walk away.  I no longer walk with the high-pitched sizzle of terror saturating my blood, the fear of test results, of lab results, of flow cytometry, and PET scans, ASTs and ALTs declaring the state of the liver, of creatinin in kidneys and the ejection fraction and shortening fraction of the heart, of the sound of fluid in the lungs or the poisoning of ovaries and scraping away of IQ from radiation like Hiroshima.  My iPhone no longer auto corrects “and” to “ANC.”  Most people with whom I interact daily have never met Allistaire or Sten.  Those radical indentations, those places of lack, lie barely concealed behind my every day tasks.

Now my days are filled with 30 hours a week at Thrive as the Parent Educator and 16 hours a week as an Integrated Behavioral Health Therapist Intern at Community Health Partners, as I attempt to amass the 3,000 supervised hours required to obtain my Clinical Social Work License.  In the evenings I go home to an empty house, the cookbooks lie untouched on the shelf and there is no sound but that of the wind and birds outside.  I lost one child and have had half of the other taken away.  I live in a house and drive a car intended for four. I have been whittled down to one and a half.  For fifteen years I lived and moved in the realm of couples and families and now, now I don’t know what I am.  I have been radically ejected from the reality of families.  Nebulous, ambiguous, extraneous, that left over part of a fraction.  I am disoriented, bewildered, baffled, radically exhausted, saturated with sorrow, deeply bruised, bloodied, cheeks tear streaked.  I have become so radically sober.  I don’t know who has been left behind after all this tattering, this relentless erosion of my being.  Everything has been impacted.  The tsunami washes away in every direction, present, future, past, nothing left untouched, nothing left unchanged, everything tilted and swung off its axis.  I look back and wonder in confusion, “when did it all begin?”  I crane my neck to see all the way back, all the way to those first days and months and years with him, all the way back to my womb where cell was joining to cell and perhaps even further back than that, something went radically wrong.

If you look at me now you might be mislead to think I have not moved much.  The tenets of my faith look mostly unchanged.  I sit on that spectrum of ideology and philosophy and spirituality in just about the same spot.  What you see before you may not allow your eyes to perceive the vast distances my heart has traveled, the tender places worn down from ceaseless wrestling, the radical rearrangement of the scaffolding of my being, the sights I cannot unseen, the weeping that seems to have no end.

One thing I know amongst all the overwhelming unknown – I turn my face to God, to Jesus my Christ.

For facing my fears I have.  I have sat across another table from Sten, this time signing legal documents that end my union with him.  I have sat at a table and signed a document to have the flesh of my beloved child incinerated, reduced to ashes, now housed in a bag.  But this is not the end of facing them.  Like the mountains of my youth, those Cascades that appear to be a long line on the horizon, they extend outward behind that illusionary silhouette, how far I do not know.  There are mountains beyond mountains, endless dark valleys and valleys bright, mountains jagged and threatening calamity and mountains upon whose tops I might just see the whole wide world.  They go on and on into the distance.  I feel the darkness closing my vision, the sounds growing faint and my strength slipping away as I stand too fast to take in the view.  There is a thrill in the sensation, the wondering if I might actually finally just be done, no longer required to keep moving along this rugged path.

But the darkness subsides and sound returns and I find I can stand.  There are mornings I want to despise another wakening, another day before me.  But the Lord continues to add day to day to day and to cause my lungs to expand once again, my heart to beat on.  Part of the struggle to move forward is the not knowing where to go, much less how to get there.  There is no landmark before me.  I have passed by those columns, the markers of an adult life of school and marriage and children.  I know only that I must work to provide for my life and I will continue to be a mother as long Solveig or I dwell in this land of the living.

This past week has brought light to another place of darkness, to another great fear now realized.  I see now that I am ensnared, caught in a tangle.  I see that I am not just the mother who has lost her child, nor the woman whose husband has cast her off, but there is blood on my hands.  Somehow in the swell of my sorrow, the tears that constantly fill my eyes and blur my vision, the deafening wail of my own hurting heart, I had not really seen how much I too have been perpetrator, doer of harm.  Oh I have always been well aware that I am not perfect, that I sin and fail along with everyone else, but this week in conversation with a number of people, I have had to face that I have also thrown the dagger, my whirling fury and fear has inflicted harm and brought pain to others.  I too am to blame.

On Tuesday night and on Wednesday night and on Thursday night I wailed out into the dark night sky with sorrow and horror that I have brought harm I cannot undo.  I have no ability to go back, flying over the surface of all those long gone days, scanning for the moment when the devastation began, to know the place to go back to and intercede, to rewind and redo.  The universe does not work this way, there is no reversal of what has occurred and I gag and my heart roams, rushing to and fro, aghast and uncertain, what now to do with all this ravaging, ravaging added to ravaging, loss to loss, wound to wound.  We are all a bloodied mess.

I don’t know what to do or how to proceed.  I want there to be some “clean-up” protocol for this toxic spill.  The way forward is uncertain, but the Lord has made at least a few steps clear, coalescing out of the muddied fog.  I must take stock. Like the explore Clark, like Lewis, I need to travel through this land and make note of what is here, to walk down into those frightening valleys, to walk the plains and scrabble up the mountains to see the view from there, I must look at the landscape of my heart, of my life, of my interactions with those with whom I dwell.  And then I will begin to know the contours of the harm I have inflicted, I will start to see how one connects to another, how self pain intertwines with the pain of others and loops back again to intersect and bring about more pain.

I don’t know the way forward but I know that owning the harm I have done and asking forgiveness from both the people I’ve harmed and from God, is the place to begin.  Inviting the eyes and ears of others to help me see and to hear where I have been blind and deaf is a place to begin.  Asking wise guides to tenderly and courageously lead me to help make sense of it all is essential.  I don’t know where this road leads, but I never really have anyway.  It is terrifying to face the real fact that I have lost Sten and my marriage and my life in significant ways because of my own failings and my own sin.  He and I, we both have blood on our hands.  And I cannot undo it.  I can only ask the Lord of the Universe for forgiveness for the ways I hurt Sten and failed him and seek His provision and guidance for the road before me.  I must ask Solveig my child, and Solveig the woman, to forgive me for the way my sin undid what should have been hers, a home with two parents committed to loving one another.  I have to ask my parents and my in-laws and my brother and my brother-in-laws and my sister-in-laws for forgiveness for the part I have had in all this ravaging and its far reaching impacts on our family.  I have to ask forgiveness of the on-lookers who just shake their heads as they pass by this messy tragedy.

So much of the time it all just feels like too much.  Too much.  And I should like to just slip away, to cease existing, to vanish.  After Sten told me he no longer wanted to be married to me, I could hardly eat for two weeks.  I whispered to myself, I don’t want to exist.  I far prefer to no longer be.  I wanted desperately to waste away.  I sit across from the man who mourns his life and despairs his existence and I know that woe, that radical inability to go back, the incapacity to change what is true, the appeal of no longer having to endure the turmoil.  Can I not just lay this burden down and never ever have to raise it up again?

This is what my dear brother Patrick wrote to me as I expressed my undoing grief:  “I know this may sound like a platitude, but I sincerely believe this: no matter how bleak life may seem, no matter how broken your mind, heart and spirit may be – life and love and joy will creep back in.  All is entropy, yet life continues to find a way.”

