That's right peeps, last month gave us another clear scan for Sebastian! Hell yeah! Let's just take a moment to say thank you to the universe, fate, chance, goddess, god, flying spaghetti monster, or whatever you may believe in. "Relieved" doesn't quite cover the emotion for us. Each of these check-ups is filled with pain and tears for Brian and myself, even when we're confident it will all come back clear. It's scary to have to give your kid radioactive iodine, even though they say it's "safe". It's scary to put him in a machine that emits "low-dose" radiation, but takes over 200 images, so how low-dose is that really??? It sucks big, hairy balls to have to relive the fears and doubts of last year all over again. Yeah it all sucks. So "relieved" is just too mild of a word to express how we feel each time this comes back clear. Maybe SO FUCKING ECSTATIC is better.
This mibg scan took another 3 freaking hours just like last time. Only this time, it wasn't because he wiggled too much, it just took that long to get everything just right. What a badass kid we have on our hands that can sit through that nonsense without any sedation or too much complaint. They give him breaks and such but still. Most adults I know don't even go through an hour long scan without some sort of drugs to take the edge off. They offer sedation but since he's done so many scans in his life without any, we never say yes to that. Seems best to reserve the hard drugs for surgeries and procedures where it's really necessary, especially for a child.
But still this scan makes us nervous with the radioactivity mentioned above. People with NF are advised to keep their exposure to radiation to a minimum as it appears NF may make them more susceptible to the ill effects. Whether it does or doesn't, most people with NF end up getting WAY more imaging in their lives than the average person does, so it makes sense to limit it wherever possible. We bring it up every time they want to do any type of scan that involves radiation (mibg, CT, X-ray, etc.), but are usually met with the "this is necessary" answer. I get it, I do, they don't have a better way to check his body for neuroblastoma cells. There's blood work and urine tests of course, which they also do every time. But the mibg scan is the best way to be sure.
Now, however, we're at a year out from surgery. So we were hoping and thinking he wouldn't have to do these every 3 months at least. But his oncologist said she would like to keep doing check-ups every 3 months, because if this had been a regular neuroblastoma tumor (as opposed to the very rare, composite pheochromocytoma with patches of neuroblastoma that it was), she says they would still be doing check-ups and imaging every 3 months. She is, thankfully, good with switching these to ultrasounds. Yay for ultrasounds! No radiation, much faster test, and way, way, WAY cheaper (as if I'm allowed to worry about money during this shit). At a year out she said she'd want another mibg, but when I brought up the radiation concern again, she listened, thankfully, like the good doctor and human that she is. She'll discuss it with the tumor board I'm sure, but said she'd be okay with just doing an MRI at a year out as long as all all his lab work and ultrasounds stay clear. Can I get another hell yeah???
So while we're on the topic of NF, we have registered Team Sebastian for this year's NF walk in Seattle, WA, as sadly, Portland no longer has one. Their plan is to have an in-person walk and a virtual option, so for those of you who are too far away to make it to Seattle in August, you can still join virtually. If you'd like to join our team or donate, you can do that at the link below. I'd also ask any of you who are in the sharing mood and are on social media to please share this link for us. The Children's Tumor Foundation (CTF) is an amazing organization and perfect for anyone looking for a worthy non-profit to donate to, even if they don't know us or anyone with NF.
https://join.ctf.org/TeamSebastian2021
Life is a bit chaotic right now as we are in between houses, so that's all I have for you today. Next post will bring you some more interesting stories from our family adventures, as well as pictures of our new house! I am seriously looking forward to the move being over and life to calm back down, and it does look like lots of clear skies ahead of us. So until next time, stay safe and healthy and enjoy this beautiful spring!
Exactly one year ago, I was anxiously watching Sebastian sleep in his hospital bed in the Pediatric ICU after his 4 hour long surgery to remove his tumor and right adrenal gland. If you've had to experience your child having a major surgery, then I'm so sorry and you understand how miserable it is. If you haven't, I sincerely hope you never do. Seeing your kid afterwards is both a huge relief and incredibly scary, to see them when they're hooked up to a million tubes and IVs and pale as a ghost.
