Thursday, January 10, 2019

HERE’S YOUR SIGN…


January 2, 2019 – HERE’S YOUR SIGN…
I found myself in an all too familiar space this morning, both physically and emotionally.  Lying on the acupuncture table, with the last needle placed, I felt the tears start rolling down my cheeks.  I looked out the window at the pouring rain, which always seems to depress me (I could never live in the Pacific Northwest…sorry Gina J).  My eyes started to well up even more as I realized I was crying, and before you know it, I was weeping out loud.  I felt guilty, and burdened, as I wanted to ask God why…why again, and again, and again, and again.  But just like the  time 4 months ago, when I was facing the reality of my fifth cancer diagnosis in 5 years, I laid on that table, tears rolling down my face(except this time my mascara wasn’t waterproof), and I asked God for a sign that I was going to be OK.  When I paused for a moment, I once again turned my attention to the rain.  A Ha…healing rain.  There it was.  God’s tears falling with mine. Years ago, my dear friend Gina sent me a link to the song Healing Rain.  And here I was now, seeing it fall, knowing that God was saying…Here’s your sign.

I suppose I should rewind a bit, and tell you how I came to this point.  Without too much detail over the last couple years that I haven’t written about, I will say that my doctors have had to play (as Dr. Hanna described it), whack a mole with my cancer.  After my liver surgery in 2016 (Same Name, Different River), I faced two additional cancer metastases to both my liver and kidney.  My doctors have been watching me closely, and this time the tumors were small enough that they both could be treated with microwave ablation (a one-time buzz that only required an overnight stay each time).  So, one week before hosting 14 people at my house for Christmas in 2017, I had a kidney ablation.  And, like always, I somehow managed to rise to the occasion.  Then, in January of 2018, I had a liver ablation, which didn’t quite go as easily or smoothly as the kidney surgery did, but I managed to make the best of it.  Life goes on…until it doesn’t.

I was back on a 3 month follow up, and my April scans showed that the ablation procedures had done their jobs and I was back on the mend.  They don’t ever say the words cancer free to me, and I doubt they ever will.  The most I can hope for is a dance with NED every now and again.  NED isn’t some mystery man waiting to give me a twirl, but it means No Evidence of Disease.  But there is a NED, one that would sweep my best friend off her feet. 

Terry and Ned’s wedding was over Memorial Day weekend this past year, and I was so excited to be giving  a reading.  But the weeks leading up to the wedding left me wondering if I would even be able to attend, let alone speak to their love.  You see, I had started to experience intense pain in my jaw that emanated through my teeth, and through the lower branch of my trigeminal nerve (the only branch not affected by my original cancer).   Brushing my teeth had become a burden, the pain so great that it would bring me not only to tears, but to my knees.   My jaw had become so tight, that getting my obturator in and out was becoming almost impossible.  So, while I could, I took it out so I could properly irrigate all the nooks and crannies that make up the inside of my mouth...like the deep, dark tunnels inside a cave left from my first tumor and treatment.   But, what I didn’t consider was that I wouldn’t be able to get it back in.  Without this device, speaking is very difficult for me, and understanding me even more so.  Not only was I dealing with incredible pain, but now I was facing the very real possibility that I wouldn’t be able to get it back in by Terry’s wedding.  But, I was going to go to that wedding and do that reading for Terry and Ned, regardless. 

Multiple rounds of antibiotics, visits with my dentist, an oral surgeon and more, and the answers just didn’t seem to add up.  After trying acupuncture once before at MD Anderson, I decided to bite the bullet and see if it could help with my pain.  After several rounds, my pain started to get better, and I was able to open my mouth wider than I had in over 15 years.  I made it to Terry’s wedding and I cried as I read the words…tears of joy for my best friend and for the fact that I was there to share it.  I may not be dancing with NED, but Terry was, and that was enough for me.

Another one of my dear friends, Deb, came out for a visit to Texas, just a week after I returned from Colorado.  I’m lucky to have such great friends, with such unshakable faith.  They remind me during those times where I didn’t think I needed to rely on HIM, that there will never be a time that I don’t.  Deb and I started new daily (OK, maybe not daily) devotionals, mine being ‘How to pray for healing’.  I didn’t realize at the time how prophetic that choice would be.

