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About revtimbrown

Tim Brown is a Pastor in Chester County, PA where he enjoys life with his wife and family.

Zach Update # 8 Stop and Go

(by Sarah)

Stop and Go

Zach is doing great.  The swelling is mostly gone with just a little yellowing from slight bruising.  He’s smiling more and starting to coo, as babies do 🙂 He is so sweet!  He’s back to sleeping through the night ( I know, don’t hate me!) We go in and out of processing this new reality. Life keeps going, as I know you all know.  It makes it strange to deal with these kind of things because you can’t just put life on hold to process and reflect and grieve.  This week, for instance, I had to switch our clothes from winter clothes to summer clothes – a daunting task for 6 girls plus myself (in between a gazillion sizes since giving birth not long ago!)  Praise God we’re through it (98% anyway) thanks to some of you helping out here 🙂  Thank you!  Family is in town, celebrations are to be had, school work has to be checked…and then there’s Zach, with only one eye now…It just seems incongruent.

I know  any of you who’ve experienced any kind of loss or life changing reality can attest to these thoughts.  We join your ranks!  We are trying to tune in to the process and talk about it, cry about it, as we need to in bits and pieces, taking one day at a time with whatever that day gives us.  But this too is what it means to live through the human experience.  And we mourn with those who mourn and rejoice with those who rejoice.  This is the way of the Body of Christ.  We are so blessed to do this with you, our brothers and sisters.

A few facts

This being a new journey for us, I though I’d share some of the things we’ve been learning about retinoblastoma:

  • There are about 10 or so cases in MI per year – U of M will see about three of those.  Zach was their second this year.
  • There are about 300 per year nationwide.
  • RB most commonly hits infants and children 7 years and younger.
  • 1 in 18,000-33,000 children will get RB
  • RB is fatal if left untreated.
  • The smaller the tumor and the older the child the easier it is to try to eradicate the tumor.

There are other pieces of information but I thought those points were interesting.

It’s Surreal

I still can’t believe I have a baby who’s fighting cancer.  That just seems totally surreal to me.  As is the fact that he now has only one eye. I guess I can’t wrap my brain around that one.  It’ll just have to happen in it’s own time.  Though I remember the thought I had in the room we stayed in that night after his enucleation (removal of the eye.)  There was a sign on the bathroom door in the room that said something about washing your hands within 24 hours of chemo.  And I thought to myself “why would there be a sign on this door about chemo? Chemo is for people with cancer.” And then it hit me, I was on a cancer floor – all the kids on that floor had cancer.  And my first thought was, “what are WE doing here? we don’t have cancer.” But we do.  And I have to come to terms with that.

I think part of it is because in our case, this RB presented itself first and foremost as an opthalmological issue, not an onocological issue.  We went to an eye doctor not an oncologist.  Zach had his eye removed not chemo and radiation.  So in my mind, and because it happened all so quickly, we bypassed the “cancer treatment” reality.  The fact that it was so developed and its location in the eye, and Zach’s age made the treatment protocol enucleation rather than typical cancer treatment.  Many who have it first treat it as cancer and often end up enucleating at the end of that battle. But it is cancer and we need to watch the rest of his body for any signs of cancer religiously for the next couple years.  I only pray we removed any vestiges of it for good by removing his eye.

We remain fellow pilgrims on this journey of faith,

Tim and Sarah

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Zach Update # 7: it hit me…

(by Sarah)

Well, it finally hit me this morning.  Today was hard.  The tears flowed freely throughout the day as I saw my son’s eye, no longer there.  It’s not awful to look at – just pink, with a clear plastic lens over it.  But as the swelling dissipated and his eyes were open the reality began to hit.  I’ll be so glad when he gets his prosthetic eye!… I think the grieving will come in waves, perhaps when I least expect it…

I wrote him a letter this morning to give to him some day when he’s older.  It was good to do.

I’ve been reflecting on how we grieve so differently from the world when our trust is in Jesus.  In Christ grief and hope coexist in a heart going through pain.  The pain is so real in the moment and yet so is the total confidence that there is a purpose that God is working out.  I can live with those in tension.  I have to.  And I am pleased to.  Because in that relinquishment I get to be fully human – experiencing the emotion that God intends and also trust that God will be fully God in his perfect ordering of our lives.  God gets to be God and I get to be me.

Sarah

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Zach update # 6

Healing and grieving

Zach’s healing continues.  His face looks as though all is healing well.  We thank the Lord for that and are glad to be free of complications.  As his eye heals, he is beginning to open it more and more, which has brought us face to face with the reality of the loss.  He is so precious and so beautiful!

Seeing Zachariah having lost his eye is is so difficult.  In my opinion, no part of the of the body is so beautiful as the eye.  Each eye God has designed in every person is like a jewel its setting.  Zach will experience that loss so differently than we are now.   Today we are the ones grieving.  No doubt many of you are grieving too in your own ways–family, friends, people in our congregation.   Grace and peace to you.

This morning Sarah and I spent some quiet time entering that grieving.  It’s a process.   Thank you for your ongoing prayers.

Blessed be the God and Father of our Lord Jesus Christ, the Father of mercies and God of all comfort, who comforts us in all our affliction, so that we may be able to comfort those who are in any affliction, with the comfort with which we ourselves are comforted by God.  For as we share abundantly in Christ’s sufferings, so through Christ we share abundantly in comfort too.

(2 Corinthians 1:3-5 ESV)

We are also very thankful for those who have helped our family this week.  Meals, help with kids, and other loving actions are a testimony of your love.  We’ve also received some postal mail from others with beautiful cards and heartfelt messages.  In a digital age, that is correspondence we truly treasure.

