5/5/2013 – Every day feels like a miracle

I would like to share why I enjoyed last week so much, besides the fact that my blood work came back right in the normal range again (kappa light chains at 0.92 mg/dL).  So here’s why a perfectly normal day can be so amazing…  I remember last August and September when I used to park my car at the office and grab my laptop backpack.  Pulling it from the back seat of my car and swinging it over my shoulder I would wonder if this would be the day I would make it into the office without a few back pain twinges, or an ache in my hip that would make me walk just a little funny.  But now, I can wear my backpack with no problems and no funny walk; and that makes me smile.  I remember a really difficult morning back in October, right before I went into the hospital, when I came to terms with the fact that, because of my increasing back problems, I may somehow have to be a dad that couldn’t lift up his kids…  couldn’t wrestle, couldn’t run and couldn’t rough house…  I shed some heavy tears that morning.  I was confident I could still be a good dad; I knew that I wouldn’t have been the first dad to have to live with difficulties like that, but coming to terms with it was a big pill to swallow.  But now, I can lift them, I can throw them around, wrestle with them, and catch them when they run (although they’re getting pretty fast!).  I remember months when I couldn’t put Samuel to bed because I couldn’t lift him to put him in his crib.  I’m a bedtime daddy, so I get to spend special time with each of them every night putting them to bed.  Missing those nights with Samuel was really tough, especially because with each of the kids, I experienced a picture of God’s Love for me as I held them, rocked them, comforted them, sang to them, prayed over them, and just watched them fall asleep in my arms during those special bedtimes when they were babies.  But now, I have no trouble putting him to bed at night, or getting him out of the crib when he wakes up.  I remember back in September having to back off of some of the activities I normally did to help out around the house, and then for a few months, I couldn’t really do anything.  That left a tremendous burden on Jas to keep up with three kids, a husband either in the hospital or out of commission, and the entire house mostly by herself.  But now, I’m back into the old routines, and we’re even getting some of house projects done that were on hold…  I built some shelves to finish off our floor-to-ceiling built-ins for the family room, as well as installing a mantle around the fireplace, and I’m working on building us a nine foot barn wood dining room table.  Every day feels like a miracle.  I still have to watch myself a little bit, I’ll get sore when I push it quite a bit and have to rest a little longer than normal, but I’m still healing and it keeps getting better.  I never imagined I would feel this good again, and I praise God for the way He heals.

I have been reading some verses I want to share with all who have been praying for me.  They resonate with so much of my journey, though they were written by Paul who was going through crazy persecution I could probably never understand… nonetheless, it still resonates with my story and has been really encouraging, so I hope it is encouraging to you as well [my comments in brackets].  “We do not want you to be uniformed, brothers and sisters, about the troubles we experienced in the province of Asia [just like I felt overwhelmingly compelled to write my story and share it with my family and friends].  We were under great pressure, far beyond our ability to endure [definitely felt like this a few times. when your own body is killing itself, you have to deal with some pretty interesting thoughts], so that we despaired of life itself.  Indeed, we felt we had received the sentence of death [literally, we received just that from the medical community].  But this happened that we might not rely on ourselves but on God [absolutely! we rely on God every minute to sustain us, but it’s easy to take that for granted when things are going smooth and comfortable. it's in our greatest times of need that His faithfulness shines bright, and my trust in Him has grown so much through this], who raises the dead [and if He can raise the dead, which He has done many times in the sight of many witnesses, then what do we have to fear if we trust in Him?].  He has delivered us from such a deadly peril [as I believe He has delivered me, here and now], and he will deliver us again [and I think here Paul is referring to the hope he has, and the hope I have, in the deliverance we will receive when this earthly life filled with pain and suffering is over, and I am rescued into the eternal presence of my Lord Jesus Christ. O glorious day!].  On him we have set our hope that he will continue to deliver us, as you help us by your prayers.  Then many will give thanks on our behalf for the gracious favor granted us in answer to the prayers of many [I already hear of this through those who have shared how my story has encouraged them, and by so many who have continued to pray for me regularly. I am humbled by how many people have kept me in their prayers, and delighted by the glory God is receiving through answered prayer].” – 2nd Corinthians 1:8-11 (NIV).
I read these verses often, and thank God for all those who have rallied around us.  We are truly blessed!
 