After these two amazing visits had come and gone, I had a feeling (and quite frankly, a fear) that the pain of the previous months was something more than a tooth problem.  I’ve always tried to keep the  fear and anxiety that come with cancer away.  But pain has a way of wearing you down, and I became fearful that the cancer was back.  One thing fear does do, is motivate you.  I called MD Anderson and told them that I wasn’t comfortable waiting until September to have my Head/Neck annual scans.  Ironically, last year was the first time they put me on a year follow up cycle.  I had been scheduled for every 6 months for the last several years, but since I hadn’t shown any signs of a local recurrence, they thought I should be fine waiting the extra six months.  During that call, my doctors immediately scheduled me to come in and on June 25th, I had an MRI of my head/neck, and a CT of my abdomen/pelvis/chest. 

As Will and I headed to MDA on the 26th to get word on the scans, we heard the song, “Everything’s Gonna Be Alright”.  I felt a sense of relief and simply said to Will, everything IS gonna be alright.  It just so happens my Facebook memory from 7 years ago to that day, was a video of Molly (my youngest daughter who was 8 at the time) playing Amazing Grace on the piano at our old church, Placentia Presbyterian Church…the church where my faith was anchored; the church where I read the entire Bible in 90 days; the church where I was married; the church where my entire family, including myself was baptized.    I thought to myself, these are Godincidences…reminders for me to rely on HIM; His way of showing me that He has never left my side.   I went into my appointment with Dr. Hanna, ready to hear the scan results, knowing ‘everything was gonna be alright’...David Lee Murphy and Kenny Chesney told me so it had to be true!  Here’s your sign…

After all the usual chit chat with Dr. Hanna about the girls (Meghan at University of Arkansas and how he had roots in Arkansas working at UA – Little Rock until 2004), Molly’s dance and my new Patient Engagement job, he said to me, "Five years."  He emphasized it with a pregnant pause.   He was excited about me hitting the five year survival mark and wanted to recognize that.  In my mind, it wasn't five years cancer free though, so I wasn't quite as giddy as him.  But then,  he smiled at me his sweet smile, and said with all sincerity, “I’m proud of you.”  But there was something in the way he looked at me this time that made me get a sinking feeling in my gut, that maybe David Lee Murphy and Kenny Chesney were liars.   Despite the songs directive not to, I started to hit that internal panic button.  When he called in the Head/Neck radiologist, I knew it wasn’t good.  They both began to explain that the pain I was feeling and the MRI imaging was concerning for recurrence.  The host of medical bystanders from around the globe simply watched our communications.   He wanted me to have a CT the next day to further assess the situation.  He tried to put me at ease by saying he was paid to be suspicious.  That anything out of the ordinary is guilty until proven innocent.  I sure hoped the CT would clear it of all charges…but it didn’t.

Two and a half short weeks later we were on that same drive from Austin to Houston that we’ve taken too many times to count.  I’m not superstitious, but did I mention that this was also Friday the 13th? We had a very early 4:30 am start, and once the sun started peaking through, I read that daily devotional I had started with Deb just one short month earlier.  It told me to pray with an expecting faith.  Pray in faith and do not doubt.  Pray with eager expectation and unwavering assurance that God is with you.  He is listening to your prayer and will respond with a miracle.  I know it’s possible…I’ve been the recipient of His miracles.     Mark 5:34 He said to her, “Daughter, your faith has healed you.  Go in peace and be freed from your suffering.   Another verse quoted during that devotional was Mark 9:23  And Jesus said to him, “If you can, all things are possible for the one who believes.”  Don’t think it’s coincidence, because it’s so much more, that this is the same verse Terry had read to me the night before when she called.   And, as we entered Houston, 3 hours into the drive, guess what song came bursting through the radio? David Lee Murphy and Kenny Chesney would not let me doubt, telling me yet again that ‘Everything’s gonna be alright.”  It brought me to tears this time as I was headed to MDA for my biopsy.  Here’s your sign…

