Tuesday, January 31, 2012

Insurance Questions Press 2 1/31/12

Greetings from my office.  I spent the better part of this morning on the phone with our insurance company, no I didn't scream at anyone, but boy did I want to!  After entering  numbers, saying who I was and what I wanted numerous times, I had to wait for 40 minutes before an actual person got on the line.  When a representative finally asked how she could help me, I responded "you really need to work on your response time," she replied, "we are always busy at the beginning and end of the week."  So basically they are always busy, and never efficient!  She then wanted to know if I was on a speaker phone, "yes" I replied, "I am multi-tasking."  Apparently the concept of doing 2 things at once escaped her, when she could not answer all my questions, I asked to speak to a supervisor, low and behold, she was a supervisor!!  I told her how valuable my time is these days, could perhaps she research my question and get back to me asap, of course she could, in 72 hours.  And so my morning went, calling other departments, because of course they can't forward calls, they can only give you the number so you can call and answer more computer prompted questions.  Needless to say I got very little done, wasted an enormous amount of time, and became extremely frustrated, all before lunch.  I am overwhelmed, to say the least, over the amount of paperwork ahead of me.  If a person is not already sick, dealing with their insurance company will probably make them so!  I think I will take a break, at least until tomorrow.
Luckily, Mom and Dad were still here and Mom was able to take Sarah to the library, where they actually found a number of books that Sarah was interested in!  When Greg got home from class, Mom and Dad had to leave, we were all sad to see them go.  I for one, will anxiously look forward to their nest visit.
That's all for now, time to knit.
some light reading materials


M

Monday, January 30, 2012

Still at it. Monday 1/30/12

Believe it or not, I was still cleaning closets and organizing my life today. Mom and Dad are here visiting which has been a great change of pace. I think they were both relieved to see Sarah home, last time they were here she had just had the biopsy and was all hooked up to monitors. We did some shopping, worked on scrap books and ate a lot of good food, all in all a great visit! In my spare time I worked on "the Notebook," we started out with a 1 inch binder, by last Friday it was bursting at the seams, have now moved to a 3 inch binder. This is our bible, it is filled with all information pertaining to the care and keeping of Sarah!! There is so much information to sift through and paperwork to be completed, managing it has become my full time job. Will have to take some pictures of the notebook tomorrow, since it has become such a big part of my life.
I did start another hat today, all the cleaning and organizing has infringed on my knitting time. Sarah picked out some pretty colored yarn at Michael's over the weekend, so I have lots to
keep me going for a while.
Trying to think up some projects to keep Sarah busy and happy, she is feeling a little bored. Any ideas????
That's all for today, I need to get some sleep.
M

Saturday, January 28, 2012

Home Saturday 1/28/12

Greetings all,
Slept late today, what a luxury.  Then faced the Mt. Everest of laundry piles, (9 pm and there is still one more load to dry and fold).  Both of my children are back home, despite the circumstances, it's great to have them here.  Not so great is the fact that with them came the contents of not 1, but 2 college dorm rooms.  I can't control much these days, but all that clutter, that I can control!  Sarah and I sorted, tossed, boxed, and labeled.  Then we folded, hung, and put almost everything in it's place.  There always seems to be that pile of "leftovers" that have no specific place to call their own.  Look out Greg, tomorrow is your room!  After beating the clutter into submission, we headed off to Michael's to purchase arts and craft supplies.   Zen made a great chicken stir fry dinner, yeah no hospital food!  Tomorrow, Mom and Dad are arriving for a visit, looking forward to spending time with them.  Now it is time to tackle that last load of laundry and fall into bed.
Night all, sweet dreams.
M

Another Day, Another Doctor Friday 1/27/12

Hi loyal followers,
Yes, we left the hospital last night.  Arrived home at 10:30 pm, chatted with Greg, had a snack, unpacked all our bags and SLEPT IN OUR OWN BEDS!!!  No rest for the weary, up and out by 8:30 am, another doctor appointment today in New Brunswick, NJ, at the Cancer Institute of New Jersey/Robert Wood Johnson Medical School.  As much as I would like to take one day at a time, there are options to consider and decisions to be made.  Sarah's oncologist at Overlook Hospital wanted us to see his colleague at the Cancer Institute to discuss the "consolidation" phase of her treatment.  After completing her current protocol, Sarah will need a "stem cell transplant", which is a fancy way of saying that she will need a blood transfusion, using her own white blood cells which have been "collected" and frozen.  The collection of course has to be done sooner rather than later, so needless to say, after repeating our story to a new audience of doctors and nurses, Sarah had to have more blood drawn, and no it could not be done through her port.  There were tears from both of us, one of us almost fainted and needed orange juice(not the one having her blood drawn), the nurses were all very understanding.  Through all this, Zen was trying to find out where certain test results and slides were.  Never a dull moment.  By 2 pm we were done, along with being tired, cranky, and starving.  Really needed some food and fun to brighten our day.
Short Hills Mall sounded like just the place go.  Cheesecake Factory for food,  the rest of the Mall for fun.
While Zen went to the Apple and ATT Stores to simplify our technology accounts, Sarah and I hit the Clinique makeup counter at Nordstrom's.  The make-up artist was great, she gave Sarah a make-over and suggested some really great products for her skin, she even made me look a little less haggard!  The evening ended with a visit from some dear friends.  All in all it turned out to be a pretty great day, the only thing that would have made it better was having Greg with us, but alas he was off visiting friends in Connecticut.