I am off of all medications except a blood thinner, which I’ll be taking through about July because of the blood clots I had in November.  I will continue to get blood work every month to check my kappa light chain protein level, and I will try to keep the updates coming.  Getting back to where I was physically has gotten us back into more of our old “normal” life again… and with that, the busy-ness has crept back in and we have a jam-packed schedule.  Although, with a slightly different perspective on life, I think we are enjoying each moment a little more, busy or not…

3/10/2013 – Miracles, one after the other…

Two to three days, I was told many times, would be how long it would take to collect the amount of stem cells they wanted to freeze for me.  Ok, I can handle that.  The procedure didn’t sound too bad, and wasn’t as I went through it this past week.  I had to give myself a few shots to stimulate the production of stem cells in my body, and get them into my bloodstream.  No big deal.  The Neupogen made my back and hips a little achy, but it wasn’t that bad, and the Mozobil was a little weird, but also not bad.  Monday morning, I went in for blood work and to put in a jugular venous catheter (also weird to have a couple tubes handing out of your neck).  The blood work came back fine, as it has been!  The CB34 number they were looking for to be at or above 6 came back at 30.  Apparently this is not a great indication of how well the collection will go, and 30 is pretty good, but not as spectacular as I thought when I first heard…  I went in for the first collection day Tuesday morning and told the nurse to get ready for a miracle as she showed me to my bed, because I’m going for 12 million.  6 million stem cells per kg of body weight is what they were looking for, but I was a little zealous because of what God has been doing through my journey so far.  I was quickly humbled by the Holy Spirit, as He whispered in my heart that God promises to provide what we need, so don’t get too cocky…  I had a great nurse, she was very encouraging and pulling for my miracle.  I got hooked up to a machine that in some amazing way, takes my blood, spins out the stem cells, and puts the rest back in for about three hours.  About two hours into it, the doctor doing rounds came by and looked at my charts and numbers.  Quite less than encouraging he said that my numbers looked ok, but “don’t get your hopes up… probably three days, maybe two, but you won’t be done today… unless a miracle happens.”  I just smiled real big and thought to myself, “well, now you asked for it.”  After I finished up that day, they said I would hear my results around 4:30 or 5:30pm.  I got some lunch and went back to the hotel…  prayed, read a book, talked to Jas and the kids, and got a phone call…  “Brady, we got your numbers back…  6.9 million…  you’re done.”  I wasn’t surprised, but I was praising God!  Every step of this process, walking with God is humbling and amazing.  I didn’t produce these numbers, there is nothing I could do…  Whether God made the right conditions with the right drugs and the right doctors at the right time, or whether He just doubled the cells like He fed the 5,000 with five loaves and two fish, I don’t know.  But what I do know is that the doctor said it wasn’t going to happen, and it did.  And it was pretty awesome because I got to go back and see the doctor and nurses the next day to get my jugular catheter pulled.  I was all smiles, and I pray God was honored as I tried to give Him the credit for the amazing results…  Thanks you for your continued prayers, God is being glorified through this fragile body.  He is my strength when I am weak!
 
On another note, my back has been getting much better, and over the last weekend and during my stem cell collection, it has gotten a huge step better.  Since then I have gone maybe a whole day at a time without even a twinge of pain.  Less than a month ago I met with my neurologist, took a CAT scan look at my bone, and it was doing well enough to wean myself off of my brace and not have to go for another scan.  The bone is still healing, and the pain is going away as it does.  It really is amazing, I feel great.  Thanks again, for your continued prayers.

2/23/2013 – Stepping Out of the Boat

A week or so after my last post was pretty uneventful, which gave us a little chance to breath and relax.  But it wasn’t long before the flu started hitting everywhere around us, we had some friends and family visit us from Ohio and Indiana, my grandpa passed away, and we felt God leading us in a direction that it would take a lot of faith to walk in…  Thankfully we somehow avoided the flu, and we had a great, encouraging and refreshing time with our house guests.  And although my grandpa’s passing was not unexpected, it’s hard to see someone so wonderful go.  He will be missed by so many… because of his kind and generous spirit, there were always people just looking for ways to help him out with something.  He was just one of those people you enjoyed being around because he loved life and didn’t need much to be happy.  My brother and I were both able to fly home for the funeral, and although the circumstances weren’t the best, it was nice to see all the family.  My grandparents left quite a legacy, and you can see the traits that made them wonderful people passed on through the generations.  They will always have a special place in our hearts.
 