And I believe this is truth.  All around me the creation exclaims it, in the voice of the rustling, flitting aspen leaves, in the deep thunder in those steel gray clouds, in the incessant vibrato of the crickets, in the water that makes way through rock, in the unweighable girth of the snow flake who one by one by one amass to form the glacier that gouges out the mountain wall, in the rush of the wind through the fir boughs.  There is a force that overcomes another.  “You know that moment?  That moment when the plane is rushing down the runway, and the whole frame of metal riveted to metal shudders at the attempt, and then there is that glorious, mysterious, terrifying moment when the force of gravity is finally overtaken, overcome by the law of thermodynamics?”  You get lift, you rise.  I doesn’t seem like it should be possible.  It is illogical that a great mass of metal should dwell far above where your neck cranes to see.  And yet it is, it is.  One force overcomes another.

Yes sin and death are powerful foes, seemingly unstoppable, absolute and concrete, permanent.  Yet there is another force at work.  There is a power that overcomes their power.  There is a life that overcomes their death.  My hope is in Christ.  I’m banking everything on Jesus.  I open my eyes to another day rather than finding a way to extinguish my existence because I have hope.  I am looking for the redemption and resurrection that has already been secured in Jesus.  Yes, I have sinned deeply and vastly and there are real and brutal consequences that I have to live with as do many others who have been impacted by my harm.  I have to live with those gouged out places in my being where once dwelt a man I loved named Sten Karl and a little bright love named Allistaire Kieron.  I can never get them back in this life.  I have to live with these scars.  But my hope is in Christ Jesus, who for the joy set before Him endured the cross, scorning its shame, and sat down at the right hand of the throne of God.  I fix my eyes on Him.  I lift my eyes.  I take in the full view.  My sins are forgiven in Christ.  He can redeem all this brokenness.  This is His promise to me, to all who believe in Him.  I will see Allistaire again.  Death will not have the last word.  There is a river that flows from the temple of God, from the altar where Jesus laid down his life as the perfect lamb.  This river brings healing and life and one day I will sit in the shade of trees along that river and I will know bounty beyond my imagining.

How to get there?  Where to go?  What is the path?  Jesus said it so simply and clearly and profoundly.  Jesus answers, “I am the way and the truth and the life.  No one comes to the Father except through me.”  Jesus is my way, He is my truth, He is my life.

– – – – – – – – – – – – – – – –

The honest truth is I have finally made myself face this blog and attempt to put some words to all this immenseness because I still need your support and I am utterly aware of how wretchedly tacky this is, but the earth has once again swung around its orbit to summer, to August, to Obliteride in less than a month.  For the fifth time, yet again in weariness, with tears, I will ride my bike.  I will try to push through 5o miles to raise money for cancer research at Fred Hutchinson Cancer Research Center in Seattle where so much of Allistaire’s treatment options came.  Whatever difficulty this is for me only binds me closer to Allistaire who endured so much as a little girl and who ultimately had her life ravaged and extinguished by the relentless onslaught of cancer.

So many of you have already given so much, and I haven’t even thanked you in the entirety of this past year for how generously you gave in her honor, not only last year in the wake of her death, but each year.  I ask your forgiveness for my lack of articulated thanks and I ask your grace to trust that there is much I have simply been unable to do this past year.  I am often quoted the statistic that 70-something percent of marriages end when a child dies, and while I refuse to give credit for all this devastation of my marriage to our girl’s death, it is indeed true that cancer not only took my Allistaire, but it also extracted a great price in my marriage with what amounted to years of separation and more stress and strain than I can rightly begin to describe.  The ravages of cancer are still cutting into my life, as it is for so many far and wide.  If you are willing, I ask that you would consider supporting me again this year in Obliteride, to support an accelerated pace of cancer research that will yield better and hopefully, curative, treatment options for both children and adults with cancer.

If you would like to donate in support of cancer research, please click HERE to be linked to my Obliteride page.

I feel compelled to make one last point.  The single biggest reason I have not found the ability to write this past year is that I have not known how to be real and honest and do so in a way that gives as little attention to Sten as possible.  I love him and I will never turn away my heart from him.  I sincerely want good for him and I kept quiet for so many years in an attempt to protect him from criticism, to give him as much space and time as possible to sort through his own difficult wrestlings.  I have no desire to bring harm to him in my heart or with my words and simultaneously I am trying to find a way forward to be real about my own heart and to voice my own story.  Please know that I will not allow any comments that cut him down; they will be blocked or removed as quickly as possible.  I cry out to God all the time to remind Him that I do not deserve Him any more than Sten does.  On June 16, 2001, I made a covenant before men and God to always love Sten, until death do us part.  I have no allusions about any future relationship with him, but I intend to keep my covenant of unconditional love, with the great aid of the Holy Spirit.

 

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You held up that one half of one grape tomato on your fork, little hand shaking, little voice shaking, asking, pleading whether or not you had to eat it. Yes. Yes you have to eat it! Demand in my voice. Declaration. Staking a claim, thrusting that stake into the flesh of the earth. “You have a future!” I am your mother and I am claiming a future for you, I am declaring you a child who will live…if I have anything to do with it. Eat your vegetables!

But I had nothing to do with it. That was your last real meal and I forced you to eat a tomato. I will never forget your face, sweet eyes full of terror and desperation to somehow get out of eating that wretched tomato. You wanted pizza. But I had to say No. No. No, because the task at hand was to starve your cells of glucose all those starches of crust would provide. No, your cells must wither and yearn until the next day’s glucose injection for the PET scan when they would slurp up the energy giving glucose, powering their metabolic processes, the glow of their fervor lighting up on the screen. Those most hungry but with no business living would show up in yellows and oranges and reds, evidences of the throbbing, tenacious life of cancer, cell by cell by cell.

One year ago on a Monday night in Seattle, in our sanctuary away from home, in our Ron Don apartment, I could never have imagined you were eating your last meal. I could never have imagined that just two weeks later you would no longer speak, the ferocious cancer cells eating away at your brain, forever closing your mouth, forever silencing you dear little voice. As I turned you on your side to clean you up, the blades of your hip bones cuts sharp angles, your legs so thin, your frail left arm jutting up into the air as the pain coursed through you at even my most gentle touch.

I regret that tomato. I so wish I could go back to that night and say, no, no, sweet girl. You do not have to eat the tomato.

I sit in the light of a single lamp. The rain falling against the windows. Alone. No one left in this vast house but me. Allistaire dead. Sten has left. Half of Solveig.

The rain has turned to ice and beats against the windows. A flash of lightning.  Thunder.

The storm passes over.  Quiet except for the faint ring of the wind chimes.  A sound present before these children.  A child gone, a husband gone, a child absent.  Still the same sweet tones move with the wind in the night air.

Allistaire’s Memorial Service Details – Final Update!

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084Allistaire

(All are welcome to attend either or both services)

Memorial Worship Service

(For the purpose of worshiping and submitting our lives to Jesus Christ as Lord)

Saturday, June 11th @ 10:30am

Petra Academy (4720 Classical Way, Bozeman, MT 59718)PetraClosePano_edit_edited-2-e1439256951353*Seating is limited.  If you’re coming from out-of-town, please be sure to arrive early to ensure a seat.  The service will be recorded and a link to the recording will be provided at some future point.  There is no child care provided.

