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Our young family battling stage IV breast cancer one day at a time
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Wheels Up

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Thank you for your prayers, emails, cards, financial support and love.  Dusty and I are so humbled and grateful for all of it.  People we don’t know are praying for us, sending us messages and cards.  It’s amazing.  If you ever started to lose your faith in mankind, ask us and we’ll re-establish it.  People have big hearts.  I don’t feel deserving of it. 

We are flying to Mayo today.  We’ll spend the evening settling in and tomorrow I meet with the radiation oncologists, nurses and other various people who need me to sign papers.  On Wednesday I report to the hospital at 5:30 a.m.  I don’t know what time the procedure will be so we’ll post something on Facebook once we know our schedule. 

When we met with the doctors at Mayo and Duke I asked them if my prognosis will change once we get rid of the brain cancer.  The answer was no.  I need to be watched very closely because my cancer is aggressive and invassive.  So I need to live my life either fighting cancer or watching for it to come back.  That is where fear likes to settle in and get comfortable.  Fearing when the cancer will return.  I need to focus on the other F word.  FAITH.  I need to have faith that God can and will heal me COMPLETELY.  He can heal me for the rest of my life here on earth.  I 100% believe he can do it.  I just need to crush the doubt that he won’t do it for me.  I don’t feel worthy. 

Thank you to everyone who signed up for a prayer time slot this Wednesday.  It’s comforting to know that we’re being supported in prayer. 

We’ll try and keep you updated as we get closer to the big day. 

Love you all!

September 20, 2010 Awaiting Departure to Mayo

Randy Pugh and Dusty September 20, 2010

Home Again

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 Duke University Clinic Building

I’m happy to say our trip to Duke was successful.  We met with Dr. Blackwell who specializes in breast cancer and she not only agreed with Mayo in treating my brain with Gamma Knife, but also suggested treating me with either an oral chemo pill that can pass the blood brain barrier or a clinical trial or both.  She said my brain is one thing that we know needs treatment, but she’s also concerned about the rest of me.  She said if one cancer cell could survive all my prior treatments and was smart enough to take up residence in my brain, then she wants to make sure there are no other smart cells to take up residence from my neck down.  She would follow me very aggressively seeing me every three weeks and having scans run every nine weeks. 

Duke Medical

She gave a lot of great suggestions and advice.  She also suggested that I begin working with a major cancer center in Michigan, such as U of M, and with a doctor who specializes in breast cancer and is on top of all the clinical trials.  She said it didn’t matter where I get my brain tumor zapped (Mayo or Duke), but that being a 33-year-old YOUNG woman I need to work with a major cancer center. 

I made the appointment with Mayo to have the Gamma Knife surgery next Wednesday.  I’m nervous, scared and excited.  Thank you to the Pugh’s for flying us to Minnesota for this procedure.

Right now I am so sick of cancer.  I’m sick of talking about.  Reading about it.  Hearing about it.  Learning about it.  Remembering I have it.  My life has been consumed by cancer lately and I’m sick of it.  So sorry this isn’t a really great posting, but I’m trying to rebalance my life so that cancer isn’t the center of it. 

Thank you to everyone who helped out with the kids while we were gone.  It’s hard to be away from them and it’s hard to think I’m leaving again.  We couldn’t do this without everyone’s help.  Thank you!

 

Home Sweet Home

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We’re home!  It’s been a long week.  Our journey began with a slight hitch in our giddy-up.  It was too windy to fly on Tuesday so we drove to Mayo.  It’s a good thing too because when we went past O’Hare, we could tell planes were struggling with their wings dipping left and right.  We even saw a jet abort their landing.  Never saw that before.  I wouldn’t have wanted to be in a single engine plane in those winds.  Thank you Randy!  The drive went well and I had no idea that Wisconsin and Minnesota were so pretty.  The Mississippi River is beautiful. 