One of my main prayers in the weeks after we got the amazing results back from my first cycle of treatment had to do with the story of Jesus walking on the water.  In the book of Matthew, chapter 14, Matthew writes of when the disciples got in a boat and set out across the lake.  They made it out quite a ways, the water was rough, it was dark, and they noticed Jesus walking towards them on the water.  They were terrified, they thought He was a ghost, which makes perfect sense to me.  I mean, I have heard the story before, but this was where the old "walking on water" cliché came from, who would have imagined it before it really happened… So Jesus tells them not to be afraid, that it’s Him on the water… and so Peter yells out from the boat to Him, saying that if it really is Him (Jesus), tell him (Peter) to come out to Him on the water.  So Jesus does, and Peter actually gets out of the boat and walks on the water.  And this is where I get a picture of "stepping out in faith."  Turns out that Peter walks a little, but then looks around and gets scared by the storm. He starts to sink at that point and yells out to Jesus, "Lord, save me!"  Immediately, Jesus catches him and says "You of little faith, why did you doubt?"  They get into the boat, the wind dies down, and the disciples in the boat say to Him, "Truly you are the son of God."
 
Every time I remember reading  that story, I have wanted to have a faith like Peter’s… a faith that believes even the impossible is possible with God… to believe that when Jesus says "come," there is nothing to fear, even if the only way to Him is over the stormy sea.  I find comfort that even though Peter’s faith waivered, and he started to sink, that Jesus was right there to catch Him.  I also am encouraged because it was just the "little faith" that Peter had that allowed him to step out of the boat and walk on the water!  The story reminds me to keep the eyes of my heart fixed on Jesus, the One who has the authority over all things…  who calms the storm, who heals the sick, who makes the blind see, who brought forgiveness for our sins, who raises the dead and who died and was raised again by His own authority, because He has authority even over death itself… and like Peter, if I get distracted by the storm and take my focus off of the One who sustains me (as I do time and time again), I too become fearful and my faith is challenged… but Jesus is always there to catch me, and gently lift me back up, and remind me of His faithfulness, and encourage me with His peace and strength.  Sometimes it’s not too hard to step out in faith, the sacrifice is relatively small and the risk of embarrassment or inconvenience isn’t too bad… but with some things, it feels like there is just about every reason not to, and it probably doesn’t make sense, but we see Jesus out there on the water and want so badly to be out there with Him rather than in the boat.  Which leads me to my prayer…
 