*For those who don’t wish to attend this morning Memorial Worship Service, you are welcome to join Sten on a hike up the “M” trail.  Meet at the trailhead @9:30am.  (Directions:  Follow Rouse Ave. north (becomes Bridger Canyon Rd.).Turn left into the signed trailhead parking lot on left)

 

Celebration of Life Service

(A time to focus on Allistaire’s life)

Saturday, June 11th @ 6:30pm (MST)

The Commons (1794 Baxter Ln E, Bozeman, MT 59718)Logo-Dark-2

  • A dessert reception (cupcakes, ice cream sandwiches and coffee) will follow the service
  • Childcare for all ages WILL be available, including a live video feed into the childcare rooms for parents who want to stay with their children
  • Watch the Service LIVE, go to this LIVE STEAM LINK.  You will need to register for a Free Live Stream Account ahead of time to watch (we recommend signing up Friday or Saturday morning so you won’t be delayed in watching the 6:30 service)

Feel free to wear whatever you feel comfortable wearing, though our one request is that if possible, please weary cheery colors.  Allistaire was a girl who delighted in the full spectrum of the rainbow and it would be fun for our many bodies to reflect that joy as we gather together in honor of her life. Here are a few examples, the first being an outfit designed by Allistaire on her Toca Boca Tailor App (you don’t have to go quite this wild, but you get the picture):
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Awesome Gift Basket Raffle

Sten, Solveig and I have pulled together a whole load of happy (new) items that were things that brought Allistaire delight. We are putting these together in a super fun gift basket which will be raffled off at the reception.  Raffle tickets are $1 each (so bring your cash) and all proceeds will go to The Bozeman 3.

Bozeman Three_IMG_4719_4x6_300ppiThe Bozeman 3 is a local non-profit that supports families in Gallatin County whose child has been diagnosed with cancer.  The Bozeman 3 arose out of a unique bond between three families forged in their shared experience of fighting for the lives of their children diagnosed with pediatric cancer, far from the support and beauty of their homes in the Gallatin Valley of Montana. They met in the hallways of Seattle Children’s Hospital’s Oncology Unit in early 2012. While each child faced a different form of cancer, these children, along with their parents, possessed a resolve to fight. (Our family is one of these original three, along with those of Stellablue Woods and Caden Shrauger pictured above with Allistaire)

The Bozeman 3 financially supports local families whose child has cancer, provides peer support and helps fund cancer research.

Many of the items included in the gift basket (totalling over $200) are pictured below:
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We Could Use Your Help!

We have been absolutely overwhelmed with an outpouring of love and support, not only in the past four and a half years, but again in this exceptionally hard time in the wake of actually losing Allistaire.  For those who are still yearning to help, below are a number of key ways we would graciously appreciate assistance:

  • We asked for 300 cupcakes and have had far more offered – thank you again for your outpouring of kindness and love.  At this point we no longer need any additional cupcakes.  For those who have already offered, keep Rhonda Mattson’s contact handy if you have any questions (rhondamattson33@yahoo.com (406) 451-6571).  And remember, ideally, we would like you to deliver your cupcakes to the main central doors at The Commons by 6:15pm on the day of the  Celebration of Life Service, June 11th. A volunteer will greet you at the door to receive your cupcakes.  (Below is an example of the look for the cupcakes we’re going for)FICC3705

 

  • We have created a “Wish List” on Amazon of items we could use help purchasing including plates, cups, napkins and sprinkles (to be applied to the ice cream sandwiches).  WOW!!!!  All the needed items have already been purchased less than 12 hours after posting the Amazon Link, so I have now removed it. Thank you folks!!!!!
  • The meal sign-up has been updated to reflect request for group dinners for a few days prior and after the memorial services.  Provision of meals has been an incredible help and we so appreciate all the tasty food!!!  To sign up to bring meals click HERE.

 

***A note to out-of-town folks: The weather in Bozeman can vary wildly with temperatures down into the 30s at night, potentially, all the way up into the 80s some days.  I would highly advise paying attention to weather as you pack and always bring a warm coat.

Thank you to so many folks who have shown their love to me personally and to our family in this past month plus.  Thank you for your cards and messages of condolence and how knowing Allistaire has impacted your life, for texts and phone calls, gifts, meals, offers to help and prayers.  Please know that all of these have been gratefully received though my ability to thank you is radically diminished and delayed.

The truth is this past near month since Allistaire died, has been a strange, mixed time which I hope to write in reflection upon more down the road.  Part of our reality is that I have been very busy with my trip back to Seattle to clear out our Ron Don apartment and say thank you and goodbye to folks and all of the work necessary to put together these two memorial services in honor of Allistaire.  In the midst of this I have two dear friends whose children have received the most awful of news – that like Allistaire, their disease has returned and grown and there is now no more treatment available to them.  I have a third friend whose child could soon be in the same position, not to mention my two friends who have recently lost their sweet girls.  My heart is still very much with these friends and if I have to prioritize my limited time and energy, it will go toward them, despite my inability to give to them in nearly the degree I desire.  I have also been able to spend time cleaning and organizing spaces in our home long neglected in my absence and enjoying being outside doing refreshing physical labor like mowing the lawn and hauling limbs that came crashing down under the weight of the fantastic snow storm a few weeks ago.

Mostly I have loved the quiet.  There are few sounds but that of bird chatter and wind in the fir and aspen trees.  With my brother-in-law, Jens’, idea of his spirit animal being a grizzly bear in mind, we have chosen the Mountain Blue Bird to be a tangible reminder of our bright blue-eyed little girl.  Mountain blue birds abound here and a family has taken up residence in the bird house across our driveway.  Throughout the morning and day, I can often look out my kitchen window and see the bright blue of sky in the form of bird sitting on the fence rail.  I of course don’t actually need a reminder of Allistaire to remember her – she is ever on my heart, in my thoughts and scattered throughout my dreams at night, but it is uniquely lovely to observe a creature of such beauty and loft – a creature that can flit about and sail up into the sky.  It helps my heart to not only grieve the loss of Allistaire in my life, but imagine in the smallest way, the joy of the life she now lives.

I look forward, with joy, to seeing many of your faces old and new, who have so loved our Allistaire and cared for our family.birdmountainbluebirdmale

 

 

 

Bouey

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IMG_0903The four of us are bound together in the water.  Allistaire is linked to me and I to Sten, Sten to Solveig.  We’re out there, floating along, living life.  Then something dark comes and latches onto Allistaire and starts pulling her down.  I’m flailing, trying to pull her up, my own face and mouth gulping water, waves lashing.  Sometimes that thing is so small, we barely notice it.  Most often we manage it.  Regardless, it’s always there, always threatening, looming.  Though the times where the black thing swells and we are all being pulled down into the water is familiar, the terror is always sharp and stinging.  Panic.  Gasping for breath.  But we’ve fought it so long…it is the fifth member of our life.

And then…with no seeming warning, that black presence swells with exponential density…Allistaire is snatched off the line.  We wail, we scream, but there’s nothing we can do.  We watch her being pulled under, down, down, down into the deep dark of water.  She disappears from our sight.

We bouey up.

Our striving ceases.  All of sudden there is quiet.  No longer need for exertion.  There is finally a release of the tension, the ever-ringing backdrop gone.  There is no longer a tug, a constant pull on the line.

But now we are three and this relief has come at the cost of our sweet girl, our beloved Allistaire.

It suddenly occurred to me the other day that I have taken the last picture of Allistaire.  There are no more pictures to be taken.  No new stories to tell.

On Saturday, June 11th, 2016, we will be having two separate services.  In the morning around 10:30/11:00am, there will be the opportunity to worship God, to fix our eyes on Jesus Christ who calls those that follow Him out onto the water, who asks us to lay down our lives and entrust our whole selves to Him, the One True God, the Holy God, the God who is other and infinite.  In the evening, we will focus our time on remembering our beloved Allistaire Kieron Anderson and the incredible community of folk that have been such an amazing support along this difficult road.  All are invited to come to either or both services, but please understand they are for very distinct purposes. There will be more details to come.

**Seattle folks – I’m sorry to say, that while I really wanted to be able to hold some sort of memorial out there, I just don’t think I can make it happen.  I’m bone tired and so we invite you to come to the Big Sky State – the homeland Allistaire so loved.