Good night all.

A little retail therapy!

P.S. If you are following my blog please sign up as a follower so I know you are out there!

Thursday, January 26, 2012

The Numbers Game. January 26, 2012

Those of you who really know Sarah, know that she is not a fan of math and numbers. Ironically, our days are now filled with numbers! Number of ounces in, number of ounces out; time and milligrams of next medication; time until next vitals check; time of next blood test; hours until next test results come in; how long before next doctor or nurse comes in with more information; all of those variables added together determines the time we get to go home!!!!! The numbers get checked and tallied as we count down the minutes, hours, days and nights that we are in this hospital room. For recreation we count how many loops around the nurses station we can walk (3); how many books we read (1 & 1/2); pages colored(a lot); games played; texts received( thousands); texts sent(hundreds); and of course hats knit(4).
Unless the numbers lie, we are counting down: 1 more meal, 1 more blood test, 1 more dose of meds, and hopefully (fingers crossed) 3 more hours until we walk up 2 flights of stairs to our waiting car and drive the 20.2 miles to our home! Once home we will try and relax, and enjoy our freedom, with the comfort of having 1 treatment down and only 7 more to go over the next 15 weeks. We will try not to count the 8 days/192 hours/11,520 minutes/691,200 seconds until we start again!
Thanks for marking the time with us, the number of wonderful family members and friends that brighten our days makes the waiting more bearable.
Time to pack, bye for today.
Maria

Tuesday, January 24, 2012

January 24,2012 A look back.