We felt like, with myeloma and the treatments they laid out for us, that there were many places where we could step out in faith, but this cancer is no joke… we sure weren’t going to just blindly step out with no guidance, and we did feel that God was doing something amazing already… we just didn’t know exactly what He was doing (and we still don’t know exactly what He is doing, but I’ll get to that later).  So we prayed for guidance and wisdom and faith and strength and everything else… and eventually, I got up the courage to pray "Lord Jesus, when it’s time to step out of the boat, tell me to come to You…  I’m listening…"  It was hard to pray that.  If you can imagine, which I’m sure you’ve felt the same in your own situations, it’s like when you really want something, something that’s good but that you know is going to be hard once you get it, so you kind of don’t want to get it because then you can go about your business the way it’s always been, and since you tried and didn’t get it, you feel good about trying, but glad you didn’t actually get it… but then disappointed too, because really, in all actuality, you do want it… so you wait, after you’ve done everything you could, with your stomach in knots, to find out if you’re going to get it or not.  That’s kind of what it felt like to say that prayer, and to mean it, and to listen for an answer.  And that’s when things started to become more and more clear… not just to me, but to Jas as well as she continued to pray alongside me, seeking His guidance.  As the beginning of a third 4-week cycle of chemo was about a week away, I had begun experiencing some different side effects from the chemo, and the ways we felt God speaking to us made that week pretty intense.  There were times when I was just mentally and emotionally exhausted, because thinking over the events we believed God was moving in already, and the ways I believed He was leading us, we both agreed that the time to step out in faith was now… We began believing what some of our friends already believed, that during that first month of chemo treatment, when my numbers went from bad to normal, surprising our doctors and throwing anything typical out the window… that’s when we believe God may have rid my body completely of cancer.  So what do we do now, right?  The "problem" with believing this is that the only way to know for sure if the cancer is gone, is if it never comes back… or to look at it the other way, the only way to know if it’s still there, is if it come back.  So we decided (and I say "we" because I couldn’t walk this road without the wonderful support Jas is for me) that we would stop treatments and see if it comes back.  We talked about staying the treatment path since we can’t really know for sure, which would probably be the safest road to take, but that just didn’t make sense when it comes down to what I really believe.  I have given up a life lived for myself, in exchange for a life of serving God… the God of the Bible, who’s one and only son Jesus Christ is my Lord and Savior, and who’s Holy Spirit lives in me.  I believe that God created the heavens and the earth and everything in them, and that He is ever present with power and authority over all things.  I believe in miracles and I believe God can and does miraculously heal people… although who, when and why are things I only wish I could understand.  So when I have two paths before me, one where God, who has raised the dead to life again, leads me to step out in faith and trust Him with my life, and one where the doctors believe they can help me live longer, but remind me over and over that they have no cure for what I’ve got… this time, we have the faith to walk the path God is leading us down, for His sake and for His glory.  If my life is going to be used to display God’s glory and presence to this world, then I don’t want my own fears to get in the way of that… I want to be part of something amazing!  And I feel like I already am.
 
The anxiety built as we made our decision and had to discuss it with the doctors at my upcoming appointments.  I was encouraged when I most needed it early the week of my first appointment, through my three year old, of all people.  God seems to speak through our kids in encouraging ways during intense times in our lives, and this is just one example.  Before we got up one morning that week, Wyatt was up and hopped into bed with us.  When it was time to get up and get some breakfast, he sat on the edge of the bed for a moment looking down at the floor.  He hopped off and stood a little strangely, motioning his hands towards the floor and said to me, "Come on daddy, this is the water, we’ve got to walk on the water…"  I smiled and said ok…  I hadn’t mentioned my obsession with that story to anyone that week, it had just been in my private prayers.  He hadn’t ever said anything like that to me before or since.  Just a little encouragement from God to give us the courage we needed to walk boldly on a path that doesn’t really make sense without God.  And so Jas and I went to see my doctor for my pre-third cycle consult.  We shared our thoughts and our reasons, and knew she understood us when she said, "Well, you’re pretty much banking on a miracle."  She shared her professional opinions with us, and candidly let us know that she thought it was a terrible idea, but was very respectful about us making the decisions that we thought were best for us, and very reassuring that she wasn’t upset about our decisions, just anxious for us.  We agreed to hold off treatment that day, delaying my third cycle by a week until we talked with the myeloma specialist at our next appointment a few days later… just in case he said something that would change our mind.  The intensity of the peace I felt about our decision at times, and the intensity of the anxiety I felt other times, grew over the next few days before we drove to U-Penn Philly for our consult with the myeloma specialist we were going to schedule the bone marrow transplant with.  We sat in the sterile little room waiting for him, and it was pretty crazy when he came in and one of the first things he said to us was that he didn’t believe my numbers, referring to my "complete remission" (or complete healing as we believe) in less than a month of treatment.  I reminded him that I have had three tests over the last three weeks, and he said he understood, but still didn’t believe the numbers were true, so he was going to test me again here at his facility.  Talking with him was a bit more scary because he went over, in great detail, how the chemo and bone marrow transplant work against myeloma, and how even though the drugs and treatments they have now are great for controlling the disease in many patients for many years, there are some myeloma cells that are immune to any kind of chemo… so it never goes away… ever.  Which seems to be the kind of thing that’s right up God’s alley.  There may be no cure for myeloma with drugs or treatment, but nothing is impossible with God, and I believe, my friends, that I am part of something miraculous.  My specialist obviously did not recommend stopping treatments, and told us that as much as he respects God, he has never seen a miracle when it comes to myeloma.  Both doctors gave me about a year max before they thought it would be back, showing up again in my protein light chain numbers.  I’ll be tested every month to monitor.
 