***If you would like to offer housing to folks coming in from out-of-town for the memorial OR if you are interested in staying with a local family, please contact my sister-in-law Jessica at either “pederandjess@gmail.com” or (406) 850-3996.

Lastly, a 3 minute Obliteride promo video featuring Allistaire was just released today.  Allistaire and I both have invested a great deal of time and heart into allowing her story to be told in order that people would be compelled to join the effort to accelerate cancer research and find cures faster – so moms won’t have to tell their little girls that they are going to die because there is no more medicine to fight their sickness.

Please, it would be bring me joy, if you would take a moment and see our sweet girl’s smiling face and goofy laugh in this OBLITERIDE VIDEO.

Thank you to all who have so generously given to support me in Obliteride and fund cancer research.  For those who have yet to do so but would like to, you can donate in my name in honor of Allistaire and/or those you love who are battling or have battled cancer, HERE.  Please know that 100% of funds donated go directly to cancer research at Fred Hutchinson Cancer Research Center (of which our local Bozeman Cancer Center is connected via Seattle Cancer Care Alliance – a collaboration between Fred Hutch, the University of Washington, and Seattle Children’s Hospital).

 

 

Still

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IMG_0832IMG_0899I cannot count the hours I have laid next to Allistaire with this quiet music playing.  Putting her to bed for a nap, closing the curtain to her hospital room and posting the sign telling the world to stay away, Allistaire is sleeping.  Laying next to her in Ron Don, going through our night-time rituals.

The music plays on but she is gone.  Gone.  The bed is empty.

After four and a half years of fighting her great foe, Acute Myeloid Leukemia…after two long grueling weeks since Sten and I made the brutal decision to no longer attempt to thwart her disease, an aggressive, relentless, mindless onslaught…after over three hours, as her body continued to fight, to grasp for life, lungs pulling for air, and a heart, oh her heart, far stronger than we could have ever imagined, that heart so determined, so fierce, it pumped on and on and still her mouth gulped for air when her chest no longer rose and there was not one flex of her heart muscle left…

And then stillness.  Only the soft rushing sound of the oxygen still trying to sustain life.

Quiet

Utter stillness

How very strange to come to the end.  To have this child between us, this longed for child that together we had conceived, this little bright vibrancy now extinguished, pale, still.

We love you little sweets, beyond words and time, you are so very dear to us.

Allistaire Kieron Anderson died early this morning at 1:33am, April 30th 2016

 

My deep and fervent desire has been that these most vicious versions of Allistaire’s cancer cells would be able to be studied and contribute to the understanding of AML, in honor of all that Allistaire went through and in blessing to those who will be forced to come behind her.  Dr. Soheil Meshinchi, one of our spectacular, brilliant and tender-hearted Bone Marrow Transplant doctors at Fred Hutch, made a way for this final offering.  Soheil is the COG (Children’s Oncology Group) AML Biology chair and oversees the largest pediatric AML tissue bank in the nation.  Along with other doctors/researchers dear to our hearts (Dr. Katherine Tarlock, Dr. Marie Bleakley, Dr. Phil Greenberg, Dr. Todd Cooper), he is tireless in his pursuit of understanding AML and finding ways to thwart its stranglehold on so many sweet children.

These are the words of Dr. Soheil Meshinchi to me:

“I will do everything I can to learn all we can about Allistaire’s leukemia.  Her diagnostic sample is being sequenced now and we will sequence specimens that you send us…Please feel free to call me anytime you want to talk.”

“My prayers are with Allistaire and your family.  We will care for these precious cells of Allistaire.  Please call me if there is anything I can do.”

And this comes from him this very morning, “Dear Jai, I wanted to give you an update on Allistaire’s cells.  We received them in great condition.  They were processed and a fraction was used for extracting RNA and DNA.  We purified leukemic cells from another subset and banked several vials.  We are waiting for the result of the foundation medicine testing with plans to sequence her recent cells as well.  I’m available to talk anytime you need to.  Best, Soheil.”

Allistaire’s life was strangled out by cancer and while I look in hope for her to have a new body, one incorruptible, I also strive after life here and now.

Please considering honoring Allistaire’s life and tremendous fight by supporting cancer research at Fred Hutchinson Cancer Research Center.  You can join our team Baldy Tops or give financially to Obliteride HERE.

*We will be planning some means of memorial in the future, but have no plans as of yet.

**Allistaire is alive in all of these pictures (with the exception of the very last picture of her toes), though they are either days or even only several hours before she died.  Some may find these very difficult to see.IMG_3726IMG_0657IMG_0659IMG_0236IMG_0733IMG_0736IMG_0760IMG_0849IMG_0884IMG_0887IMG_0895IMG_0897

Call Me Sapphire

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IMG_0676Each day, usually late in the afternoon, a call goes out, a harkening…”Let’s play family,” Allistaire implores.  And often a personal invitation, no, more like demand, is carried by messengers to individuals, “Sten, Allistaire wants you to come play family…Jojo and Taryn, Allistaire wants you to play family.”  It’s sort of weird because we’re already family so how do you play family?  Down in the Rec Room we go.  “Make a fort Mommy.”  And so I use the armoire and the hot pink tipi and we drapes sheets and Solveig recommends using hairbands to get the sheets to stay on the top of the tipi poles, it seems she’s done this before.  “No, turn the tipi around,” Allistaire says emphatically.  And we turn the tipi so that it’s entrance now is within the fort, so that it is a room within rooms and within it we put the pillows and the blankets and Allistaire is brought in and curls up tight in the little dark space, just a small pretend camping lamp inside to illuminate the curvatures of her sweet face.  She is always either the baby or the little sister.  This time it is just us girls and we are picking names for ourselves from the realm of jewels.  Solveig proclaims in loud voice over and over that she is Peridot.  Lucy considers the name Ruby.  Jo is Emerald and Taryn, Opal.  I choose Labrardorite, an ugly name but my favorite stone.  I’d heard that Allistaire had chosen Sapphire for herself, so I leaned my head into the door of the tipi to confirm.  “So you’re Sapphire?”  “Well,”and she considers for a long while, “I’m Sapphire Rainbow Sparkle Jewel.”  So as our play proceeds I keep calling her Sapphire Rainbow Sparkle Jewel.

“Mom, just call me Sapphire,” she says to me as though it was so obvious, I should have known.  And my heart smiles at her love of color and her delight in the fanciful, and my smile droops and the edges of my eyes tilt down, everything bathed in thin warm sadness.

“Your eyes saw my unformed substance;
in your book were written, every one of them,
the days that were formed for me,
when as yet there was none of them.
How precious to me are your thoughts, O God!
How vast is the sum of them! (Psalm 139:15-17)

Outside are the exotic sounds of Sandhill cranes passing over in the cool gray of this Saturday morning.  In days of old, days far to rare, Saturdays in which we four were all living in this same house, we would sit at the kitchen island enjoying chocolate chip and apple pancakes.  How few have been those mornings and this morning?  This seems most likely Allistaire’s last Saturday morning, a reality the mind can sort of grasp, but the heart gasps and gags, and everywhere wide eyes and the question, how can this be?