Dearest Friends and Family,
Congratulations, we did it! We made it through the most collectively hellish year of all years in recent memory. I hope your 2021 is shaping up better than last year at least. Not that 2020 set the bar real high, but still, anything better than that will be an improvement. Ours ended exceedingly well, especially considering all the ways it could've gone wrong. And this year is looking up!
Next good news, is that we were lucky enough to have our parents come and visit us over the holidays. First my parents came for Oscar's birthday (Dec. 22nd) and Christmas and then the week after that Brian's parents came for New Years and my birthday (Jan. 1st). The boys didn't enjoy me making them quarantine before that, but it was worth it to get to see their grandparents and to not have to worry about getting anyone sick. Thankfully everyone stayed well and we all had a wonderful visit. It was so comforting to get to see family after such a hard year, it really meant a lot to all of us to have that time together.
Another bit of news is that we are house hunting. After almost 10 years since we had to short-sell our condo in Reno, we are finally feeling recovered enough from that experience to attempt to buy again. Of course our timing isn't wonderful, yet again, because the housing market is stupid expensive and competitive here in Beaverton where we're looking, but since interest rates are so amazingly low, we figure it is worth a try. So happy thoughts for the right house to come our way soon!
Well it's been over 6 months since I wrote a blog post. I'm guessing most of you follow either Brian or me on social media and you've probably seen all the updates in that time, so I'll keep it brief. The short story is that Sebastian's surgery back in April to remove the tumor and his entire right adrenal gland was a huge success and he is doing very well. The pathology report showed the tumor to be a "composite pheochromocytoma" because it had patches of neuroblastoma, which is malignant. This is an extremely rare type of tumor, so rare his oncologist had never seen one like it and had to reach out to specialists out-of-state for second opinions and data. Since there are so few cases of this, they don't know with any certainty what to expect. So keeping a close eye on Sebastian with regular scans and lab work will be necessary for the foreseeable future. Thankfully, so far everything has been clear.
We are all hoping the worst is over and are of course extremely grateful that everything worked out and he is healthy and doing great. I am still a bit traumatized by the experience. Sebastian does not appear to be thankfully. So far, this kid is far more resilient that I have ever felt in my life. Which is amazing and wonderful. But since I have struggled with moving through the experience, I've been keeping my life pretty low-key and as stress-free as possible. Not an easy feat in this hellish year, but I've been doing my best. In some ways, it's easier to do now than ever as I have all the excuses I could ever need to stay home as much as possible. It's been nice in a way, for an introvert like myself.
I have been trying to be patient and give myself the time I need to grieve for my shattered reality that is forever gone, which is the main reason for no posts here. Since my poor brain has been wrapped mostly around Sebastian for months, and I wasn't feeling emotionally stable enough to write about the whole experience, I chose to just not write, or even sing with Brian, at all. There was no motivation to write on other topics, and obviously there have been plenty of other things to write about in that time, but I couldn't muster up any creative energy. The events of this year, both globally, locally, and here at home, have left me in a very weird place. My empathy is at an all-time high so trying to follow the news or stay up on current events leaves me shattered. So I stopped reading the news, following politics, or using social media. I've found this to be incredibly helpful to my mental health. I intend to continue staying off social media for the foreseeable future. I don't have the emotional room to digest everyone else's political opinions right now. It's hard enough to sort out my own and do the necessary research so I can finish voting.
One thing I think will be incredibly cathartic is to get back to my creative endeavors of writing and music. So I've signed myself up for NaNoWriMo this year and am hoping I'll be able to write a short story about this year's experiences. I have no idea how well or not this will go, but I figure it is worth a try. Maybe something decent will come out of it and I'll be able to share the story with whoever is interested in reading it. And hopefully I'll start singing with Brian again soon.