I don’t believe in any power other than that from the Lord, however, this Friday the 13th wasn’t going very well.  Conscious sedation was an epic failure.  I was in a light sleep, eyes closed and I felt something hurt.  I’m not a doctor, but I know I shouldn’t be feeling ANYTHING.  Yet all of a sudden I felt pain.  I heard someone say, “She’s out, right?”  One more prick and my eyes popped open and I yelled, “No she’s not!”  It made me think of some scary zombie movie when they pop back to life. I bet they still talk about that (it had to be pretty funny).  They used more local to try to ease the pain.  It felt like a chisel and a hammer, but these weren’t sculptors, and I was certainly no masterpiece (although God would beg to differ…aren’t we all his masterpieces?).  Recovery that day went as expected though, until the last final dose of dilotid.  The nurse decided to mix it with an anti-inflammatory this time and I immediately felt a wave of nausea come over me.  That feeling never ceased, and as we drove the long 3+ hours home, I was dry heaving the whole way.  That is until we finally hit RR 620 in Lakeway (where we live).  It was then as we passed the high school that I started puking.  Seriously?  We were in the car for more than 3 hours and it couldn’t wait until we got home in 6 minutes?  Maybe it was the traffic on 620 that made me sick…locals know what I mean.  Luckily I had my puke bucket with me, which sloshed the remnants of the gingerale and two small bites of graham cracker that I managed to get down in recovery.  I felt better after tossing my cookies, just like after a good night of drinking, but without the fun.  A two hour nap at home, and 11 hours of sleep that night and I was almost back to normal.  Biopsy results in 3-5 days.

It was Monday, 7/16 at 1:27PM when I was working on Cancer Survivorship Care Plans for work, that I got a call from an all too familiar 713-745#.  My heart skipped a beat as I answered, and it was Katie from Dr. Hanna’s office.  I told her I was surprised to hear from her already…it hadn’t even been one working day since my biopsy.  I think I went to another place in my head as I heard her say, “the pathology did unfortunately show adenoid cystic carcinoma.”  Uggghhh…here we go again.  Quick results are NEVER good.  

Will was on a ride when I got the call.  The tears and cries of disbelief were once again overwhelming me.  I left him a message and told him to call me or come home ASAP; that Dr. Hanna’s office had called and it wasn’t good.  He didn’t need to hear me say the words.  He could hear it by the cries and the cracks in my voice.  I didn’t tell ANYONE else, even though my heart wanted to for support.  I didn’t feel right about it without not yet having told the girls.  There is never a right time to tell them, but today was not the day.  Tomorrow night after Molly gets off work at 8.  Meghan just got home from a trip to Little Rock and Molly was in a dance intensive all day.  I didn’t want to add to their physical exhaustion, with the mental exhaustion of having to tell them for the 5th time that their mother had cancer.  I wish that conversation on not even my worst enemy (not that I have any ;)

After hearing that news, all I wanted to do was lie on the couch and cry.  I watched the Ellen Show, which I hadn’t seen in years.  You know how she is always playing these funny games with people in her audience?  Well today she had a Kicking Boot game.  This was not lost on me, as the theme for my journey has always been a boot and to Kick Cancer’s Ass.  Here’s your sign… That same day Will got a random email from his company about their employee cancer group’s fundraiser.  And, after Ellen I scrolled through Facebook and saw that a friend and fellow survivor had posted a YouTube video of Matchbox 20’s song 3AM.  I thought this an odd match…my 70 something British friend posting Matchbox 20.  But I’ve always loved the song.  When I watched the live video of him playing the song and explaining the meaning, it all made sense.  He played it slower than usual, and with only the piano, explaining that he had written the song about a time when he was 12 and his mother had cancer.  He wrote it so its meaning was open to interpretation, but hearing it again through my survivor’s ears made me understand its true meaning and love it even more.  “I can’t help but be scared of it all sometimes, but the rain’s gonna wash away I believe it.”   Healing rain.   Here’s your sign…

That night I took the girls out for yogurt and Meghan took control of the tunes, which is something Molly has started doing as well (as if I’m so old that I can’t possibly play good music).  We took the Camaro SS convertible (my dream car that I got after my liver ablation in January), top down and blaring some tunes.  I told her to play some good old 90’s or early 2000’s(which by the way was the music they grew up on and now love…my taste in music not so bad after all).  The first song she played was 3AM by Matchbox 20.  I could hardly believe it.   I hadn’t told her that I watched that video earlier in the day. Here’s your sign… 