It’s funny how a few days of the same thing can lull you into thinking, ah, we have this routine, this is the way things will go.  For Monday and Tuesday looked largely the same, with Allistaire sleeping in late until 10:30 or 11 and then we bring her up from her room to sit on the old green couch, the $1,000 Ikea couch now eighteen years old, faded green velvet that has been the backdrop for so much of my life.  Sten patiently works with Allistaire to get in all of her morning meds, with she often moving in what seems impossibly slow motion, her hand holding the pills just millimeters from her tongue for what feels like minutes.  And then I would scrounge around through the few clothes we brought and the bins and bins of Solveig’s old clothes in storage, to find a shirt that will fit over her grand distended belly.  And sometimes the exertion of all this resulted in her falling quickly back to sleep for a few hours there on the couch.  Eventually the cousins and the sister-in-laws would be beckoned to return.  Allistaire would perk up in their presence and remain awake and engaged the rest of the day, though in a far more subdued and constrained way than her old self.

Wednesday began like the previous days so we had planned to meet up at the Museum of the Rockies around noon, knowing the absolute exploding zeal my nephew, Eli, would have over the dinosaurs.  We brought the stroller and tucked Allistaire in under blankets.  The planetarium show was about to begin and so we funneled toward the door where I was stopped and told, “No Strollers.”  My mind and words fumbled and all I could get out was, “She’s on hospice.”  We were allowed to proceed and were met with some sad Adele song before the program began.  There in that alien like green like of the glowing domed ceiling, I cried and cried as Allistaire slept silently and Solveig held her hand.  These outings, these things meant for fun and education, possible now only because she’s dying.  I never wanted to bring her home to die.  Dr. Cooper always warned of “going down in flames in the ICU.”  That always held a certain appeal.  I had no problem with that idea.  Let’s bring this to an end hard and fast, fighting to the last moment, pushing for life and rallying every force to uphold life until in one swift strike it might all be done.  But this?  This simultaneous rapid yet so slow deterioration of the girl that burst with life, this fading and blurring, this slow strangling?

The hospice nurse, Joyce, came up Thursday mid-morning to draw labs.  When she was done I changed both caps and flushed both lines.  No, I don’t need any flushes or alcohol wipes, I am amply supplied with more than you can imagine as Seattle Children’s home care has always been over eager in their provision of line-care supplies.  Allistaire’s all set for the day and in early afternoon I head down to what used to be Walgreens Infusion Center but is now Option Care, to pick up hydration supplies and be trained on their infusion pump.  Angie (Dr. Ostrowski) calls me in the middle of our training time to give me lab results.  Almost amusingly her kidneys and liver look great, even her hematocrit has oddly risen from 30 to 35 since Monday.  Her potassium, phosphorus and uric acid are actually quite low which is strange given that these electrolytes usually rise with tumor lysis (cell death) which is clearly happening given her LDH which has jumped up to 1,700 (normal high is 200).

What smacks me in the face are blasts.  Thirteen percent of her peripheral blood are leukemic blasts, making the ABC (Absolute Blast Count) 700.  This is the first time I’ve seen blasts in her blood since November of 2014 and the onslaught is not subtle, they are coming hard and fast.  And I cannot tell you how savagely I detest blasts.  They are the dark hordes of an army on the horizon, advancing and destruction goes with them.  When I finally got home I was shaking from hunger and I did not want comfort.  My instinct was to take that pyrex bowl of pulled pork and hurl it with all might might, eager to see it smash and shatter with terrible violence.  We’ve been in this place before, nay, we’ve been in worse spots, but never, never have I had to simply stand back and allow this beast to take her.  Everything about this cuts hard agains the grain, my hands flex in fists and my jaw is set hard.  I want to bellow some primal scream, a wail, a fury.  Look!  Look!  The girl’s body fights on.  The kidneys, they hold.  The liver it holds.  The heart beats on.  The lungs fill, pulling in air and the blood sends the oxygen hurtling throughout all the furthest reaches of her flesh.  Her flesh fights on!  Are we to simply stand by?  Are we to be accessories to crime?

And my pleading question repeats, “Is there really nothing?  Nothing left for her?”  Have you queried all your contacts?  Have you circled the earth? Have you scoured and sought?

Nothing.  There is nothing left for her.

And I know, I know.  Ten million dollars.  Four and a half years.  Twenty-two long hard rounds of chemo.  One genetically modified T-cell therapy.  Two bone marrow transplants.  Three separate attempts at focal radiation.  There very best minds, tenacious wills and kind compassionate hearts.  And it’s not enough.  Still the cells march on and this time, this time there is nothing to stop them.

When I consider all that her little body has had to endure, what has been asked of it…numerous infections of RSV, C-Diff, Streptococcus viridans and typhlitus, on top of all the vast array of toxins gathered from the likes of the May Apple plant (Etoposide), the purple sea sponge (Cytarabine), soil bacteria, laboratory concoctions – sophisticated molecules with microscopic weaponry capable of disrupting mitotic spindles, slicing DNA and robbing the cell of its nutrients…I am in awe.  Her heart, lungs, kidneys, liver, immune system – they’ve all been called upon over and over to respond to the most aggressive of assaults.  They’ve rallied.  Her body has fought so hard for so long.  And it presses on, not knowing that this time there will be no special forces bring aid, there are no barricades.  There are now no means of escape.

I have heard Allistaire repeatedly described as incredibly strong and brave.  She is strong.  She was knit together with a fierce fortitude.  But she has never tried to be brave.  She has never attempted to rally her courage.  Rather she has yelled at times repeatedly, “I’m terrified, I’m terrified, I’m terrified!”  Fearful things have come and she has called them what they are and she has walked into the fray and over and over shown herself to be resilient.  Perhaps this is not an entirely fair description.  She has in fact learned to calm herself, to close her eyes and breath slow, to repeat to herself, “You got this.  You got this.”  And yet, it seems that she just just is brave and perhaps this is because she knows no other way.  When she was a mere 21 months old, she was called upon to endure, to press forward, to persist through pain, to do the hard thing over and over and over.  While she has experienced so much brokenness,  I longed to see what all this fortitude and perseverance would yield in her adulthood. What sort of woman would she become?

The world will never know Allistaire Kieron Anderson as a name on a resume or on a wedding invitation.  Her life has been cut ever so short.  But are these the right words?  Does this phrase really aptly describe?  What is true is that we all desperately wanted more.  My heart keeps whispering with sad insistence, it wasn’t enough.  I did not get enough of that girl.  There are not enough pictures of two sisters together.  My eyes will never get enough of taking in the sapphire sparkle of her eyes, the glee of her voice, the tenderness of her words, the curve of her chin and perfect dimples.  Is there anything more wondrous as a parent than getting to bear witness to the miraculous unfurling of a child’s body and spirit?  Do we not all stand in awe that are children’s legs, those legs which once curled up tight in our bodies, look, they are now so absurdly long.  How has this come to be?  How has cell added to cell to cell to cell to at last make this leg that can no longer fit on our laps but spills out all haphazardly and is quick to flit away?  How is this child recounting to me that the hammer head shark has two sets of eyelids?

But the question that keeps slipping in is this, What is the measure of a life?  By what standard do we proclaim with satisfaction, that a person lived a good life?  Whether we ever say it out loud or think to intentionally articulate it or not, we have engrained in our 21st Century American hearts and minds that we are due 80 good years.  Years that are marked by a happy childhood, great education, independence and self-sufficiency, a meaningful career and opportunities to explore the earth and delight in activities and accomplishments, to have a full family and at long last, to retire and spend our latter years in good health and leisure, and to eventually die surrounded by those we love and who have loved us and without pain or struggle.  That all sounds entirely wonderful and who could not or would not desire such a life?  We were created to long for life and life abundant with our whole beings, every fiber and cell intent on such vibrant life.  And in our time in history and in our western world we have been able to achieve what most of humanity throughout time and place have never known and thus our expectation is solidified and our shock and angst at not getting what we want, what we expect, intensifies and we yell out – it’s all wrong!  Six year old little girls should not die!