We never expected to be at Mayo for as many days as we were.  We almost had to stay one more day (today) and come home tomorrow.  Then God worked another miracle.  I saw God in small ways and big ways this week. 

Mayo Sign

Dr. Goetz was the doctor we were scheduled to see.  He’s an oncologist.  After waiting two hours to see him, he gave us 5 minutes of his time (two of which were taking a phone call) and told us we need to see a neuro oncologist and have an MRI.  He acknowledged the MRI would be early, but necessary to make a decision.  Needless to say we were frustrated, disheartened and discouraged. 

God moment:  They got us in with the neuro oncologist the following day!  Typically it takes months to get in with them, but we got in the following day! 

One more night at Mayo.  Unfortunately we checked out of our hotel expecting to go home after seeing Dr. Goetz on Wednesday.  So while I was having an MRI, Dusty found another hotel which had one room for one night (God moment).  Busy town. 

Mayo Main Lobby

Thursday our appointment was scheduled with Dr. O’Neill (neuro oncologist) at 2:00 p.m.  We were in his patient room until 5:30 p.m.!  First we saw Dr. Chang who ran me through what I lovingly call neuro Olympics.  Follow her finger with my eyes, touch my finger to my nose, resist her push/pull, etc.  I passed in flying colors. 

After a stretch of time, we saw Dr. O’Neill who was very personable and informative.  He and Dr. Chang compared my end-of-July MRI to the MRI I had on Wednesday.  There was a significant difference in the tumors.  The huge one in my cerebellum (affects balance, etc) is the one that’s of concern.  They determined that it is bleeding slightly (not hemorrhaging).  He wanted us to stay another night and meet with the neurosurgeon today.  When they left the room I could’ve cried.  I was planning on being home Thursday.  I missed my kids like crazy.  God moment:  Instead of coming back to the room with an appointment for today, they came back to the room with Dr. Ian Parney, Neuro Surgeon. 

Dr. Parney explained that I had an excellent response to radiation even on an MRI done early.  He said it was amazing.  I call it a miracle.  (God moment)

Dr. Parney gave me three options: 

1.  Wait four more weeks, have another MRI to see if the tumor has shrunk more.  He didn’t think it would since there is blood present.  Risks are slight hemorrhage (balance and headaches) to a large hemorrhage (life threatening). 

2.  Open me up and operate on the tumor.  Many risks involved.

3.  Gamma Knife Surgery.  This is his recommendation.  It involves screwing a metal cage to my skull in four places.  Two on my forehead and two on the back of my head.  You would think they’d knock me out for this.  Oh no.  They give me local anesthetic where they put the screws and some “I don’t care” medicine.  They better double the dose because I really care.  Then I have an MRI with the cage on my head so they know precisely where the tumor is in relation to the cage.  Then I go to surgery, which isn’t really a surgery at all.  It’s a very high dose of radiation (laser) given in a very precise, specific location of the brain (my tumor) and will knock it out. 

We then asked the question everyone skirts around.  Life expectancy.  He would precede all of his opinions with “I don’t have a crystal ball”.  He goes on averages.  On average, someone with brain mets (me) lives about a year.  However, I have a few things going for me.  I’m young.  I don’t have cancer elsewhere in my body.  I’ve had a very good response to radiation which tells him I’ll have a good response to the Gamma Knife Surgery.  I had a good response to breast cancer treatment.  He has seen women who had breast cancer mets to the brain live for years.  He also forgot to mention that I’m a child of God and He will heal me. 

We felt like we had the complete Mayo experience yesterday.  Wednesday was just a bad day. 

We were nervous about going to Duke because we didn’t want a repeat of Wednesday (a doctor trying to brush us off).  We wanted to be sure we were seeing the right type of doctor.  After calling Duke and talking with them, they assured me I was seeing the right doctor so we decided we’re still going to Duke.   

We are SO THANKFUL we at least have an option at Mayo.  I feel better if I get a second opinion before going through the surgery. 