As I sit here now listening to the rain as I write this, it’s a good reminder that it’s OK to be scared and tired, but God’s going to wash it all away.  That was, and still is, a fact that I need to cling to.  You see, playing Whack A Mole is much easier, to an extent, when there is a metastasis to another part of your body versus a local recurrence.  Having already had radiation to my head/neck, it’s highly unusual to have additional radiation to the same location (even if my first radiation was proton therapy, which spares healthy tissues).  So, having a diagnosis, did not immediately equate to having a plan, which made the conversation we needed to have with the girls even more difficult.  I wanted to sit both girls down together, like we had most of the times before, but getting two teenage girls together in the same room, at a designated time, without making it seem like our motives were questionable, is difficult.  We decided it would be worse to try to make a production of it.  It somehow seems more devastating sitting them down together like they were witnesses to the crime of the century.  No, we would just tell them each individually.  We told Meghan a little earlier in the day, and you could see the exhaustion and fear in her eyes.  She’s strong, and said with a crack in her voice, “You just can’t get a break!”  Writing this right now brings tears to my eyes.  It was such a genuine response, and so damn true.  But the sad thing is I feel the same way about them…my family…they just can’t get a break from this either.    Meghan asked about treatment options and plans, and we simply told her they were trying to figure it all out.  This wasn’t a lie, but it wasn’t actually the truth either.

Molly was at work until 8 (her summer job at the swim center), so we just waited.  Moments pass ever so slowly when you are waiting for anything, but imagine waiting to tell your kids you have cancer…again.  As we waited for her to get home, we passed the time, doing what any normal family would do.  We watched Family Feud (oh wait, that’s not what normal people do? LOL).  I don’t understand my obsession, but when we were little my cousin Bridget and I always wanted to be on the show with our moms and our Grandma.  We never did (Fun Fact:  I was a contestant on Price is Right though!), but I still yell at the TV and contestants who miss the most obvious answers.  I sometimes even call them morons (not nice, I know).   Anyways, I digress, but it’s important to the story.  Molly got home from work, and we all were sitting awkwardly watching FF.  I was waiting…for what I don’t know.  But the words didn’t want to come out of my mouth.   Then, Steve Harvey started talking to one of the contestants.  It was a man my age who told Steve that at the age of 29 he was diagnosed with cancer being told he had two months to live.  There he was 21 years later doing great.  I could hardly believe what I was hearing.  This was my opportunity to tell her, with a positive spin, that yes, I had cancer, but I would be OK.  I got the courage and told her, and her response was a very quiet “OK”.    I could see in her eyes the questions that she didn’t want to ask, for fear of the answers.  She was stoic as well, but I know this stirs up fear and anxiety.  And the last thing I want to do is add to that more than I already have. 

The next few weeks stirred up some fear and anxiety of my own, as I struggled with the reality that I had a disease that had very few treatment options left (which is something we never told the girls).  On July 31st, I had a meeting with my medical oncologist, Dr. Glisson, where I asked if Dr. Hanna could surgically remove the tumor.  NO.  I asked about clinical trials (I had done some research and thought I found some viable options).  NO.  I didn’t ask about chemo…I already knew.  NO.   I asked about compassionate use.  NO.  I asked about RNA testing.  NO.  As I worked my way down the notes in my journal, I started to lose Hope (cancer can wear you down, no matter how strong your faith).   I left that appointment thinking there was nothing they could do…at least not now.
Dr. Glisson did give a glimmer of hope, with the news that she was actually writing a clinical trial specific for ACC that she hoped would be available in 3-6 months.   But she wanted me to see Phase 1 clinical trials just to put me on their radar should anything else come available.  I also decided that I would schedule an appointment with my proton radiation oncologist, Dr. Frank (who is now also a co-worker of sorts…we are on the Board of Directors together for the Alliance for Proton Therapy Access and he is a Thought Leader for a project I’m doing with my work).  Even thought I knew I couldn’t have proton again, I trust him and his opinions and it didn’t feel right not having him be a part of the conversation. 