The one thing we are going to continue with, which both doctors suggested, is to collect my stem cells and bank them now; part of the original plan.  The procedure seems pretty simple.  They’ll hook me up to a machine that takes my blood, pulls out the stem cells, and then pumps everything else back into me.  I should be on the machine for two to four hours a day, for two or three days.  This will be done within the next couple weeks, and after that, I’ll be down to one blood test a month…
 
I do have to say, it’s hard to believe in a miracle I can’t see…  and I have to admit that as much as I am stopping treatment because I believe that God already did a miracle in me, I am stopping to see if it really is true…  I could probably write a thousand more pages with all the thoughts bouncing around in my head, but I will just say one more thing for now… I will never regret following where I believe God is leading me, no matter how foolish I may look, or how much the odds may be stacked against me.
 
So if you want to see a miracle… keep praying and stay tuned…

1/10/2013 - a humbling experience

I have been humbled much by myeloma, by physical limitations, by the overwhelming support of friends and family, by the peace and guidance and miracles from God's hand...  but I have been humbled recently in another way, that again is just overwhelming.  It seems as if myeloma has chosen the wrong host by the way God is guiding us to the right doctors, the right drugs, and using the power of His grace in amazing ways as we see wonderful healing progress.  There is much to go through yet, but up to this point, for the affliction that I have to endure, we can't ask for better news over and over, from the early detection, to the slightest of side-effects, to the lastest results that the doctors did not expect in the least.  I believe that God has prepared me, in my heart and in my mind, through the encouragement of His Word, for whatever the world, or Satan, or just the natural course of life hands me.  I've known and heard of God's children healed from the worst of afflictions for His glory, but I've also known and heard of some of God's sweetest, most faithful children walk gracefully a path without healing for His glory.  I have been humbled recently by the blessing after blessing I am receiving on this journey, while I pray and see and hear of others on similar journeys, with more harsh and aggressive afflictions, without the same good news...  unanswered prayers...  more uncertainty...  And even though I know the ultimate blessing is not found here in this life, that comfort doesn't last, that the healing of our bodies today doesn't promise us a tomorrow without some other affliction...  even though I know that the ultimate blessing is what God offers us though what Jesus did on our behalf, and through His power over sin and death, for when this life is used up… a renewed, eternal life with Him and without affliction, a life after ultimate, total and complete healing… even though I know all these things, I still want to see the healing and the blessings and the good news for all of us today, and I am humbled that I enjoy so many through this journey.  And it might sound like I feel bad or down because of this, but though I have been humbled, I am still filled with joy for what I have been blessed with...  I actually think I appreciate them even more.  I am still ecstatic talking to people about the test results, I still celebrate the wonderful blessings me and my family receive, and still cherish every prayer and encouragement and blessing from all you who have come up along side of us through this...  even those of you we have never met face to face (little shout out to the Sunday School in Kingsport, the church in the Ukraine, the students in La Limonada...  I wish I could write about everyone...  I wish I knew every one).  I wish only the best outcome for every affliction, but it is not up to me to decide, that belongs to God and I believe there is purpose for every journey, wonderful purpose that is most likely difficult to walk in, but so worth it in the end.  I have been commended quite a few times for my faith as we go through these trials, which is humbling in itself because that too is a blessing from God which I can't accept credit for.  The Apostle Paul, of who's faith I would consider myself near-zero in comparison to, says, "For by the grace given me I say to every one of you: Do not think of yourself more highly than you ought, but rather think of yourself with sober judgment, in accordance with the measure of faith God has given you." (Romans 12:3 - NIV).  He recognized that the faith he had was a measure given to him by God, and I am beginning to recognize that truth in myself.  Thanks to all of you, for being part of a humbling process that has drawn me even closer to my wonderful God of all comfort, the great Physician, my King, my Savior...

brady...  a man no more deserving, no less deserving, no better, no worse...  just blessed for a purpose much bigger than myself...