Waiting

Thank you for your prayers.  The week went well and it was great to see God show up in so many ways. 

Brooklyn is doing well at school (loving it) and Max and Samantha had fun with grandpa’s, grandma, their aunt Becky and Kathy Timmer.  Thank you everyone for watching the kids and continuing to do so.  We couldn’t do it without you. 

Mayo Marvel

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We arrived safely at Mayo Clinic in Rochester, Minnesota yesterday evening.  Due to the high winds, we were not able to fly as originally planned.  Instead, we had a nine hour road trip here.  We had a good time watching the country side and reflecting on life.  By the way, where are all the cows in Wisconsin?  Lindy napped (even with me driving), so I must have been well-behaved.   For those that have rode with me,  you’ll understand how big this is. 

Lindy is in getting a MRI as I write this post.  We’ve been here about 10 hours getting several tests ran and meeting with medical professionals.  Mayo runs a tight ship.   This MRI will tell us how well Lindy’s brain received the radiation and if the tumors have shrunk at all.  This is pivotal to next steps determining treatment.   Please pray the tumors have shrunk or are gone completely.   We hold out hope for a miracle.  

Tomorrow we meet with a famous Neurological Oncologist (they were booked six months out yet still got us in to see them).  Amazing how God opens doors.  Depending on the results of the MRI, there may be special clinical trials that she may qualify for.  We have a summary meeting late in the day with Dr. Goetz, her Oncologist to discuss possible next steps. 

The gravity of this situation is sinking in for us.  Seeing all the sick people here is scary.   It’s too real.   Gravely ill people from all over the world coming together here for one thing: HOPE.  We were greeted by a man vomiting all over himself and the lobby when we arrived.   This is where we are.  Here. 

Tonight will be difficult.  It’s hard to wait until tomorrow afternoon for MRI results.   Satan has a way of putting doubt in your head.  He plants anxiety and ignites fear.   There’s too may ‘what-ifs’ that pop into your head when you wait for these test results.  

We will post more information as soon as we can.  We love you all and thank you for supporting us in so many ways.  We are so blessed. 

Back to Reality

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 Thank you for making Dusty’s 36th birthday extra special this year. 

Dusty Birthday 2010

From decorating his desk at work and posting his little kid picture all over Herman Miller (including bathroom stalls), to making an awesome cake (thank you Joni Gibson), money for dinner, 50 cards, treats, balloons, beer “with roots”, barbie and smurf cakes, 70+ Facebook messages, etc.  He was even gifted a special Eames birthday throne (thank you Brian Van Kley). 

He had a perfect day.  Thank you all!

 Max Eats Cake Sept 2010

This week we’re going to Mayo in Rochester, MN.  Thank you to everyone for your advice and help on getting there.  Thank you to the people who are staying at the house taking care of the kids while we’re gone. 

I wish I could say I were excited and hopeful about the trip, but my guard is up so I’m scared, nervous, worried and anxious.  I hate feeling this way.  I want good news. 

This is also Brooklyn’s first week of school.  New school, new grade, all day.  It’s a big deal and I’m not going to be here for it.  You can probably imagine the guilt. 

Please pray for:

  • God to go before us and set the path for all we do  – Mayo, work, first day of school, etc.
  • Safe travel to and from Mayo
  • Good treatment options offered to me from the doctors at Mayo.
  • Good first week of school for Brooklyn.
  • Safety for the Samantha, Max and Brooklyn as they spend time with family and friends. 

It’s all about Dusty

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Dusty is not your typical adult when it comes to birthdays.  Oh no.  He doesn’t pretend it’s not coming.  He doesn’t dread turning another year older.  He doesn’t deny that it’s his day.  He LOVES his birthday.  He looks forward to it.  He reminds me weeks in advance when his birthday is coming.  If he receives a birthday card in the mail before his birthday, he will save it to open on his birthday.  He loves his birthday. 