I got appointments scheduled with both Dr. Frank and Phase I Clinical Trials for August 9th.  In the meantime I had to do something to deal with the physical and emotional pain, so I continued with acupuncture.  When I had my first session after the meeting with Dr. Glisson, Gayl (my acupuncturist) asked me how I was doing and what to focus on for that day (she could no longer do focused treatments to my jaw since nothing has been documented on how direct acupuncture might affect a tumor and we couldn’t take any chances).   I told her I was an emotional wreck and could we work on my ‘chi…or whatever it is’.  She placed the needles and left the room, and I felt the tears start streaming down my face.  I lay there looking out the window at the blue skies and clouds, not realizing I was about to start bawling.  Whatever needles she placed turned on the waterworks, and no matter how much I tried to hold it in, I couldn’t.   As I looked out that window, I asked God to please show me a sign that I was going to be OK.  I didn’t know when or where, but I prayed for that sign and I waited.

Waiting seemed to be a theme, as I had been waiting for several months now for a treatment plan.  And on 8/9 I waited 4 hours in a room to see Dr. Frank.  Normally I would be quite irritated with a 4 hour wait, but I knew he was working me in, and waiting is all I seemed to be doing so I was quite used to it.  And, maybe, just maybe, it would be worth it.  As I sat there I heard the familiar ringing of the gong, which made me smile knowing someone else was on their way to recovery.  After finally catching up with Dr. Frank, he told me the same things I had already heard.  I asked him if there was ANYTHING he could pull out of his back pocket.  Then, with a brief pause, he said, “Well…”.  WELL???  That was the most encouraging word I had heard in months.  He proceeded to tell me about a protocol (trial) being conducted at MDA using SBRT (stereotactic based radiation therapy) for re-irradiation.  Typically you cannot have radiation to the same area twice, but they are testing that theory using SBRT, which similar to proton is a highly precise form of radiation that spares most of the healthy tissues.  He was going to confer with Dr. Hanna as well that evening.  And, he would schedule me an appointment with Dr. Phan to see if I was even a candidate.  He seemed hesitant to recommend a trial that may or may not work, and could potentially cause damage to my facial structure which would require major surgery to correct.  But it was a dangled carrot, and today I was a bunny looking to bite.

Since I waited 4 hours to see Dr. Frank, I completely missed my appointment with Phase 1 Clinical Trials.  Luckily, they worked me in as well.  The nurse told me about a couple different trials that she thought I might be a candidate for.  I could hardly believe what I was hearing.  When the doctor came into the room, he babbled off some drug names that I could never remember, let alone spell, so the details are a little sketchy.  But I remember sitting in a room signing a bunch of documents consenting to a trial.  I told them I would have to get approval from all my doctors.  They said my medical oncologist had to sign off on it, since she was the one familiar with my cancer type.  A decision would have to be made within the next couple weeks, since there were only 3 spots available and people were waiting.  I wouldn’t want to keep anyone else from starting a treatment that might save them, but I also didn’t want to jump the gun with an experimental treatment.  They told me that my participation would keep me eligible for other trials as they become available (specifically Dr. Glisson’s ACC trial).  But this could be an option for me in the meantime.  That day, I was finally given HOPE for a treatment, as well as what seemed to be two different options.  Things were looking up!

