Grieving Heidi's Death - Joe

It's been two and a half months since Heidi died of her metastatic breast cancer. 




Here is a link to the recording of my presentation at Heidi's Memorial Service:
Heidi's Memorial




I am still devastated.
But I am building a new life, slowly and mindfully by:

• telling everyone about how wonderful and brave she was
• asking God to help me grieve in healthy manner
• continuing the outside adventures alone, occasionally with friends
• hosting holiday dinners at home
• decorating the house in new ways for the holidays, to start a new tradition
• journaling my grief over time, on Facebook
• staying vigilante regarding both my cancers' potential recurrences/metastasis
• restarting volunteer work for church and nonprofits

My heart goes out to those of you that face a cancer battle alone.  Heidi and I had each other and our marriage got so strong through our ordeal.  I hate cancer with a passion and will try to continue supporting friends that are still fighting cancer.



Love & Blessings,
Joe

Celebration! -by Joe

Awaiting tumor marker results and Oncology appointment

After 3 succesive chemotherapy failures in the past 6 months, Heidi's new liver tumors were growing as well as her bone and lung cancer progressing. Terrifying.  So 3 weeks ago her Oncologist resorted to the very toxic chemo called Taxotere.  Unlike Heidi's past chemotherapies, Taxotere is given once every 3 weeks instead of every week.

Great News!!

This Monday, 3 weeks after that first dose, Heidi's tumor markers were drawn and an hour or so later we met with her Oncologist.  The result? The tumor marker showed Taxotere was working, even after one dose!!  And her liver tests were moving back towards normal!


Because of the high toxicity of this chemo, Monday's dose was stopped when Heidi immediately developed a serious reaction to Taxotere as soon as the dose was started.  So they tried again Tuesday, going very slowly, adding other meds to reduce her body's negative reaction.  It worked and she got her complete second dose of Taxotere!

At the same time they were starting the second dose of Taxotere on Tuesday, I was seeing my own Oncologist for a followup after my cancer surgery on March 12.  Everything looked great he said, including my tumor marker(PSA)!  So I rejoined Heidi for her hours spent slowly receiving the Taxotere.

Celebration meal together with Mary at the SCCA Guest House

Heidi's dear friend Mary was also with Heidi in the chemotherapy room both days, giving wonderful support and encouragement.  Thank you Mary!  We celebrated with a meal together with Mary.

Back home now, we are both exhausted but so very thankful to God, to the staff at Seattle Cancer Care Alliance and so many friends & family praying for us, sending positive thoughts our way.

So thank you!

- Joe

Tough Times Ahead For Heidi - by Joe

Waiting to hear the tumor marker results

Yesterday's (April 2) tumor markers (labwork that tracks her cancer) confirmed that Heidi's adriamycin chemo has not worked and her cancer is growing.  So they stopped that chemo and told us to wait to hear what her Oncologist plans next. 



Meanwhile I was having increasing pain from my surgery and my Oncologist ordered a CT scan yesterday, which showed the post cancer surgery drain was not working.

After the bad news, staying at the SCCA House

Today, I had outpatient surgery to place a deeper drain that will hopefully work better.  When we got home from my surgery, Heidi's Oncologist contacted us with thier plan: MRIs to establish a baseline of Heidi's current cancer status and then starting another chemotherapy called taxol.

Waiting for my outpatient surgery

As you can see from the photos, we pray, we laugh, we cry.  When I get scared about Heidi I remember the amazing hikes and climbs we've done since Spring of 2011 (almost 40!).  She's tough, she's determined and I plan on supporting her better and better as God shows me how.



No despair.  None. 
Pray..  Laugh..  Cry..

Thank you for caring,
Joe

Handling Challenging Bad News For Us Both -by Joe

Heidi receiving her first dose of her new chemotherapy, adriamycin

 Tough times ahead..

A wonderful mystical hike on Valentine's Day

Since my last blog entry, our hopes for Heidi's new chemotherapy changed to disappointment when scans showed continued progression of her bone and liver tunors. She started weekly adriamycin this past Monday, a more toxic, more powerful chemo.

On the summit of challenging Jefferson Ridge on New Year's Day!

As with the chemo that failed, they'll have to wait 2 months to determine if this chemo is working via more scans and lab work.