And the God of the Universe pounds His mighty fist in agreement and calls death the ultimate evil and promises a life to come wherein there will be no more death and there will be no more sickness or crying or pain.  Every tear will be wiped away!  Can you imagine?  And we turn to Him and rage and rage, “Then why don’t you stop this?!  Why withhold your arm that is supposedly so mighty to save?  Where is your salvation now?  Why do your turn your face away from this child?  Do you not hear the agonizing cries of those that have loved her and cherished her?  How could you possibly love this little girl if you are willing to strip away her life?  How can you call Yourself good?  And our hearts seethe and the acid of fury fills our veins and we declare with all our finite might – if you are any god ant all then you are no god I want, and we throw up our hands and storm away.

And like a parent with a child, our Father calls to us, He beseeches that we return to Him, that we take His hand and walk with Him.  That we trust.  That we cast our gaze out upon that incomprehensible sweep of space, of billions and billions of galaxies, of stars more numerous than the grains of sand on the seashore, that we consider the grass and flower that spring up for a day and then wither, that we observe the birds clothed in brilliant luminescent blue, that we watch the storm cloud racing across the valley and rising up the canyon with great flurries of snow, that we consider the glacier capable of gouging out the sides of mountains yet made of mere individual snow flakes too light to be weighed on a scale.  And He implores that we look within, into our own hearts, to the marrow of our lives, what dwells there?  Is there not a longing for eternity?  Is there not a deep grief for our brokenness, for our sin?  The God of the Universe, the Ancient of Days, the first and the last, He is not deaf to our fury, our desperate sadness.  He asks us to consider that perhaps like a child who cannot understand their parent’s reasoning, we sink deep into His love for us and rest, trust, to know that there are reasons beyond our understanding and that one day this pervading sorrow that fills the entirety of our view, will somehow be a distant memory, a minor pain as it sits alongside all the wonders of His fulfilled promises.

And it sounds audacious and we gawk at the thought that we should believe that.  And I do.  I do rest in the words of my Father because they have been far more than words.  Words that once were mere black symbols on the page, mere groupings of sounds, I have tasted of the Lord.  I have seen Him with my eyes.  I have heard His voice.  I have seen His hand in my life over and over and over.  And I will keep lifting my eyes to Him and I will keep lifting my hands to Him and I will keep lifting my voice to Him and I will keep laying down my life before Him and I will call Him Holy!  And one day I will see fully what is the measure of a life.  I will get to see the magnitude and the grandeur and bounty of what God can bring about in the small span of six years.

So my mind and eyes are set there and set here on this little girl who is slipping away from us.  Yesterday we went into the Cancer Center here in Bozeman (which is part of the Seattle Cancer Care Alliance by the way which means all you Bozemanites – guess what?  Your cancer care is directly tied to the research at Fred Hutchinson Cancer Research), so that she could get platelets.  Labs were drawn again and only one day later her blasts had risen to 21% in her blood with a total of 1,700 blasts.  When we finally arrived home she slept and slept.  In early evening the cousins arrived and dinner was nearly ready but I felt no desire for food, so I slipped out of the house to the quiet of the driveway where I could walk around the bend out of sight and just sit on the gravely surface, watch the grasses bend in the breeze, the birds flitting and twittering in the air and the hazy Spanish peaks in the distance.  I fiddled with rocks stuck in the road and remembered back to how Allistaire loved to pick out the tiny bits of colored recycled glass stuck amongst the stones.  I would find dozens of little jagged pieces of amber and green and white glass, and occasionally the treasured bit of aqua.  Then I heard my name, my mother calling, and I kept saying, “What?” and she wouldn’t answer and finally, “Allistaire’s having a hard time breathing.  Sten is looking for you.”

She was asking for oxygen and Sten said she was struggling to put together her words.  My eyes downcast, I flew to the phone to call Angie.  We had already planned to arrange oxygen to be brought up to the house; Allistaire’s oxygen saturation was down to 83%

I have no time to finish this post.  Allistaire is having seizures or strokes.  Her right side is limp and she can no longer talk.  She still hears us and understands – we have her raise her right hand for yes when we ask her questions.  Lord Come Quickly!

Good to Be Home

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IMG_0551IMG_0524It is strange to sit in my cushy arm-chair, to wake each morning while three others sleep and watch light overtake the earth, sun rising over curvature and bathing the evergreens in bright liquid green, the underbellies of clouds turning pink, the grasslands of the valley warming in yellows.  The aspens here are still leafless, but the snow now stands only in shady patches on the hills, amongst the trees.  Yesterday morning spring snow flurries filled the landscape with the swirl of bright white flakes against greening fields, the day warmed and the sky turned blue.

It feels so good, so utterly right to be home.  I feel a fool that we never even thought to include Allistaire in our decision-making about hospice, where she would end her days.  Then again, while I had considered on many occasions where I would want her to die, the truth is, the word “hospice,” absolutely knocked the wind out of me when it was first voiced last Thursday.  Hospice has always been linked with horror, the most inconceivable sorrow, the worst possible outcome. It is a word to turn from and flee from, willing your legs to run at speeds you didn’t think was possible.  All you want to do is to get away from it.  And as I have over the years been witness, sometimes from afar, sometimes closer in, to the end for many children, some going home, some dying in the hospital, I have asked myself, what would we do were it Allistaire?

Everything about the last four and half years has been held up against the question of, “what is best for Allistaire?”  All choices have been formed in accordance with the goal of providing her with the best possible care.  As I had considered those who went home and those who remained in the hospital until the end, I thought, oh, but I want so badly for those that care for my sweet girl’s body in her last days to know her as more than a body, to know the spunk and giggle of the girl whose body is betraying her.  I want to scream at the thought of her being viewed as only a heart rate, number of respirations, kidney function numbers, a pain plan.  No.  NO!  This is Allistaire Kieron Anderson, the child of my flesh, a girl hilarious and witty and beautiful and so very tender and kind of heart, a girl who will always entice you to play, who loves dress-up and colors rainbows endlessly.  It is this bright being, this girl who I so desperately longed to know as a woman, a girl who has fought so much harder than you can ever imagine, who has endured so much – she is to be handled with the greatest of care, with reverence, with delight and love.  And so I thought, I would keep her here, in this land where no only can she receive the absolute best of medical care with expertise in children, but with those who have cherished her, who have laughed with her, who have watched her grow up.  These are the people who in whom I will entrust her last days.

But somehow, it just never occurred to me that such a question might really matter to Allistaire herself and that there could be things even more precious than having those who care for her, know her.  So when we told her that she would die and asked if there was anything she really wanted, and her words came quick and clear, “I want to go home,” there was to be no denying her that wish.  And we scrambled to make that happen, and the honest truth is that I called out pediatrician in Bozeman to let her know we were coming home for a visit, primarily because if Allistaire died at home I needed Dr. Ostrowski’s help to know what to do.  Before I knew it, and without intending to, we had a “travel contract,” set up with Hospice of Bozeman.  And as we stood in the airport Saturday night with the sun going down over the Olympic Mountains, the land of my childhood, the thought of going home began to swell in my heart.  I knew that the setting of that day might be Allistaire’s last in the land of her birth, and yet home was calling in the deeps of me.