Will and I left Houston that day, exhausted and hungry.  All the waiting around left us without an opportunity to grab a bite to eat, and we left so early (3:30am) that we didn’t even have breakfast.  Our plan was to stop at Buc-ee’s in Katy (about 45 minutes outside of Houston) and get a barbecue sandwich!   I was so excited about the events of the day, and just as excited to stop at Buc-ee’s (don’t judge…I love it there!).  Traffic was terrible in Houston (what’s new) so Will used WAZE to find the best route home.  We always use WAZE, and it often re-routes us to avoid some accident, but this time was different. It took us out to some country backroads we had never been on (and we have taken that trip probably a hundred times in the last 5 years).  We were driving through one stop sign towns with cute names like Orchard and Wallis.  It was beautiful country, but we had no idea where we were.  And, it looked like we would be dropped back on the 10 FWY in Sealy, well past Katy and our BBQ sandwich at Buc-ees.  It looked like our hunger would too have to wait.  I didn’t mind too much, as I really loved the innocence and nostalgia of these old towns.  Then, as we drove through the small town of Wallis, I saw past the intersection the most beautiful old white church that just mesmerized me.  I said to Will, “Look at that beautiful old church.”  And just like that we had passed it by and I didn’t give it another thought.  A mile or two down the road Will pulled into the parking lot of a gas station/Mexican restaurant.  I knew he was hungry, but I said, “Please tell me we aren’t eating here?”  It was really more of a statement than a question, but no amount of hunger could make me eat there.  He proceeded to drive through the parking lot and said, “No, I’m turning around.  We’re going back to that church.”  Now let me tell you that patience is not one of Will’s virtues, and he was on the verge of hangry.  So for him to turn around to take me to that church was a very unexpected, but sincere gesture.  I know that God tapped him on the shoulder.  We pulled into that church parking lot and it was even more spectacular than I dreamed.  I wanted to take pictures of it, so we got out of the car.  I looked at the historical marker that was placed (I knew it was old) and couldn’t believe my eyes when I saw the name of the church…Guardian Angel Catholic Church.    There was a beautiful Guardian angel statue and I knew in that instance God had once again given me a sign.  He answered my prayers, but not with some little sign.  This time He hit me on the head with it.  As if he was saying, “Cathleen, listen.  Your hope isn’t in a trial or a drug, but it’s in me.  Look at all the things I did to make you see that.  I used WAZE (yes, even God is tech savvy) to re-route you.  I made sure you saw this church.  I tapped Will on the shoulder and made him turn around, and I made sure you saw Guardian Angel Catholic Church.”    And, for good measure, when Will and I got in the car, you’ll never believe the first song on the radio…”Everything’s Gonna Be Alright.”  Maybe Kenny Chesney wasn’t a liar after all J  ‘Nobody’s gotta worry ‘bout nothin’, don’t go hittin’ that panic button; There ain’t no doubt, it’s gonna work out.’  Here’s your sign…

Guardian Angels seemed to be placing their imprint on my life in an ever peculiar way after that point, just as Ladybugs do(if you know me, you understand).   My mom was shopping and looked down and saw a charm bracelet with angels on it.  Of course she had to buy it.  Molly got the part of the Angel soloist for her dance company’s Nutcracker spectacular.  It wasn’t necessarily the part she wanted, albeit one of the major solos, but it was the part I needed to see her do.  Watching her onstage with those angel wings took my breath away.  Here’s your sign…

Now I couldn’t have found that church again if I tried, but once again, a few weeks later, I was heading back from Houston with my mom after a PET scan and we used WAZE again to navigate us.  Of course, I had told her about the church and my prayer.  Once again I didn’t recognize our route…it was definitely not the same route Will and I had taken the last trip home.  But about an hour in, I felt like I was having déjà vu, and then in the distance I saw that church!  Anxiety from another long day of tests, turned to excitement.  My mom and I stopped and walked around.  We walked across the drive to a bunch of large crosses.  It was a park made up of the Stations of the Cross.  I took more pictures and I tugged at the front door of the church, hoping to go in, hoping to be able to pray inside, but it was locked.  So we moved on, with a peace and a joy surrounding us.  Here’s your sign…

The next day Will and I drove back for my consultation with Dr. Phan, the radiation oncologist running the SBRT protocol.    We were sitting in the near empty waiting room when the nurse came out and called for McBurney.  Will and I stood up.  And so did the only other couple in the waiting room.  We all looked at each other completely confused, and the nurse said Elizabeth McBurney.  Elizabeth?  What?  I have never met another McBurney that wasn’t family.  Will had heard them talking about Proton Therapy.  When we realized what was happening, I had the urge to give her a hug, and give her my Alliance For Proton Therapy Access card.  We chatted real briefly before she headed into her appointment.  Not only was it strange to meet another McBurney in the waiting room, but the fact that it was the same day, same appointment time, with the same doctor.  Here’s your sign…