Dusty’s big day is this week Saturday, September 4.  He is turning 36.  I’m writing this because I want to make his day great.  If you see Dusty between now and then, please tell him a big Happy Birthday and give him a slap on the shoulder or a great big bear hug or something.

Thank you.

The Best Weekend Ever!

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I couldn’t have asked for a better weekend at the cottage.  Thank you Russ and Rhetha Genzink. 

Dusty and I had a great night by ourselves Friday night.  We went out for dinner to Hearth Stone.  We laughed later because we realized it’s a gas station restaurant.  That’s right, we celebrated our 12 year anniversary dining at a restaurant hooked to a BP gas station.  In all fairness, you wouldn’t know it was a gas station restaurant until you go down the hill and see the BP is hooked to it.  It was good food and we couldn’t complain. 

We were given a couple presents from friends to take along.  Knowing my enormous sweet tooth, my friend Jill smuggled a Zeeland Bakery Cake (white cake, chocolate frosting on top and cream in the middle – there is no other way) and fake bubbly (I can’t drink on my drugs).  Susan Bakker made an awesome appetizer platter for us. 

                                               

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Susan also made a cute little bucket of sparklers, rice krispie treats and fun things for the kids.  Brooklyn decided to try selling the Rice Krispie treats.  What a little entrepreneur!  Wonder where she gets that from? 

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We did everything we hoped to do.  We played in the water, went on a boat ride, rode the Sea Doos (Brooklyn’s new favorite), caught a fish, watched a sunset, roasted s’mores, ran around with sparklers, ate too much food and had a great time with the entire family. 

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It was so hard to leave on Sunday because it meant coming back to reality.  I am so thankful that for one weekend I could focus on something other than brain tumors. 

I watched my kids play in the water.  Discovered Brooklyn cannot go fast enough on a Sea Doo with her Uncle Clair.  Realized Max thinks he’s a big boy and wants to drive a Sea Doo too (just like Uncle Clair).  Samantha loves the water.  Brynn (my beautiful newborn niece) is such a sweet and awesome baby.  Although…word in the cottage was that she didn’t sleep well and gave her parents and grandparents a rough night.  Somehow my family slept through the whole thing! 

I’ll write a new posting to fill you in on what’s to come with me from a medical standpoint. 

I wanted this posting to be all awesomeness. 

Cottage Bound

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Thank you

to everyone who graciously offered their cottage to our family on short notice.  We were so honored by all the people willing to share the blessing of their vacation homes with us. Russ and Rhethea Genzink have kindly offered the use of their cottage on Upper Silver Lake.  I haven’t been to Silver Lake since I was a kid and am looking forward to seeing it again.  I also once had the honor of eating dinner at their cottage after my parent’s picked Kelli Huizenga and I up from Cran Hill Ranch.  I look forward to seeing if my memory from all those years ago still matches what it is.  I bet it’s even better.  I can’t wait to soak my toes in the lake, catch a sunset or sunrise (not sure what way the cottage faces) and watch my kids splash in the water.  Thank you Genzink’s!Lindy

Two Trains

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On Monday, July 26, 2010 I was on the platform of a train station boarding my train to the end of breast cancer.  I sat down on the nice commuter train, had a clean, comfortable seat and there was even some nice music playing overhead.  There was good lighting and everyone was in good moods.  I was on my way to meet with Dr. Song in Chicago for the last time before my procedure.  I had my best friend and our kids with us to make the most of the day at Shedd Aquarium.  I was excited about having reconstruction done by one of the best plastic surgeon’s in the field who was doing the best procedure for me.  We had everything lined up.  Our cousin’s sister graciously offered their Chicago basement apartment for Dusty to stay in while I was at the hospital.  We had childcare lined up for the six weeks following the procedure.   The train dropped us off the hospital.  I had a good meeting with the doctor.  I had a good meeting with the anesthesiology department and that was it.  I was looking forward to having my new, old body rebuilt – tummy tuck was the bonus!  One pesky thing kept creeping in during the day…headaches. 