Hi all today we are having a relaxing day. Last night was a bit rough, not a lot of sleep. I realized that some of you don't know the background story that led us to this place, so here goes:
After thanksgiving break, Sarah went back to school focused on final projects and exams, she was very determined to do well. She called us several times complaining of a stomach ache and stress. There were times when she was so upset even Zen couldn't get her to calm down, we attributed those outbursts to the stress and planned on having her talk to someone over winter break. The first weekend in December, Sarah called and said her stomach really hurt, I was in Connecticut at my sisters home, so Zen told her maybe it was her appendix, and she should go to the emergency room and call me.
Imagine, at the time the worst thing we could think of was appendicitis! Sarah called me and said the hospital did all kinds of tests, including Blood work, and a cat scan of her abdomen. They couldn't find anything wrong and sent her back to school. I went to see her the next day, took her to lunch, gave her a pep talk and headed for home, she seemed no worse for the experience. One week later Sarah babysat for her cousins and had a great time, when she got back to school she felt nauseous and vomited.
She felt sick the next day, but thought she had picked up a little bug from the cousins, finals started that Tuesday, 12/13/11 and she was headachy and stressed. Being my usual helicopter
Self, I made the necessary calls, got her out of her exams, and prepared to go get her that day. True to form when the dean called to let her know she was excused until after break, my little fighter told him, "no way, I am not waiting, I do not want to study over break, I will take them now!"
So much for mom's help. Greg picked Sarah up on Friday 12/16/11 and they headed home, I was still recuperating from cataract surgery, (ha ha I am not that old) and they both prepared to work the next day. Alas, Saturday came and Sarah was again not feeling well, so instead of working she went to her first of many doctors appointments.
A tired, stressed out 19 year old goes to the doctor, says she has a headache and feels nauseous, he says flu. As the symptoms continued we paraded Sarah to a host of other doctors: orthodontist for possible TMJ, psychologist for crankiness, back to primary care, this time they said strep, and did blood work for mono and Lyme at my insistence; then onto the obgyn, maybe her hormones were out of whack. Through all these attempts to figure out what was wrong, Christmas and new year's came and went, and poor Sarah basically slept through it all!! Finally on January 3, the primary care doc called and said that Sarah had Lyme disease, a prescription was being called in to the pharmacy. Whew, finally we knew what was wrong, Sarah would soon be well! Still barely eating and vomiting, Sarah took her meds and kept on sleeping. The next afternoon, Greg noticed that Sarah's pupils were dilated, when I looked it seemed as if she was crossing her eyes, since I was going back to the eye surgeon the next day for a follow up, I called and asked if Sarah could be checked. That my friends brings us to Thursday night, 1/5/12. Thank God a hundred times over, Dr. S saved my baby's life. While examining Sarah's eyes, he noticed swelling behind her eyes and a change in her vision. Since she supposedly had Lyme disease, he called an infectious disease dr. and got us an appointment for 9am the next morning.
The ID doctor was not convinced that Sarah had Lyme, and was considering doing a spinal tap, until she checked with the eye dr. After hearing his findings, she immediately called a neurologist and set up an MRI appointment for that same day. All Sarah wanted to do was sleep, but Zen and I dragged her to "1 last appointment," famous last words! The MRI was scheduled for 2 pm, it was an open MRI, so I stayed with Sarah, we were there until 3:30 pm. At this point none of us had eaten, we were all tired and cranky so we headed to the club to pick up dinner, 3:45pm Zen' phone rang, and our lives were changed for ever! We were instructed to go directly to Overlook Hospital where the Neuro team would meet us. I think Zen and I were both in shock at that point, we went through the motions of getting her admitted, Neuro critical care, our baby was really sick. I called our dear friends, Caryn and Jim, somebody needed to bring Greg, and fast, they rose to the occasion as we knew they would. Later that night, after Sarah was hooked up to several monitors, and tests were scheduled for the following day, the reality started to sink in. I stayed at the hospital with Sarah and Zen went back and forth. Our days were filled with fear, hope, and anticipation as Sarah had test after test to determine what the mass on her brain was. After Six days filled with 2 MRI's, a cat scan, a biopsy, EEG, several neuro evaluations, and more blood work then I can count, we went home armed with steroids and anti-seizure medicine to await the pathology reports. On Monday 1/16/12 we got our answers, we headed back to Overlook Hospital, this time we were instructed to enter through the Carol Simon Cancer Center, I will never forget the look on my daughters face as we stood in front of those doors, she just stopped, looked, and said, "You never told me that I had cancer!"
That my friends is the story behind our story. We are taking our days one at a time, thankful for our daughters courage and determination, and also for the amazing staff at Overlook Hospital. The compassion, knowledge, care, and guidance we have received has been remarkable. I do not want to post any names without permission, but please know we have had nothing but the best possible experience here at Overlook, these amazing people have made this unimaginable journey easier to endure.
On a lighter note, thank you all for your continued support, prayers and well-wishes, keep them coming. Please just hold the sweets, Sarah has enormous self-control and doesn't really eat sweets, Maria, no self- control, never met a sweet I didn't like!!!!
Bye for now,
M

Monday, January 23, 2012

January 23, 2012

Greetings from Overlook Hospital,
Today we arrived at the hospital, with all of our bags, by 10:30am, had to check in, Sarah got her "bracelet" and then down to the 3rd floor.(main entrance is on 5) The nurses are all terrific, explained everything and introduced us to the Nurse educator, patient liaison, and the massage therapist. That's right, tomorrow Sarah gets a massage! Transport came to pick up Sarah at 12:30 and we were off to the 4th floor where we met the doctor who was scheduled to put in the port/catheter. Sarah was a trooper as she got her last IV put in. Zen and I got some lunch and went back to the room to wait for our girl. By 2pm we could hear her coming down the hall, everything went really well and Sarah was asking for lunch!!!! Chicken and French fries, no surprise there, she even convinced daddy to get her soda.
The nurses started her IV through the port, and it works like a charm. Doctor M Paid Sarah a visit, answered questions, And discussed the future treatments, we really like him, he explains everything so we can understand. A little while later the neuro PA's came in to remove the staples from Sarah's head, yeah no more itchy scalp.
I got to go down to the patient caregiver center for a chair massage, it was great to relax a little. Before we knew it, dinner time had arrived. The hospital dinner was not up to Sarah's high culinary standards, so dad ate it and mom went to the cafe to get Sarah a chicken ceasar salad, her appetite is back in full force! Whew, I know this is long, but this was a full day. After dinner Sarah's PH levels were where they should be, and the chemo cocktail was started, it runs for 6 hours.
We just finished watching Gossip Girl, and another of Sarah's shows and soon it will be bed time, at least for me!
I finished a hat today and looked through patterns so I can start another one tomorrow.
That's it for me tonight, Sarah and I are sharing the IPad while here and she wants to work on her blog now.
Good night all
Maria
Sarah's Bed
Lunch-chicken and fries
packing is never easy!
Dinner
TV time
getting ready to go-one last email
relaxing