My new prostate cancer is Stage 2 according to my biopsy, but during my upcoming surgery (radical prostatectomy) on March 12 they will check surrounding lymph nodes to make sure it is not Stage 3.


During the same procedure, they will go into my bladder, removing any new tumors found there.


So we have a lot to deal with. Prayer and support from family & friends are keeping us afloat these days. And humor.

Our easiest setting to pray remains on hikes in the two magnificent mountain ranges nearby. We have already done 5 hikes this year! What a contrast between a day at Seattle Cancer Care Alliance and a day on a hiking trail. 

Enjoying a beautiful creek below this beautiful wooden bridge

We need both.

We are grateful for both.
We are grateful for you.

Heading up a ridge to reach a beautiful river gorge

As always, thank you for your prayers and/or positive thoughts.. your compassion.

Love & Blessings,
Joe & Heidi

The Good News Bad News Roller Coaster Ride - by Joe

We are sitting in the Seattle Cancer Care Alliance cafe as I write this.  We are both adjusting to both good news and bad news today.

Waiting for my ultrasound & biopsy procedures.

The good news is that the specialist Orthopedic Surgeon that handles bone cancer cases wants Heidi to stay fully active.  He has the most expertise in this area and told us that the new hip/femur tumors are not a danger for fracture at this point.  Not even worth doing radiation.  Hopefully Heidi's new chemotherapy will stop them completely at this stage.

The bad news is that in addition to my recurrent bladder cancer, my biopsy report just came back positive for Stage 2 prostate cancer.  Whatever treatment I get for it has to wait 8-10 weeks because of typical post-biopsy bleeding. 


Meanwhile, we have a long list of planned hikes/climbs for this year and will continue to worship God in high places as long as we can. And in the kayak, the garden, at church.. everywhere. God's Love is as present as ever in our lives. More, actually.

Thank you for caring!

Joe (& Heidi)

Waiting for in the SCCA cafe for Heidi's Oncologist
 appointment



Living Strong With Bad News - by Joe

New Years Day 2012 hike up Jefferson Ridge

There's just no easy way to say it.  The latest scans are very scary.


For the first time, they've found cancer in Heidi's liver.  And now, they have found a new tumor in her right hip that affects weight bearing strength; meaning potentially hiking, walking.


So, we did a challenging hike/climb up Jefferson Ridge on New Years Day, to start 2012 out with an adventure.  We had communion on the summit.  We enjoyed the challenging route through deep, steep snow.  We took in the spectacular views.  We pray God will let us continue seeking & worshipping Him in high places like the 28 hikes/climbs we did in 2011.

Tumor Markers being drawn at Seattle Cancer Care Alliance

By next week we should know if Heidi's chemo and/or activity must change.  We should also know if the new mass in my prostate is cancer or not.


Whatever happens, we will face it together with our eyes set on God.

View of Mount Washington from Jefferson Ridge on our New Years Day hike

As always,

Thank you for your prayers/positive thoughts!

- Joe (& Heidi)

No Looking Back -by Joe

We are approaching some major milestones.  Wednesday Heidi gets a spinal scan to check for new tumors and also gets her tumor markers checked.  A few weeks later I get checked for new bladder tumors and the new mass in my prostate checked.  Expecting good results on all three, we're not letting worry take over and not worrying about past results - no looking back!

We're both a bit sad that snowfall has closed off the high elevation, steep hiking trails for the winter.  What an amazing set of 22 outdoor adventures since May!  But now we can explore lower elevation river trails, and later do some snowshoeing - no looking back!

In our walks with God, we're learning the same thing.  Letting go of past doubts, expectations, bargaining, mistakes... Learning new ways to trust God and approach Him through contemplative prayer, we are excited about a growing, stronger, closer relationship with our Creator - no looking back!

As always, thanks for your kind encouragement, prayers, positive thoughts.

- Joe & Heidi

Taking The Battle To New Heights! - by Joe

As cancer gets scarier and scarier, Heidi and I have managed to get healthier and healthier.. eating right, losing weight, gaining muscle.  Praying like crazy.