In the dark of night, the plane flew east, moonlight making the snow glow blue over endless mountains, the depth of the Cascades shocking in contrast with our perception of them from Seattle as simply a line across the eastern horizon.  On and on we flew, the mountains never seeming to let up.  The further east, the more my longing grew and in crept the thought, “I don’t want to go back.”  The urgency, the clarity of that desire turned more and more to resolve, the ambiguity of it transforming into solid matter.  I want to be home.  And why?  Why would we take her away from home again?  My rational brain spoke up telling me again how we didn’t know how well she could be cared for in Bozeman and Seattle was a land of plenty when it comes to medical care.  And while I conceded to that voice, still my heart claimed home.  And as I allowed my heart room to speak, again it became clear, how, how could we force her again to leave her home, a little girl who has hardly known home, who has been deprived of it, always being forced to buck-up and do the hard thing because the hard thing has been required to give her the best chance of survival.  But now?  Now?  Was Seattle really the only place that could provide her what she needed to keep her comfortable or could we perhaps find a way at home.

There are literally countless people who have been incredible gifts to us in this long, trying journey. And really, I think I’m tired of hearing people say “Cancer Sucks.”  With all my heart I wish Allistaire could have had the chance at a thriving life, but cancer, this wild, rogue cell of unfathomable complexity, in truth, I am in awe of it, it is a fearsome wonder that causes the humbling of the most mighty, the most intelligent, the most tenacious.  And cancer ushered us into a world we could have never chosen, a brutal road with hardships that have stripped us of so much, has gutted us and left us ragged and bleeding.  But along this very path I have at last been given eyes to see things I was previously blind to, and my wounded heart has been given entry into fellowship with those who also suffer and its longings have shifted.  This path we are told to fear, we are told to avoid at all costs and which really has stolen so much, has also had treasures scattered that can only be found here.  And it has been along this road that we have had the delight of having our lives being entwined with phenomenal people.

Dr. Angie Ostrowski has been one of many such folk and it is in large part because of her willingness to go above and beyond the requirements of her role as our pediatrician, that we can have the confidence and peace of having Allistaire remain at home.  Dr. Ostrowski came up to our home on Sunday afternoon and looked over Allistaire, a girl she has cared for the past four years, through two relapses and post bone marrow transplant.  She talked with Sten and I about our desires for Allistaire and how she along with hospice here in Bozeman and with Seattle ever available for consult, might be able to meet these needs and desires.  And while I suppose I already knew this to be true, I was reminded that even here at home, we have been blessed with excellent medical care, and more, a doctor who has known and loved my girl.

Sten and I both want what is best for Allistaire and ultimately long to care for her little self, the girl even more than the body in which she dwells.  For Sten there has been some concern about the potential difficulty of having Allistaire die in our home, and the impact of that memory for all of us going forward, however, in a commitment making a way for fulfilling as many of Allistaire’s desires as possible, we agreed to ask Allistaire whether she wanted to stay at home or go back to Seattle.  Originally our plan had been to draw labs on Monday and depending on how rapidly she seemed to be declining, we would decide whether or not to go back to Seattle.  But now, as we crouched before her sitting on the couch, and Sten asked if she wanted to stay or go back, again her words came without hesitation, as natural as breathing, “I want to stay home.”  And with that, it was decided that will not be going back to Seattle, and the absurdity of every asking her to leave home again was validated.  Why?  Why thrust this girl yet again from home?

And home, home, is not the very word calming, settling, restful?  Some think that we ought to cut our own days short when we see the likelihood of suffering coming for us.  I can only ask, what treasures, what sacred gifts might we be denying ourselves if we forego these last days?  Solveig and Allistaire sat snuggled up on the couch yesterday morning, holding hands and Solver’s arm around Allistaire, she nose sometimes nuzzling Allistaire’s bulgy cheek, Allistaire’s blue eyes looking out at valley and mountain and field.  Solveig reading story books to Allistaire while later she slept.  The two of them up in Solveig’s loft working on a craft.  Allistaire sitting with Uncle Peder, him teasing her, and her wry sense of humor jousting back.  Solveig, cousin Per and I clustered around the Candy Land board and later sitting out on the deck encircled around the little fire, roasting our marshmallows with Aunt Jo, perfecting s’mores and the challenge of just the right degree of toasting to pull of the crusty outer layer, the “scab,” and place it again over the glowing coals, the sound of wind chimes and deer in the field.  Solveig and Haaken and Per running down the driveway, flying the dragon kite with Allistaire tucked under blankets sitting enthroned in the cozy chair we set out in the grass.  Friends coming by with boxes of Kleenex and tasty food and love and a commitment to continue on as friends, never turning away when there are no words that can ease the pain.  Family flying and family driving from Washington all to gather round this amazing girl we have loved so passionately.  Home.  Where else could we possible want to be.  It feels so utterly right to be here, some satiation settling into the weary cracks of my bones.

Sometimes she sleeps when everyone is gathered round and talking and her body simply needs to rest all cozy on the couch.  And her tenacity remains as she insists on walking when it seems it could only hurt.  And somehow, the “Buddha Baby” look of being fluid over loaded, presumably from kidneys waning, has dissipated some so that her eyelids no longer seemed strained though her belly is still rotund and pulling her shirts tight, disappointing her that she could not comfortably fit into her mermaid costume.  And oddly her labs looked better overall yesterday, her creatinine down from .8 on Saturday to .52.  Her liver function numbers the same, her potassium and uric acid actually down and her GFR (rate of kidney filtration) improved.  Her platelet count and hematocrit still far enough above her transfusion thresholds that she should be fine for at least a few more days before another possible transfusion.  Her ANC is down a bit for sure and her LDH (and indication of cell turn over) rose substantially.  Thankfully her pain is under control.  While we have to handle her very gently given the pain movement causes her, at this time she is only on the extended release morphine tablets and hasn’t required anything additional.  She is sleeping peacefully at night and during her day-time naps.

It’s crazy how I still hold out hope, how I still think somehow this can turn around.  I guess the reality is she’s been in such desperate spots before, dark places with no seeming exit and against all odds, on quite a number of occasions she has made it out, overcome what seemed impossible.  The peaces comes quick when I am reminded that either God miraculously cures her or she dies.  Seems funny that this should bring peace but it does, because I have yielded this girl, handed her over to my Father and there is peace in no more wrestling, no more wondering.  Either way we are at home to stay.  We are never going back to Seattle to battle cancer.

We are thankful for the days given us, the hours, the nights that turn to morning.  It is perhaps the strangest of all to feel and know that we are eternal beings that making our dwelling for now in temporal homes, in vapors, as grasses and flowers that are here for but a moment and then wither and die and yet yearn for what we were meant for, a life that goes on.

Thank you to so many who have poured out your love and compassion on our family, for your passionate prayers, for your words when you feel your words fall flat and are insufficient, for your sweet faces and texts and cards.  Thank you to so many of you who have donated money to accelerate cancer research at Fred Hutchinson Cancer Research Center.  While I have respect for our devious foe, cancer, don’t get me wrong, I still intend to pursue that beast until it is slain and I greatly appreciate your support in this endeavor!  So below is a link to donate to Obliteride, and also a link for Bozeman folk who’ve expressed a desire to help us out with meals.

I should also note, we are not planning to have any sort of memorial service right away.  I do not want my time divided right now, I want to cherish these days.  There will be time later to plan how we want to mourn together and rejoice in her sweet life together.  However, knowing that such a time will come, it would be such a gift to us if you would send us a wee note of what you have loved about Allistaire, how her life and story may have had an impact in yours.  I will never forget the clarity of God’s words to me that gray December morning in 2011 and the peace that they wove in my heart – “Do not focus on all that you fear you will lose, but be expectant, be on the look out for what I will do, for the bounty I will bring out of this.”  While my hope for that bounty lies largely in heaven, it would bring such humbled joy to get a glimpse of God’s goodness here and now, in this world in this life.  So if you’d be willing to take the time, mail your notes to our address below:

14176 Kelly Canyon Rd, Bozeman, MT, 59715

Click HERE to help put an end to cancer and support me in OBLITERIDE!