Tim and Sarah

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Zach update # 5

Sarah’s comments (with a splash of Tim)

No place like home

What an amazing day…Today, Tim read Psalm 138 and 139 which brought us to tears as we considered how God has been every moment of this journey fulfilling those promises. We were living in the midst of them!

2″I bow down toward your holy temple
and give thanks to your name for your steadfast love and your faithfulness,
for you have exalted above all things
your name and your word.

On the day I called, you answered me;
my strength of soul you increased.

The strength of our souls has been miraculously increased. I am in awe of the stability of my spirit right now. It is no testimony to me – only the greatness of our God! But my flesh is weak… 🙂 Even though we had a decent night sleeping (thank you for praying for that!) by about 11:00 AM I started to feel the incredible fatigue in my body.

We checked out two hours sooner than we thought we’d be able to! God is so in the details.

Change of pace

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My brother Jeremiah (age 21) came to visit just as we were getting ready to check out so we were able to go and get breakfast together before heading over to Kellogg Eye Center where the doctor would check the eye and remove the patch. We had a WONDERFUL time at Angelo’s in Ann Arbor around the corner from the hospital.Thanks Betsy Howell for that AWESOME recommendation! It was outstanding! Crab cake and eggs benedict anyone???? That’s what I’m talking about… 🙂 It was a really nice reprieve from the intensity of the past four days. We got to talk about life and relationships and good stuff.

I think we’ll hit Angelo’s whenever he has his monthly exam under anesthesia (EUA). A friend of ours from CCS has a daughter who had RB when she was a baby also and shared, among so many other helpful things, that they’d always make the day she had the EUA special by going to a special restaurant, bringing a special stuffed animal or doll etc. Angelo’s will the restaurant of choice i think… 🙂

Zach’s first outpatient visit

His eye looked good when we took the patch off. Mostly puffy and shut so it wasn’t too traumatic. As we’ve been home he’s been able to open it a bit more and it just looks kind of pink and glassy. After they take the eye out they replace it with a porous ball to which they attach the eye muscles and which becomes covered with eye tissue. Eventually the body just absorbs that piece as the new eye and you never really see it anymore-it gets covered by the prosthesis.  It sort of becomes the new eye ball and the base of the new prosthetic eye, which is actually more like a thick contact lense that covers it. For right now, there is a clear plastic “place holder”–a spacer holding the place of the prosthesis covering Zach’s “special eye” that keeps his lids from losing their shape while he heals.  At six weeks he’ll begin the process of fitting for the prosthetic eye.  There’s a little clearish discharge, but he seems to be doing well.  He’s on tylenol to keep him comfortable, arnica for bruising, Pre/Post Surgetone (I love homeopathy!) for post-op recovery etc. Tomorrow I’ll start him on euphrasia, a great homeopathic eye remedy… 🙂

He paints the wayside flower…

We’re scheduled for a follow up next week and then in 6 weeks we go again for a EUA where they’ll check the other eye for cancer and also take the impression of his left eye for the prosthetic.  By God’s grace Greg Dootz, the ocularist who makes the prosthetic eyes, went out of his way to meet with us briefly and show us where we’ll be working with him. He also showed us his wall of patients (their pictures!) over the years. We’ve heard from numerous people that he’s simply wonderful to work with. He was so kind and encouraging.  He reassured us, as many others have, that kids who grow up with a prosthetic eye live totally normal, productive and healthy lives. We are believing it!

When you walk through the hall at U of M next time, look for his banner.  He personally designs and crafts every prosthetic fitting for each patient as their eyes change through time.  He’s a genuine artist.  Zach will have multiple prostheses through childhood and beyond.  If you look closely, you can see examples of his handiwork.  It reminds Tim of how we say God paints each lady bug.  Here is God’s helper to paint some eyes.

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God is awesome and we love to give him the glory in all of this. Tomorrow I think, I’ll share some other thoughts on the specific mercies we’ve seen in Zach’s condition.

More in the morning. I must sleep…

Sarah

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Zach update # 4

Good news

Good news!  We’re being discharged from the hospital this AM.  Zach did great overnight and seems to be his chipper self.  We will visit the opthomology clinic before coming home, but are on our way.

Also, we got back the report about the spinal fluid sample already.  That test showed no sign of cancer in the spinal fluid.  Praise the Lord!  We’ll receive a pathology report about Zach’s removed eye as well as a bone marrow sample.  The one year mark from today would mean we’re likely out of the woods with concerns of any cancer.

Thanks for your support and prayers.  You have all been a wonderful blessing in these past few days.  We’ll keep writing new updates and ruminations as news and thoughts come to us.

Here’s a Psalm my friend Jason shared with us.  Psalm 138

I give you thanks, O LORD, with my whole heart;
before the gods I sing your praise;
I bow down toward your holy temple
and give thanks to your name for your steadfast love and your faithfulness,
for you have exalted above all things
your name and your word.
On the day I called, you answered me;
my strength of soul you increased.
All the kings of the earth shall give you thanks, O LORD,
for they have heard the words of your mouth,
and they shall sing of the ways of the LORD,
for great is the glory of the LORD.
For though the LORD is high, he regards the lowly,
but the haughty he knows from afar.
Though I walk in the midst of trouble,
you preserve my life;
you stretch out your hand against the wrath of my enemies,
and your right hand delivers me.
The LORD will fulfill his purpose for me;
your steadfast love, O LORD, endures forever.
Do not forsake the work of your hands.
(Psalm 138 ESV)

Blessings,

Tim and Sarah

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