Onward…we hopped the train to Shedd Aquarium and had a fabulous day.  The kids loved it.  We took in all the sites and made some great memories.  Drove home that night, tired, but happy we had such a fun, successful day.

On Tuesday, July 27 I went to physical therapy because I’ve been having problems with frozen shoulder since my mastectomy.  My PT also knew about my ongoing headaches and nausea and we assumed it was because of all the adjusting we were doing to my shoulder and neck area.  After PT I had such a bad headache that I called Dr. Hoberman (my surgeon) and she prescribed Norco (narcotic).  I took the pain pills, got through the day, but couldn’t seem to get rid of the headaches. 

On Wednesday, July 28 I began vomiting because the headaches were too severe.

On Thursday, July 29 I called Dr. Hoberman explaining the pills weren’t helping and the vomiting is bad.  She immediately conferred with Dr. VanderWoude who sent me to Holland’s Emergency Room.  Jill drove me there and it was there that I had tests run, including a CT scan.  I didn’t hear it then, but the second train was pulling into the station. 

ALERT!  God Moment:  Dusty happened to meet an old friend for lunch that day and as he was driving by the hospital on his way back to work he popped in so we could joke together about how silly my little ER visit is.  Stupid headaches. 

Jill met him in the hall and remembered telling him that we waiting for the results of the CT scan.  CT scan?  She needed a CT scan?  Dusty came into my room and a moment later Dr. Nicely came in to tell us of the two tumors the CT picked up.  All color washed away from Dusty’s face.  He looked like he was punched in the gut.  This wasn’t expected. I think my eyes were closed with my jaw on the ground and Jill was bent forward with her head in her hands.  This isn’t happening!  At the worst it was going to be meningitis.  That’s what Dr. Hoberman said!  Pesky meningitis.  Not brain cancer.   

Dr. Hoberman walked in the room and I swear as she did I could hear the train start up.   She explained that I could be admitted to get the tests going right away or go home and schedule the tests as an outpatient.  We wanted to get it done.  Get these tumors out of me NOW!  I was decided to send me to Spectrum because they have a bigger pool of brain surgeon’s to work with and that’s also where one of Dr. VanderWoude’s offices is. 

So I boarded the train.  This train was darker.  Not cheery.  Not comfortable.  Cold.  As I rode the train to Grand Rapids it was dark and as light fell through the windows I saw signs before me “Brain Cancer”  “No new body for you”  “How much longer”  “What about your family”  “What do I do now”.  There was no overhead music.  No brightness.  Disbelief.  Dispair. 

We arrived at Spectrum where we were well taken care of.  We had many well wishers and great nurses who took care of us.  The first night at the hospital was busy.  I had an abdominal CT scan at 10:30 at night and a head MRI at 12:30 a.m.  I had a bone scan the next day at 3.  The CT scan and bone scan both showed no signs of cancer – PRAISE GOD!  The MRI, however, showed six tumors throughout my brain.  It was explained that our brains have a natural defense against poinsons (chemo) going to the brain so my cancer spread the only place it could – my brain.  I have three large tumors in my cerebellum, two towards the top of my head and one on the right side of my head.  So far I can do everything I used to do.  I’m mobile and can still type on my blog.  The thing I miss the most is driving.  I’ve decided not to drive because of my risk of seizure.  But thanks to the great support I haven’t had a problem getting anywhere.  Aside from being very tired I’m okay.  I know I wouldn’t be this good if it weren’t for the prayers that are being said on my behalf – thank you. 

I was released from the hospital on August 3 and have been undergoing full brain radiation treatments in Holland.  When I’m finished with radiation (roughly 9 more visits) I will begin exploring Mayo Clinic and some other options that have been presented to me.  I plan on working closely with Dr. VanderWoude and greatly respect her advice for my next steps.