Dr. Phan was very excited about the possibility of treating me with the SBRT protocol.  He didn’t sugar coat the treatments.  He was very honest that the goal would be to stop progression of the disease;  that would  be what dictates success.  Of the 140 cases he treated with this protocol, there was an 80% control rate.  Of course, he was hopeful it would shrink the tumor, but didn’t want me to put all my apples in that basket.  I asked him about potential harm to my facial structure, and he was honest that there is a possibility of damage that would require major reconstructive surgery.   I asked him if we could wait until Dr. Glisson’s clinical trial was available, and only do SBRT if that didn’t work.  But the answer was NO again.  He wouldn’t be able to do SBRT on my tumor if it grew another 25%.  Was that a chance I was willing to take, for a treatment that wasn’t even available yet?  NO.  I told him that I wanted to talk to Dr. Glisson and Dr. Hanna again before agreeing to the treatment.  He scheduled an appointment for a mask fitting just to get it on the books, and they also got me those appointments with my medical team, that would help me decide if this was the right thing to do. 

I was so happy to get an email from Elizabeth McBurney on 9/2.  The similarities and coincidences continued to present themselves.  Elizabeth would also be treated for a tumor in her jaw, using SBRT and would be getting her mask fitting on 9/20, the same day that Dr. Phan scheduled my appointment.  When I responded to her email I told her about my family, as she had shared about hers.  I told her Meghan was a sophomore at the University of Arkansas and that Molly was a sophomore in High School and a dancer.  The story gets stranger though, when before I even got a reply from Elizabeth, Meghan texted me a picture of an Instagram message she had gotten.  It was from a girl, Morgan, who told her that her grandmother (Elizabeth) and Meghan’s mom (me) met at MD Anderson and both have cancer in their jaw and are being treated by the same doctor.  And, she too happens to go to the University of Arkansas!!  Morgan found Meghan’s profile based on what I told Elizabeth.  I hadn’t even told Meghan about Elizabeth yet!  They ended up meeting for coffee too.  What a small world.  Here’s your sign…

I met with Dr. Glisson and Dr. Hanna the following week, who both concurred that right now, the SBRT protocol was my only real choice for treatment and control.  Dr. Glisson’s trial was still being written and it wouldn’t be smart to wait.  She would recommend Cisplatin (chemo) concurrent with the SBRT to help weaken the cells (chemo alone will not kill my cancer).  Cisplatin is the same chemo I had during my proton treatment 5 years earlier.  Dr. Hanna put me at ease saying that he could “put humpty dumpty back together again.” if that was necessary.  He explained the reconstruction and how it would work.  He said it’s an easy surgery for him, but a difficult surgery for the recipient (which hopefully won’t be me).  When I asked if he thought the treatment was worth the risk, he replied with a resounding “Yes.”  I had the answers I needed…I would proceed with the protocol.  Here's your sign...

September 20th came, and another early morning drive to Houston was on the docket.  I was scheduled for bloodwork before getting my mask fitting.  As we entered Garage 10, I was checking my email and I once again heard the song, “Everything’s Gonna Be Alright.”  The email I was reading was from my old friend Teresa(who was my maid of honor way back when).  Every year she walks for the City of Hope to raise money for cancer research.  She was asking for support, and wrote about her father who passed away from cancer, her sister-in-law, and me.  She was walking for us.  I was humbled and felt a tear roll down my cheek.  Here's your sign. Then after they pricked my arm and we walked out of the main lab, a lady approached me and handed me a scripture page.  She said she was a Missionary for Jesus.  She was sitting on a bench and didn’t approach anyone else.  Here’s your sign…