I wish I could transport you to some of the incredible mountains we have climbed/hiked since my last post.  Now that we can manage steep trails, we've tackled increasingly challenging summits in the past 2 months. 
We also take communion on top of each one, celebrating God's love for us. Cancer is a terrible disease, where your own cells decide to turn into monsters and attack you. It is so intense. But we're finding that adventures can be equally or more intense, putting cancer in its place

Hike on!

And as always, thank you for your prayers and positive thoughts!

- Joe & Heidi

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A Look At Cancer From The OUTSIDE -by Joe

..as in Outdoors! 

There are many weapons in our arsenal against cancer.  We are grateful for a long list:

• world class Oncologists & teams
• prayers from family/friends of faith
• positive thoughts from family/friends who are agnostic/atheist
• financial assistance from Medicare, insurance and family
• support and advice from other cancer patients & survivors
• getting in top physical condition via exercise & diet

But another very important aspect is our increased hiking & kayaking.  What wonderful places we have been this year!  Hiking trails high in the Olympic Mountain Range.  Other spectacular hikes in the Cascade Mountain Range.  We've also begun a tradition of taking communion together on the mountain summits we reach.  Our faith and hope get such a boost from alpine heights and majestic Northwestern forests.  In the kayak we get to see so much wildlife, so many beautiful scenes. 

If you are fighting cancer or doing all you can to stay in remission, we urge you to find an outdoor activity you love and take the time to enjoy it!

As always, THANK YOU for your continued caring & support!

Love & Blessings,
- Joe

Those Really Bad Days With Cancer -By Joe

Everyone has ups and downs in life.  With cancer some of the down days can be quite low.  Last Wednesday was a case in point:

• Heidi's neutrophil count(normal white blood cells) was too low to allow getting her weekly chemotherapy dose
• Heidi's rise in tumor markers(a test for increased cancer growth) was abnormally high.  That along with her increasing tumor site pain implies the chemotherapy might be failing to stop cancer growth
• We found out we'd enter the infamous Medicare 'hole', where the expensive chemo and other prescriptions are no longer covered until we reach a much higher 'level'
• Upon returning home, we found that our neighbors' dogs had broken in to the chicken pen and killed all four of Heidi's hens

What do you do on a day like that?  Cry? ..of course.  But this amazing lady also chose to complete a very steep hike up Tiger Mountain and to laugh at my dumb jokes.  And sing.  And pray.

I consider my faith in Christ fairly strong and growing each day.  But wow!  Watching Heidi's faith in action is humbling indeed.  We may be facing a very difficult chapter in the battle, but there are many more mountains to climb and songs to sing.

As always, thanks for your compassion, your prayers, your positive thoughts!

-Joe

A Cancer Center Chapel 'Revelation' -by Joe

Last week, I was really getting nervous as they started Heidi's second chemotherapy drug in Seattle Cancer Care Alliance's chemo rooms.  Heidi encouraged me to go down to the Center's chapel so I did..

As I sat in the chapel trying to shut up my noisy thoughts and simply be in God's Presence, a remarkable thing happened.  Back in 1981, I foolishly climbed one of Colorado's 14,000+ mountains called Little Bear Peak in the Sangre de Cristo range.  'Foolish' because I was untrained, doing it alone and without a helmet, rope or any way to call for help if I fell.

In the chapel, the vivid memory flooded back of making it up Little Bear Peak's deadly gully called the 'Hourglass' and once I finished that stretch, I was terrified at the prospect of going back down.  Now up until then, I had established a tradition on the previous (& easier) 14er peaks in Colorado of celebrating communion and praying for at least an hour when weather permitted, on each summit.

Looking down that Hourglass chute, convinced I would die on descent, I was faced with a choice.  Should I spend the time on top or immediately take my chances descending?  I chose the summit view/communion. To this day I believe that choice saved my life.  The descent was hair-raising, still no other climbers on the peak to ask for help.  I did slip several times on the steep, slippery slabs of stone.  But I sang all the way down.

The lesson:  we will ALL face deadly danger in our lives, whether from disease, violence, despair, etc.  But the choice is always there.  Will we spend available time with God or ignore Him and desperately obsess over the danger?

Cancer is Heidi & my danger these days; but since that day in the chapel, I am constantly reminded of a welcome place of peace I can find on an inner mountain summit, whether either of us prematurely die on the 'descent' or not.

As always, thanks for your support! - Joe