Please pray that God will continue to hold our family and friends up the way only he can.  Things are working really well for us right now.  Dusty is in a deep peace of mind and that is so comforting to me.  Brooklyn has been spoiled with a social calendar unlike anything I’ve seen before and the babies are doing great with grandma and grandpa.  Samantha is even showing interest in potty training!  YIPPEEEE. 

If you haven’t had a chance to read my post to my dad about his last day of work and would like to do so, please do it.  I would love if you could share a memory or story in the comments section so I can print those for him.  He will love to read them.  It will make his day! 

P.S.  There were no train rides.  It was just a metaphor.

Prayer Requests:

No Nausea

Good sleep at night

No Headaches

Continued energy for my parents, family and friends as we walk through this together. 

Thank you to all the radom acts of kindness that are being given to us – gift cards to restaurants, Captain Sundae, fundraisers, bake sales, the list goes on and on and I just don’t feel worthy.  God has been good to our family.  I believe he will carry me through this too. 

My goal is simple:  Stay alive.  Raise my kids.  Nothing else matters. 

Thanks Dad

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This morning my dad did something I never thought I would see.   He went to work at Genzink Plumbing where he has worked for 40+ years and put in his last hours.  It’s hard for me because I wanted him to do it on his own terms. 

My dad is a worker.  That’s who he is.  It defines him.  In the best way…it defines him.  He works.  That’s what he does.  It’s what he has done his whole life.   It’s what he loves to do.  He never worked at our expense.  He always included us.  He always taught us along the way.  He took us beside him and showed us what he was doing and if we were lucky, he would let us do it ourselves.  From milking a cow (I never actually did this – yuck), to stacking hay, to sodering a pipe, to sweeping a floor properly, to changing oil in our cars when we were 16. 

He grew up on a farm in South Olive, Michigan and has always been a farm boy at heart.  There is something that lives inside him to work hard for what he has.  Everything my parents have is because they’ve worked hard and have been conscientious with what they do.  They are kind and generous.   They have never hurt anyone to get what they have. 

I have many memories growing up of him receiving phone calls from neighbors, friends, family members, church members or someone in need a plumbing fix.  You know the perils – the water heater is broken, clogged toilet, overflowing something-or-other, the Mr. Fix-it’s trying to do their own work and now need the advice off a master plumber.   No matter what time of day or season – dinner hour (we always ate dinner as a family), or 9:00 at night in the dead of winter.  He would always go and help.  Not with a grudge.  He wouldn’t stomp his feet out the door shaking his head side-to-side mumbling under his breath.  He would do it with a SMILE.  He was happy to help.  He would say so-and-so needs some hot water or their toilet is clogged and they have company coming for the holidays tomorrow.  Off he would go.  Happy as a clam to do something he loved to do.  Work. 

I have more memories of job sites as a kid than what most kids would.  Genzink Plumbing has employed him well over the years and, if I may be so bold, my dad was a good employee.  I remember spending evenings in the warehouse at Genzink’s while dad would organize random parts from boxes to make the boxes complete again.  I remember going along at night with him to job sites while he worked.  I would pretend the poured concrete walls of the new homes were my balance beams and take my roller skates along to ride on the fresh poured floors.  If we were good and well behaved we would stop at the closest ice cream shop for a cone on the way home.  Yum!

It physically pains me to know that he worked his last hours today at a job he has held very well for many years.   I feel like he did it before he was ready because of me and my cancer/prognosis.  I didn’t want it to be like this.  I wanted it to be on his own terms and on his own time.  When he was ready and when he wanted to.  He deserved that much.  He earned it.

Thank you Russ and Rethea, Ross and Rick and the entire Genzink Family and team for working with my dad.  You have blessed him and our family. 

If you happen to see my dad, give him a hand shake, pat him on the back or give him a hug for what he has done. 

Even though his official days at Genzink’s may be behind him, he has a lot of work left in him and I think he’s saving it for his grandchildren. 

I love you dad.

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