There's a great song that prompted some of these thoughts you can find on YouTube by searching for "mercies in disguise."  It's worth a listen.

1/3/2013 - Powerful Prayer and Amazing News

I don't want to do too many updates too close together, but we just got some amazing news today that I've got to share...  for God's glory!  According to what the experts were expecting, who work with hundreds and hundreds of myeloma patients constantly (I mean seriously, they are myeloma doctors, that's all they do), my bloodwork results today are nothing shy of miraculous as far as I'm concerned.  I could be surprised, or not surprised, if the possibility of divine intervention doesn't come up talking with the experts about this, but I am very interested to find out...  so let me tell you what we were expecting to see today, according to my local doctor, and the two myeloma doctors from U-Penn Hershey and U-Penn Philly.
 
A little history to set the stage:
My myeloma presents itself as certain proteins present in my blood, and the tumor (plasmacytoma) in my vertebrae.  The tumor was easily found because it shows up on x-rays, CAT scans and MRIs.  It was treated pretty easily with radiation because of the size and location, and we're over that hump already.  The myeloma is a different animal because unless they suck out and test every bit of my bone marrow, they don't really know how much of my bone marrow is cancerous.  It is not distributed evenly throughout, so a bone marrow biopsy could truthfully give a 0% cancer cell result, or a 50% cancer cell result depending on if they hit a pocket of cancer cells with the biopsy needle or not.  So...  they use cancer markers, which are very good for myeloma, to tell if cancer is present because the cancerous cells produce these proteins that go into my blood and can easily be measured.  Mine happen to produce Kappa Light Chain Proteins (as opposed to Lambda ones).  Whereas a normal person would have about 1.0 mg/dL (or between 0.3 and 1.9 mg/dL), mine were much higher.  Along with finding 5-6% cancerous cells in my bone marrow biopsy, that is how I was diagnosed with myeloma.  Since all (and I mean all) other indications that myeloma could present itself with are absolutely normal in all the tests they have done, the Kappa protein level is what they use (and is actually better than a biopsy) to track the presence, activity and aggressiveness of the cancer.  And now, you are an expert too :)
 
Leading up to today:
10/14/2012 : Kappa level of 754 mg/dL
10/16/2012 : Bone marrow biopsy, 5-6% cancerous cells
11/08/2012 : Kappa level in 800's mg/dL
12/04/2012 : Kappa level of 1310 mg/dL (large jump, level
                     pretty high and consistent with other patients
                     with kidney failure on dialysis.  Though my
                     kidneys were functioning perfectly according
                     to their tests)
 
Expert expectations:
After meeting with both myeloma doctors for a Bone Marrow Transplant Consultation, and other research I had looked up on clinical trials that have been documented, the effects of the chemo drug treatments usually show up 6 - 8 weeks after treatment starts (I am on a 4 week cycle regiment).  So they told us not to expect to see the numbers to go down after the first cycle, and they may still go up before seeing results in the second or third cycle.  Not every drug works for everyone, in which case it wouldn't be effective at all and the numbers would continue to go up instead of slowing or going down after the second or third cycle.  I was prescribed four cycles, but if more were necessary at the end of four, we could possibly go five or six.  Remission would be considered achieved when my Kappa level dropped to half of the highest number they found previously, so starting my treatment, we were shooting for something below 650 mg/dL unless it came back higher after my first cycle, and they anticipated that it would take four cycles to get there.
 
Today's results:
Well here's what the doctor said when I went in to see her, "Numbers are fabulous... they're freaking amazing actually... you went from 1,310 to 1.2."  And after I cleared up that she actually said 1.2, I was floored... which I shouldn't have been, since hundreds of people are praying for me and I believe that God does amazing things, miraculous things, to let the world know He's there and He's the One.  The doctor was very surprised as well, but wants to stay the course of treatment until she gets some feedback from her colleagues and the myeloma experts we met with.  We also really want to talk to the experts with the news and see what their take is on this amazing news.
 