So since I won't be on social media, please stay in touch in other ways. If you have my contact info, text or email me. Sign up here for our email list. I will still write updates about Sebastian on this blog and through the email newsletter. For the time being, he still needs check-ups every 3 months so that's about as often as you'll get anything from the newsletter so you don't have to worry about it being too many emails. I care deeply about you and hope that you and your family are staying safe and healthy. Thanks for being here and I hope to connect with you soon.
We are very excited to share a new cover song with you. It's called Eyes to the Sky by Joseph. After listening to it, you might get why we chose this song. It seems apt, given the current state of things. We wanted to help cheer everyone up, at least a little. Every time I hear it, it lifts me up, reminds me not to let myself drown in my own despair. Even when, especially when, things feel overwhelming. Like now. Many people are overwhelmed by all the goings on. I can't say I'm unaffected by it all, I'm too empathetic to not be bothered by suffering, whether it's one person or thousands. But I'm still much more concerned with Sebastian than anything else. I don't have the emotional or physical energy to get overly engrossed in the rest of the world right now. I don't even care if that sounds selfish because I know it's OK. This is one of those moments in life that I am allowed to be selfish.
I'm trying to be here, in this moment. To lean into this pain and not run away from it. To learn from it and let the experience strengthen me. But fuck, it's hard. It's a lot easier to push it away and try to not think about it. To be angry at the universe/fate/god/what-the-fuck-ever, for bringing this shit into existence. I am not religious nor do I believe in any traditional idea of god. I almost wish I did because then at least I would have someone to blame, somewhere to direct my anger. But I don't. There is no god to blame, no devil, no boogeyman. There's just life and death, joy and suffering, light and dark. There's always an opposite trying to balance out everything. So no matter how upset I feel over the injustice of it all, I remember that there is hope and love in the world as well.
So when I listen to or sing this song, I think of lifting myself up. Of lifting you up. Of helping you and me rid ourselves of our despair and instead turn to hope and love. To embrace this life for all it is and all it's trying to teach us, especially in the worst moments. What I am learning from this experience is a reminder that while I don't have faith in any god, I do have faith in people. I have a strong belief in the inextricable power of human connection. You could call that connection "god" if you want to, but to me, it's nothing more or less than love. All my belief and faith comes from the love all the wonderful people in life have shown me, especially recently. Through your kind words, thoughts, prayers, and energy. Through your willingness to help. Through your ability to listen or read this or hug me while I cry.
I also have faith in all the doctors and nurses...that they are and will continue to do their damn best for Sebastian. I have faith that no matter what happens, Sebastian will continue to live a full and happy life. That NF will never bring us something we can't handle, because we have all of these wonderful people in our lives willing to help us through. We really are all in this together, even when we're alone.
From the deepest part of my heart to yours, thank you.
Hugs and Love,
In the past 6 weeks, Sebastian has seen a geneticist, 2 dietitians, oncologist, cardiologist, surgeon, and nephrologist (twice). He's had an x-ray, ultrasound, MRI, EKG, echo-cardiogram, and multiple lab tests. He even had to have a baby tooth removed at the dentist. (Because everything goes wrong at the same time of course.) He did a 24-hour blood pressure test that he was not a fan of, and who can blame him! We took his blood pressure and logged it everyday for over a week to give his doctor the data she needed.
Aside from taking his blood pressure, we thought we'd get a break from talking to doctors and worrying about this while we were on vacation last week. Before we left, we'd even heard that the insurance had approved his medication already so I thought we were in the clear. But I was wrong. About halfway through the trip, we got a call from the specialty pharmacy that was filling the prescription saying that the month's quantity the doctor had ordered would cost us $4,900....after insurance. We tried not to panic, but holy fucking shit dude! Goodbye savings account was my first thought. They tried to call around to find a foundation or assistance program that would help us cover it but were unable to find anything. Turns out the doctors always request more than they need when they have to get prior approval from the insurance for a specialty medication like that. So thankfully the doctor lowered the quantity to what we actually needed, bringing our cost down to the bargain price of about $1,100! Better than what it was but still... I've had many moments of why the fuck do we still live in America?!