Saturday, January 21, 2012

January 21, 2012

Christmas Decorations down
house clean
laundry done
phone calls--a lot
Sarah's favorite dinner- steak and lobster!
family movie- "Friends with Benefits"
several rows knit on current hat
did not look at notebook once
all in all a productive day, tomorrow off to SHU to pick up Sarah's things

January 20, 2012


Dear Family and Friends,

Sarah started her treatment today at the outpatient infusion center at Overlook Hospital.
My beautiful "baby" was a trooper.  Hopefully this was her last IV, Monday she will have a chest port put in, and remain in the hospital for 5 days of treatment.  The port will make getting the treatments much easier on her veins and her piece of mind.  She was the youngest patient by far today, and in my opinion the cutest.  As an outpatient, you sit in a lounge chair in the infusion center, and the nurses administer the IV "cocktail" of the day. Today's combo took about 4 hours.  Sarah's eyes are feeling much better so she was able to read a book!  I of course knit!!  Since I can't concentrate on a big project right now, I decided to start making hats to leave at the center for patients who may need them.  This weekend we are going to attempt some normalcy, hopefully take the Christmas decorations down, and get up to Sacred Heart University to collect Sarah's things.  As I am typing, I can hear Sarah and Greg laughing over a TV show, this of course brings tears to my eyes.  Greg is staying home this semester, going to community college, looking for a job, and keeping us entertained.
The "Notebook" had a few more pages added today, more prescriptions and instructions. It is filled with new words that have now become part of my everyday vocabulary;  diagnosis, prognosis, inpatient, outpatient, infusion, treatment, protocol, neurology, neurosurgeon, oncologist, tumor, lymphoma, cancer, chemotherapy, medical directive, power of attorney, blood count, transfusion, stem-cell, etc.  
Some of you asked, PCNSL, stands for: primary central nervous system Lymphoma. This is, according to all the doctors who saw the MRI, CAT Scans, and pathology reports, the best diagnosis we could have hoped for. Who would have thought????? 
My "therapy" is knitting, and writing about our journey to keep you all up-to-date.  Sorry, but I just can't repeat the story over and over on the phone.  This doesn't mean we don't want to hear from you.  Your phone calls, well-wishes, e-mails, cards and prayers are always appreciated!  
Sarah's treatments will continue over a period of 16 weeks; 1 week in the hospital, 1 week, and weekends home. 
Visitors are always welcome and appreciated! Just give us a call to make sure we are not sleeping.

Love, 
Maria




outpatient treatment #1

January 19, 2012



Dear Family and Friends,
As you all know, the past 6 weeks have been trying to say the least. Sarah came home from college not feeling well, with flu-like symptoms. After many tests, a 6 day hospital stay, and a biopsy, Sarah was diagnosed with PCNS Lymphoma, (cancer in her brain). This is extremely rare in someone her age, most patients are over 60. We have been to the Cancer Center at Overlook Hospital, as well as to Sloan Kettering in NY; Doctors at both facilities have recommended a regiment of chemotherapy, phase 1 will last for approximately 4 months. Sarah, Zen and I all feel very comfortable at Overlook Hospital, our experience there thus far has been very positive. It is our belief that Sarah will receive top-notch care in a facility that is close to home. 4-5 days out of every 14 will be spent in the hospital receiving the treatment, and of course there will also be many "outpatient" treatments/tests done there as well. In fact, Sarah starts her treatment tomorrow as an out-patient. Zen or I will be with her at all times. I have perfected the art of "sleeping" in a chair!!!! All of your thoughts, prayers and well wishes have and will continue to keep us strong. Sarah has been amazing, and other than trying to escape from an MRI machine, she has been a model patient through out this ordeal. This all came about so suddenly and unexpectedly that we as a family are still trying to digest it all. Personally, I want to punch someone or something, the anger just overwhelms me at times. I know more about cancer, drug regiments, medical tests, etc. then I ever thought possible. We keep a notebook full of all Sarah's Info. with us for every appointment, it sure is filling up fast! The doctors and nurses are very impressed, Sarah and I want to burn the *#$%^&*!*^%$%! notebook. In fact we plan to do so at a celebration party when the treatment ends. Thank you again for all of your love and support, it really helps. Keep those well-wishes coming, Sarah loves getting e-mails and snail mail!! I will try and update everyone as often as possible.
Love, Maria

my bed for the week!
always in the mood for texting
even after a brain biopsy!
eeg wires
wired!