January25
Dying. Death. Last days. I never imagined that after all the shit Layla has been put through, all the sickness and pain she’s had to endure, that the cancer might win. I had hope and faith in God that he would heal her little body completely. That he already HAD. I had faith that we would get scan results and celebrate. I prayed fervently that she would be part of that 30% that survived this vicious monster.
Friday we got news that the cancer was winning. While we were bombarding her body with chemo and radiation, while we were poisoning her to the verge of death, while she was unable to move in her bed from pain, the cancer was growing and multiplying. She has a new tumor that is invading her one good kidney. That kidney is functioning at 59% right now, which means surgery (and any possible damage to that kidney) is not an option. While there are a few options in this general scenario, Layla is not eligible for any of them. Her kidneys must be functioning at 70% for any clinical studies or more radiation. If God works a miracle in her and restores her kidney function, we could hop on a plane tomorrow to Sloan Kettering Cancer Center in New York and continue treatment that is not offered at TCH. Unfortunately, that isn’t an option at the moment.
We are left with 2 options. Both offer the same results. The goal now isn’t to get rid of the cancer, it’s to slow down the growth. Her tumors are growing rapidly and if we do nothing, there’s a good chance she won’t be here for her sister’s 9th birthday on Feb 24th. We have chosen to do a daily oral chemo. Yep. Every day. For the rest of her little life. There are minimal side effects and there’s a good chance we’ll get to spend another 2 months with sweet Layla. After 2 months we will re-scan and see if there has been any growth. If there has not (and this is what we’re praying our hearts out for) then she stays on the chemo and we check again in another 2 months. Studies have shown that in 50% of patients, the tumor growth stops. Sounds great right? Take some chemo every day and just live with the tumors. They’re not causing her any pain yet, so theoretically, that wouldn’t be so bad. As long as that tumor doesn’t creep any farther into that good kidney, this would be the optimal outcome for Layla (aside from complete healing!!!). So what happens to the other 50%? Their tumors continue to grow. At the 2 months mark, 50% of patients have larger tumors. God forbid Layla falls in this category, we can try another type of IV chemo. The big problem with this one is that it will make her very ill. If the oral chemo didn’t work, the chances of the IV chemo working are slim to none.
So now we’re faced with a huge decision. Try the IV chemo and reduce her quality of life or not do anything and just control her pain as the cancer takes over her tiny body. So do we delay the inevitable, put her through more hell, and are unable to enjoy her in hopes that she falls into the tiny category of people whose tumors slow down? Or do we choose to do nothing, knowing we have precious few weeks with her but get to enjoy her? I feel like I’m playing God here. God, what path do we choose???
Basically, Dr. R told us to prepare like we have 2 months left with her. She’s one of the top Neuroblastoma Specialists in the country. She sees this every day. If she says 2 months, I believe her. However, I also believe in God. I believe that he can heal Layla and completely restore her body. I believe in miracles. In 2 months when Layla has scans again, I pray that we see the tumor growth not only stop, but the tumors shrinking. How glorious would that be??
I walked out of the hospital Friday trying to hold myself together and as I walked past the PICU, I saw a couple coming out with a clear plastic bag containing a child’s belongings….and no child. The woman was sobbing hysterically and the husband was doing his best to support her and be strong. I said a prayer for them and continued walking. I got about 5 steps then realized that would be me in the very near future.
How will I cram a lifetime of memories into 2 months? How do you prepare your heart for the loss of a child? How will I tell our other children? How will I walk by her empty room every single day? How will I keep the memory of her sweet voice and piercing blue eyes? How will I even get out of bed?
I know that when it’s God’s time, and he calls Layla home, she will forevermore be healed and pain free. I know she will see glorious things that us here on earth can’t even imagine. I have prayed daily… hourly, to God that he take her pain away and heal her completely. He will, I just fear it’s not going to be in the way I had hoped. I pictured her growing up and going to medical school, becoming a Neuroblastoma Specialist (there are only a handful of them in the US) and doing something wonderful with her life. Instead, I am trying to prepare my heart for the fact that at the tiny age of 2, she has almost accomplished what God sent her to do. And she has done a FABULOUS job!! She has drawn people closer to God, showed strength beyond comprehension, brought smiles to thousands with her constant happiness and made me count each day I get with her as a blessing. Those who know her personally are drawn in by her sense of humor and infectious laugh. Layla Grace is the perfect name for a perfect little girl.
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WHEW!! It literally took me 2 evenings to get this blog post out! I would write a sentence then stop to cry. I’d wake Layla up just to hold her. I *might* have just drank a bottle of wine as I typed, so if there are typos…please excuse them!!
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