I knew that Elizabeth would be at MDA that day, but I didn’t realize our mask fittings were one after the other.  Rose, the nurse, asked if we had met ‘the other’ McBurneys.  They happened to be in the room across the hall at the same time.  I laughed when I saw the NAME ALERT on the door.  We said hello and gave each other hugs and went on with our appointments.    We bumped into Sonny, Elizabeth's husband, in the proton waiting room.  When Elizabeth came out, it was my turn next.  The mask fitting was definitely more constricting than I remembered, and I wasn’t convinced when Chris, the med student, called it a weird spa day.  Weird, yes…spa day was a stretch.  He had already helped with Elizabeth’s mask and said to me, “All the McBurney’s seem nice.”  I answered, “So far so good.”  He laughed and noted that Elizabeth said the exact same thing.   Gotta love a McBurney J
Elizabeth and Sonny would become very special to us over the course of treatment.  While Elizabeth only had 3 treatments compared to my 5, we enjoyed learning more about each other and bonding over this strange journey that would bring us together.  The day of our second radiation treatment, she brought me a “Happy Bag” with a HOPE cross and a journal (very fitting for me J).  The journal cover said, “I’m Fine.  You’re Fine.  We’re all fine.”  Love it.  It's a saying we have said to each other multiple times since.  Our treatments were always one after the other, and I was so happy that I was able to watch her ring the gong after her third treatment.  When I finally rang my gong after my last treatment, I sent her a picture of that moment.  We had gone through it together, and I wanted her to feel a part of it on that day too.  It’s odd the way God brings people together.  I know this was not a coincidence.  Here’s your sign…

Treatment itself was pretty uneventful, so I won’t bore you with those details…just radiation, chemo, radiation, radiation, radiation, chemo, radiation.  Although,  I did cause a frenzy during my first chemo, with my Buc-ee’s theme (doesn’t everybody have themed chemos??).  The night before I left for Houston, Chris and Robert came by to see me and brought me an entire gift bag of Buc-ee’s goodies.  If you’ve read my story from the beginning you know what a special place Buc-ee’s holds for me.  It’s the good we experience between the bad on our trips to Houston.  All my closest friends get my obsession; so much so that Chris and Robert drove 45 minutes to the Bastrop Buc-ee’s at 10pm to make me smile.  And, it worked.  I got a Buc-ee’s t-shirt (the leopard print boasted his wild side), a Buc-ee’s puppet (everyone should have one), socks (leopard, that say “Buc-ee is my spirit animal”), bumper sticker and more.   It made me happy and I have to admit, I kind of liked the looks of curiosity and judgment.   My second chemo was dubbed an Arkansas theme, with my Razorback shirt and blanket (which I stole from Meghan).  Of course, Buc-ee was still there, hanging on the IV rack, ready to kick some cancer’s ass.  And when I rang that radiation gong I mentioned before, Buc-ee was right there ringing it with me.   

Now, three months since that first treatment, I prepare for my follow up appointments, hoping and praying that the treatment has stopped the tumor and that nothing has spread.  I don’t want to play Whack A Mole anymore.  I’m tired.   And during my last acupuncture, I walked in a little weary from all the pain, looking for more relief.  I told Gayl how I felt better, both physically and emotionally since that last treatment (that I mentioned at the start of this entry) when I asked for a sign and saw God’s healing rain outside that window.  I told her I started writing again, and how that helped clear my head and form a release for my emotions.   What she told me next would bring a tear to both my eyes and hers.  When I walked into the room, she said she saw a white light surrounding me, which she believed to be an angel.  She had never seen it over me before, but it was at that moment that she believed I’d truly be OK.  My guardian angel.  And if that’s not enough, when I told my mom that story later in the day, she told me this: When my mother in law was in the hospital a few months back after losing consciousness (due to her COPD), I was there at the foot of the bed.  When she first woke up and saw me, she saw a white light surrounding me.  My guardian angel?  Yes.  I get it.  Here’s your sign…

Addendum:
January 9, 2019:  An early morning at MDA today but happy to see Elizabeth and Sonny again!  We had a chance to meet their son and daughter in law later in the day as well which was great.  Fun to meet even more McBurneys J  We spent the better part of 10 hours running from appointment to appointment(I closed all my rings…Apple watch folks get it ;)) , and I’m happy to report that my tumor has shrunk.  Results were substantially better than Dr. Phan expected for my three month follow up.  There is no sign of any new metastasis.  Our prayers were answered yet again.  You can’t imagine the relief and gratitude I feel right now:  Relief that my family can breathe easier knowing that God is once again performing miracles in my life. Gratitude for God’s amazing grace and the multitude of people around the world praying for me and my family over the last 5 ½ years.  I WILL be cancer free, whether they ever use those words or not.  God is good…all the time.  Here’s your sign.