What we need:  Wisdom.  Studying the book of James in Sunday School is very appropriate and timely, since it talks much about wisdom.  We would appreciate prayers for wisdom over the next few weeks as well.  We have a lot of big decisions to consider, and with this recent development, we may be under a little more pressure to make them before we thought we had to.
 
Thank you, thank you, for all your prayers... for those that were specifically for today’s results, for those for my family and all they are going through because of everything happening to me, for those for my strength of body and spirit, and for those I don't even know about that lift me up every day.  Today was healing in more than just my body...  I needed a day like today, and my family did too...  my cheeks hurt from smiling so hard and my spirit was soaring.  Since I took my steroids today, and my brain was going about a bazillion times faster than normal (a little like what I would expect ADD to be like), and I was given utterly amazing news, I don't know when I've felt more giddy and excited.
 
What a great day!  I pray everyone has days like these J
Brady

12/30/2012 - Merry Christmas! Happy New Year!

Thank you for your prayers concerning our meeting with the bone marrow transplant specialist in Hershey back on the 14th.  We had a great meeting and he spent about an hour and a half with us as he explained much about myeloma and the transplant procedure.  He oversees many, many myeloma patients, but I continue to maintain my “unique constellation” status as only about one to two percent of the multiple myeloma patients at Hershey are in my age group, and significantly fewer still are this young without genetic markers that point to aggressive myeloma (markers which I have been tested for and don’t have).  It was a very positive discussion, and the details of the bone marrow transplant procedure are less daunting than we had previously thought.  We had thought I would be in the hospital for a month with no immune system, but it’s more like a three week process.  The first week is pretty low-key, where they collect stem cells from my blood, which is followed by a two week process of killing and reviving my bone marrow.  By the end of the two weeks, I should be fine to go home, but will still have to be careful as my immune system builds back up to full strength.

We had a second opinion for a bone marrow transplant consultation scheduled for the 27th in Philadelphia, but the doctor got sick and we are rescheduled for Monday the 31st.

Last week was also a bit up-and-down as I met with both an orthopedic surgeon and my neurologist about my back pain (not knowing that they serve the same purpose in my case).  Seeing my vertebrae for the first time, the orthopedic surgeon was very concerned, which got me very concerned, with the integrity of the bone as it is now.  It sounded like surgery was probably necessary, but this was based off of an X-ray, which isn’t very good compared to CAT scans.  He ordered me a new back brace, which is kind of makes me feel like I’ve got a Batman suit on, and wanted to schedule another appointment for after my CAT scan was done.  After meeting with him, I got another CAT scan and met with the neurologist that initially assessed me in the hospital.  He works with many multiple myeloma patients and put our minds at ease about a lot of stuff.  He agreed with getting the new back brace, but was very optimistic (based on his experience with vertebral tumors in myeloma patients) that the bone will heal itself over the course of time.  Not completely to where it was before, but to where there would be no issue with the strength of the bone, and the back pain may go away over the course of the healing.  So we’ll be exercising our patience and continue to pray for healing.

Over the last month or so, I’ve had some conversation with friends of different beliefs that got me thinking about sin and cancer and faith.  I was humbled by God's Spirit as I pondered more on the reason for suffering and trials in our lives and found myself thinking some pretty arrogant thoughts.  It is my sinful condition that ultimately caused the decay of my body... maybe not anything specifically I have done, but when sin entered the world from the first man, it was inherited by all people and subjected all of creation to decay and death… and for us, we have all been subject to its consequence: "For all have sinned and fall short of the glory of God,” “For the wages of sin is death…" Romans 3:23, 6:23 (not just the decay and death our physical body is subject to, but really the spiritual death that results apart from salvation through Jesus Christ).  So I don’t think I have cancer because of something I did directly, which could be a popular thought back in the times of the Old Testament of the Bible, or with those who believe in Karma, or in other faiths I unfortunately don't know enough details about, but it is ultimately a result of sin, which I was born into, guilty of from the beginning of my life.  But as I've said before, there is a purpose here for me and I think that without these trials in our lives, it would be difficult, if not impossible, for a Christian's faith to be evident at all.  Our lives should be marked not by a life that is free from trouble or tragedy just because we have put our faith in Jesus, but marked by how we respond to the troubles and tragedy that come with a sinful and evil world (even present in our own decaying bodies) because of the hope we have in the promised salvation for those who give our lives to Him… a salvation that releases us from the power of sin over our lives now, and rescues us into eternal life with God when Christ returns to make all things right.  "Praise be to the God and Father of our Lord Jesus Christ! In his great mercy he has given us new birth into a living hope through the resurrection of Jesus Christ from the dead, and into an inheritance that can never perish, spoil or fade — kept in heaven for you, who through faith are shielded by God’s power until the coming of the salvation that is ready to be revealed in the last time." - 1 Peter 3-5.

