Date: 2005-10-15 12:50
Subject: Bonnie's Blood tests indicate the return of her Leukemia
Mood: distressed
Music: Tocatta and Fuge in D minor
Bonnie went to the Harvard Medical Clinic to get her blood tests to confirm that she has entered her 36th month of remission from Leukemia. WBC =2.8 Normal is 4.0 to 8.0 ... Oh NO.
This is a devistatingly low White Blood Count. How can this be?
I drove Bonnie to her blood draw in Bellingham this summer. She was required to have blood drawn for a drug test and a TB test so she could work as a Chaplain at St. Josephs Hopsital in Bellingham WA. Bonnie passed those tests with flying colors. Only now have I discovered that Bonnie elected to not provide her prescription requesting a CBC blood test on our regular 90 day schedule.
She has confided that she sensed that there might be something up this summer and simply did not want to know.
Bonnie served as a chaplain to the sick and dying in the Cardiac Unit, but developed amensia around caring for her Self. We were both shocked by her low white blood cell counts which fell from a perfect normal count of 5.6 last March to way below normal at 2.8. On the other hand, neither of us was truly surprised.
The other shoe had now dropped; Bonnie had been feeling stressed and anxious for most of the summer months: again trying to control what could not or did not need to be controled. I could see and noticed aloud that her sense of deep peace and well-being was eroding. When this happens I fear she will slide toward the precipice. But we were living and planning for a future with a decade or two or three ahead of us. Thus we were shocked by the sudden inversion of our situation.
You can not be truly surprised when a durable remission from Leukemia dissolves. We find our selves weighing whether Bonnie and her higher power will effect a miracle again, or whether her fatal disease will overtake her biology this time.
We continue to go up and down the emotional scale quickly for days. Dread, fear, anxiety, then determination, hope and thankfulness. We each remembered that we have been around this track before. We know sooooo much more about how to work with this disease and the doctors and hosptials and the research and our friends and family and our selves and each other. We can do it again.
Bonnie says thoughtfully that she felt she had made excellent use of her three year bonus/grant of life. In response I ask Bonnie if we should change any of our plans. Is there a "cruise" Bonnie would like to take? Bonnie is quiet, thinking for a while. Then she says "No, we're doing what's most important to do in our lives, now."
We become deeply grateful and feel blessed with our children - and grandchildren - and our communities - and our friends. Being with our children, taking care of our grandkids, and studying what is bigger than our selves, is how we find meaning today. This IS our cruise.
We are grateful for life in our community at EDS and our little warm apartment in Cambridge. And then one or the other of us slides into the statistical realites ahead. Oh shit. Which treatment to choose. Chemo again. Chemo nearly killed Bonnie last time and apparently did not make a dent in her Leukemia.
Most of the most promising drug options offer a 15 to 20 percent chance of improvement and an 80 percent certainty that any treatment will make one deeply sick. Kidney issues are common. Just what we do NOT need.
We need a miracle again, as that is the only 'treatment' Bonnie is likely to tolerate well. Then one or the other of us think, 'what if Bonnie simply dies this time?' How much time do we have? Six months? One year? Could we hope for two years? How do we create quality for whatever life is ahead?
There is nothing to do, but to do our best and love one another. We have never been given more than we can bear.
God will see us through. /Daniel