Click HERE to sign up to bring a mealIMG_0463IMG_0465IMG_0467
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Come to the End

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IMG_0461IMG_0447IMG_0457The cursor blinks.  Waiting. Waiting for the words to come, to extract from the blur, to distill the thunder and wailing silence.

We are those people.  We have become strangers from even those who have known this road with us most intimately.  She is not yet gone but the memories, they flash in and burn.   Every step igniting shards of pain.  Beauty and joy, that with the awareness of their loss, pierces rather than delights.  Thoughts, uninvited barrage, come sailing past, slicing, blunt force.  I was teaching her the names of plants and she would yell out their names as we drove about – forsythia, I see forsythia, she exclaims. Red-tip Photinia gets blurted out over and over.  And there it is, a brutal mingling of what once brought joy and proclaimed life and growth is transferred into the category of no more and then the gaping expanse of emptiness where more names of plants were supposed to dwell.  But I wanted to teach her to crouch low and delight in the delicacies of moss, of tender fern, of trickling stream, to watch the light stream through trees, to stop and listen, to soak in life, to learn the secret of the bounty observation brings…

We have had rough times before, really really rough times.  There have distinct situations in which her life could have easily veered toward death, it was right there, standing at the threshold but never had it entered in.  To look at her is disorienting, to consider the severity of the situation keeps getting rejected and spit out over and over.  Dr. Cooper called in early evening.  I told him of the second guessing our decision that had already come, of the disbelief that she really is being over taken by her cancer, that there really is nothing to stop it this time.  I ask him again, are you sure, totally sure there is nothing for her, nothing?  Nothing.  There is nothing left.

This morning I thought, maybe there is something out there in the world, some new and wild way to tackle her beast, some new angle that can catch it unawares and strangle it at long last, extinguishing its mindless assault.  But no.  There are only the same grooved paths.  Therapy, primarily chemo, all to get to a transplant and she just had a transplant.  She just had THE transplant, the no holds-bar transplant, a full-conditioning volley of weaponry – if that didn’t work, there is at present nothing more under the sun that can cure.  And so the question rises, can we give her something to hold her, to simply keep her going?  But to what end?  And it’s not like this doesn’t come at its own cost.  The one possible goal was a CD123 CAR T-cell trial that is still in the works at CHOP (Children’s Hospital of Philadelphia), but it is months and months out.  And with Allistaire’s current heart function she wouldn’t qualify anyway.  And perhaps more than anything, the startling speed of this cancer’s progression makes nearly any novel therapy too late.  Her kidneys are suffering with a steadily rising creatinine level.  Her potassium and uric acid or rising due to tumor lysis.  And this rise in potassium, the unbalancing of electrolytes, could at any moment cause cardiac arrest.

Before we knew it, without intending to and without being able to yet utter the words out loud, we began to discuss what it will look like for her to die.  Does kidney failure hurt?  No, it would be peaceful.  As would her heart simply stopping, peaceful.  What a strange thing to hope for your child.  I do not want chloromas to overtake her body – they cause incredible pain and deformity.  No, it seems most compassionate to make way for some other finality.  I do not want her to bleed out.  We must keep giving her platelets.  But red blood?  It may come to the point that we simply don’t give her any more red blood and she will grow more and more tired and sleep and never wake up.

I cannot believe I am having to have this discussion.  I cannot believe the words entering my ears or coming from my tongue.  It sounds like logistics, some planning committee.  Hospice will meet you on Monday at noon.  PAC Team (Pediatric Advanced Care Team) will do this, Dr. Cooper will check on this…but there is this little girl, the nucleus of all these efforts, these considerations.  And while it all might sound callous and aloof, distant, I am confident of the sincere care for Allistaire in that room, especially that of Dr. Cooper and Dr. Bleakley, two doctors who have intimately walked this road with us, who have thought long and hard over Allistaire.  They are dear to me and I trust them.  I trust them because the are incredible brilliant people who have walked this road with families for many years, who understand the disease far, far more than most and who have known Allistaire as a real girl, not a med rec number, not a PET scan result or Flow Cytometry percentage.  And so with what very little time we have left with our girl, I will not go running after obscure options.  We have chosen to rest in the expertise of our doctors who are connected nationally and internationally with fellow physicians also working on AML.  They are a gift of great worth to us.  They honor us and honor Allistaire in their enduring work to care for children with cancer.

I am already incredibly tired.  I don’t want to leave her side.  I feel the tiny bones in her hands and the light passing across the tiny little peach-fuzz hairs on her cheeks, the long dark lashes and puffy eyelids.  I listen to her breathing and rub the warmth of her back, the delicate blades of bone.  And it all just hurts so bad.  Tonight is Friday night.  It’s always been Friday night pizza night and a movie. Sten and Solveig honor that tradition in Montana and we here in Seattle.  But tonight?  What is tonight?  Is it my last Friday night with Allistaire?  I gag at the thought. I long to throw up, to some how clamp my hands over my ears, to press my eyes closed tight and somehow make it all go away.  Can I just go back to a week ago?  Can I just undo this awful week?  Can we please not take this path?  I want to scream and scream and scream until my voice is gone.

When we sat with Allistaire on her bed and told her that we had met with the doctors and there was no medicine left, that she would die, we asked if there was anything she wanted to do.  “I want to go home,” she said.  And while we feel our resources for this situation are best here, we are taking her home for two days.  Two last days at home in Montana.  Time for the four of us to dwell in that home one last time altogether.  Time for our family to gather.  I don’t know how our hearts will bear up under it.  But we must live out each moment, each minute that amasses to become an hour, and hours days.  Yet we may really be down to days and I can’t stand the thought of it.  My body just shakes, rejecting that the child I gave life to I have to at last lay down and walk away from.

I must go to sleep.  In the morning I will pack for this brief visit home and she will get a transfusion of platelets and red blood to tide her over.

Thank you for your many messages of sorrow and love.  Thank you for your prayers.  Many of you have expressed a desire to help.  First please understand that our time with Allistaire is so short, we will really be keeping to ourselves and our immediate family, a few close friends.  At this point in time we ask that you don’t ask to come visit unless we have already communicated with you.  Please know this is no reflection on you, rather a need to be realistic with our finite time and emotional resource.

Another way to demonstrate your angst toward cancer, your sorrow over the loss of Allistaire’s fiesty bright sweet spirit in this world, your support of our family, is to give to OBLITERIDE.  I cannot tell you how brutal it was this morning to hear of amazing research underway in the lab that is no where near being ready for Allistaire.  While I rejoice at the advance of cancer research, it is too wickedly slow!  What heartbreak to know that while cures are underway, Allistaire’s body will have already ceased.  Please consider honoring Allistaire’s life by supporting me in funding cancer research at Fred Hutchinson Cancer Research Center through Obliteride.

Click HERE to donate.

“Humble yourselves, therefore, under God’s mighty hand, that he may lift you up in due time. Cast all your anxiety on him because he cares for you.

Be alert and of sober mind. Your enemy the devil prowls around like a roaring lion looking for someone to devour. Resist him, standing firm in the faith, because you know that the family of believers throughout the world is undergoing the same kind of sufferings.

And the God of all grace, who called you to his eternal glory in Christ, after you have suffered a little while, will himself restore you and make you strong, firm and steadfast. To him be the power for ever and ever. Amen.” (1 Peter 5:8-11)