I've also been reflecting on the peace God is giving me.  It applies somewhat to the previous thoughts, but I have noticed how comforting it is to rest on the hope of the new body I will receive through the salvation of Christ after this one dies and all things are made new.  I will take care of this one the best I can because I think that's what God wants from us, and it glorifies Him, but there is only so much I can do... or anyone can do… nobody can live forever by their own power.  But by being worked on by so many doctors lately, I am better understanding the Bible's explanation of our bodies as "vessels," which expresses a separation of our mortal bodies and our eternal souls.  Because most of the doctors know the body, statistics of treatments, have lots of tools and drugs, and can fix bodies, I feel a lot like a car in the shop.  They tend to focus only on the physical side of things, which shouldn’t be surprising since that’s what they’ve been trained for and get paid for.  But don't get me wrong, that doesn't mean they aren't compassionate, they have all been wonderful and I feel very blessed by the care I am able to be under because of my job, insurance, country, location, and the wonderful people who have dedicate their lives to helping others in the medical field... it's amazing really.  So, I'll do my part to keep this "car" in tip-top shape (which thankfully I have a wonderful wife who has already done so much for me over the past 10 years already!), and we’ll continue to trust God to guide us to the expert "mechanics" that are going to diagnose the problems, and be able to do what I can't do myself to keep this "car" running, and running smoothly.  Funny place to find peace, but I'm a funny guy sometimes.

12/07/2012 - Starting Myeloma Remission Drug Therapy

It's been a great break from the hospital, doctors and treatments, but yesterday started a new regiment.  The day before Thanksgiving was my last day of radiation treatment, and we had a nice, relaxing celebration for Thanksgiving.  Then we had two full weeks to get back into somewhat "normal" routines, although my back pain has kind of leveled off and I am still very limited in what I can do physically.  I believe it's related to the structural damage done to the vertebrae from my bone lesion, but we aren't scheduled to see the neurologist for a follow up CAT scan and assessment for another few weeks.  I have started physical therapy, which feels great to get some of these muscles working again that have been resting for so long, and it has been helping a bit with strength and mobility, but I've got a ways to go to get back to normal.

The pile of pills and the Velcade shot at the hospital was a little daunting to think about day before yesterday, but God gave His peace as I prayed throughout the night, as I searched His Scriptures for comfort, as I spoke with my wonderful wife about it, and as the prayers of friends of family rose up before the Lord.  My treatment schedule is a once-a-week mega dose of steroids, cancer fighters and "moderate" chemo pills, with supplemental daily pills to control possible side-effects and regulate certain blood levels.  Well, after all the hype, and all the crazy lists of side-effects, and after the anticipation of the first treatment, the only thing I've noticed so far was having a hard time sleeping, which I'm told was from the steroids.  I realize that some of the more common side-effects don't show up for a week or two, but it's been pretty encouraging that the last two days have felt pretty much the same as all last week.

Our next big step is to meet with a few bone marrow transplant specialists for consultations on that process after the cancer has been pushed into remission.  We're scheduled to meet with two different treatment centers before the end of the year, and praying for wisdom as we seek out God's clear path for us.  He has been so gracious to us in our journey, and we see Him walking ahead of us in every part of our lives, preparing our way before us.  He gives us peace and comfort each step of the way, and we've gained a new appreciation for the blessings of each day...  a new perspective on our everyday lives, and it has made life so much more brilliant...  even on a rainy day like today.

“Come to me, all you who are weary and burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls. For my yoke is easy and my burden is light.” - Jesus (NIV) Matthew 11:28-30