So before you tell me I should check GoodRx or some patient assistance program or order it from Canada, let me tell you, I already tried all that! GoodRx does not work for specialty pharmacies. Regular pharmacies do not even carry specialty drugs, I called several to make sure, and the ones I called had never even heard of the drug. I Googled around for quite awhile trying to find patient assistance programs and all the ones I found are either only for certain drugs, common ones of course, and/or they have income guidelines that we do not qualify for.
I did my research on ordering from Canada and what I found out is that it's not actually legal to do that. Those online pharmacies you find that say they are in Canada are quite possibly a scam. Anyone can put up a website and say they're based somewhere, that doesn't make it true. Most of these places are being sourced from many different countries so there is absolutely no guarantee that what you order is what you get. They are not requiring a prescription which was my first giant red flag that it may not be safe. It'd be one thing to test out this theory on my own body, but I am not gambling with my kid's! Plus this isn't like taking some basic medicine. This shit is an alpha blocker that seems to be only for this specific scenario as it blocks the extra adrenal hormones that the tumor is producing. It is quite dangerous for anyone that does not have a hormone-producing adrenal tumor. As far as we've been told, this is the ONLY way to keep him safe during surgery since operating on an adrenal tumor can cause surges of adrenaline, making his blood pressure and heart rate dangerously high. Back in the day, people used to die when surgeons tried to remove adrenal tumors because they didn't know how to prevent this. Now, thankfully, they do but it's not with your everyday prescription.
On top of the cost, is the awesome side effects. We are to expect him to suffer from:
- Congestion
- Fast heart rate
- Low blood pressure
- Dizziness, especially when standing up
- Drowsiness, feeling tired
- Decreased appetite
The schedule the nephrologist created has us slowly increasing his meds for 2 weeks before surgery, which is scheduled for April 7th. We will take his blood pressure and heart rate everyday while he's on the meds and we'll take him in for at least 2 check-ups during that time and be in close communication with her about any symptoms. If he ends up with too many issues, she will change how much or fast we increase the meds. The damn pills only came in one sized dosage so it's a little tricky. Fingers crossed his body can handle this without too much discomfort. He will be admitted the night before surgery so that they can load him up with extra fluids to help that blood pressure stay stable. After surgery he will have to be in ICU for at least 24 hours so that they can closely monitor his blood pressure and heart rate. His body will need a bit of time to adjust to suddenly not having the crazy high amounts of adrenal hormones that the tumor is producing. He'll also need to adjust to only having 1 adrenal gland since the surgeon thinks she will need to remove the entire thing since the tumor appears to have taken it over (it is over 2 inches in diameter so pretty big for such a little kid).
While we were in Maui, we saw and heard very little about COVID-19, so it was a little bizarre to come home to a world in chaos. Schools, rec centers, libraries, and many small businesses are closed. And now the school closures have been extended until the end of April! While I'm totally struggling with how to handle homeschooling my children while working full-time from home, I'm also very grateful that Sebastian will not have to go to school while on this medication and that he won't miss any school from the surgery. He should be all healed up by the time school is open again.
While the world is freaking out about toilet paper and bleach wipes, I'm on a whole different level of worry and freaking out. I haven't given COVID much of my energy, it's all going to my little boy. I'm giving the universe all that energy, good thoughts, and positive thinking that his surgeon and the necessary hospital equipment will be available for him come April 7th. That his body can handle the not-fun medication. That we can get him to drink enough fluid. That the surgery goes smooth and safe and 100% successful. And that the surgery and that first day in ICU does not scare me into an early grave. That he recovers quick and without too much pain. That this is the worst thing his NF ever throws our way. Maybe that's too much wishful thinking, but I'm wishing it anyways.

























