Monday, July 29, 2019

Round 2 Summary


Ava did great during the chemo days of Round 2 and came home (to Target House) on Saturday evening, but her recovery has been rough.  She has been extremely nauseous over the last two days and today was the roughest day yet.  She did attend "science camp" at St. Jude for a couple hours, but felt awful afterwards.  The aftermath of this round has definitely been harder, which is expected.

We are eager to see how all these medicines are working in her body, which we will find out after her scans on August 8th.

You might notice that these posts are becoming shorter - I am out of town with Lily and Bo so I am not there to report firsthand information.  I will continue to relate all that I hear throughout the day as often as I can! 

Here is a cute photo of Brinley and Ava doing some art at Target House!




Thursday, July 25, 2019

New Mailing Address






For those who are interested, here is our new address at Target House:

Ava Corum
1811 Poplar Avenue
Memphis, TN
38104

We LOVE the new place - it is amazing.  We will say more about this later.  For now, we are all checked into the hospital and Ava is receiving her IV fluids before chemo.  Thank you all for your prayers.

Tuesday, July 23, 2019

Target House, Here We Come


One more BIG announcement - we are moving to Target House tomorrow!  This is huge for our family.  This is an amazing space which offers off-campus, apartment-style living for families who will be here for awhile.  There is a full kitchen, a living room, TWO bedrooms, and tons of amenities. We are so thankful and excited. 

Also, we got our amazing shirts!!  So, so many thanks to the Treadway family for heading up this fundraiser. 

We are so grateful for all of you.

She Did!


In case you missed it on the social medias, the chemo finally caught up with Ava's hair and very quickly, strands of hair started coming out.  It was all over everything and increasingly Ava became annoyed with the mess and soreness.  So, she decided she was ready so SHE DID!  Above - her cute haircut she got on Saturday.


On Saturday evening, we went to a Memphis 901 soccer game and had a blast, but before we went, we dyed our hair blue, including Brinley!  Daddy Bo brought Little Bo here on Sunday, so now we are only missing Lily. 


By Monday, her hair was really thin, even with the short haircut and Ava decided she was over it so, SHE DID - we went and had it shaved!  A bald head is SO cute on her and really accents her beautiful face more than we expected.  Shaving her hair was not nearly as emotional as cutting it short.  Ava has embraced her new style with such bravery and confidence - we are all amazed.

In terms of appointments, we don't have anything until Thursday until labs and Ava will be admitted to the hospital for Round 2 of chemo.  We understand that this round will effect her more intensely than Round 1.  She has been full-throttle energy-wise and her appetite has been great.

Last thing: two of my best friends from high school made an insane road trip to come see us!  We needed the laughter and love they brought with them. 


Friday, July 19, 2019

Plans, or lack thereof






Here is Ava with a pair of socks featuring our beloved dog, Hunter who Ava misses terribly!  Thank you Williams family for this thoughtful gift.

Here is the latest from St. Jude; I have two reports.

1.  Ava's hair is starting to fall out.  It's just lots of strands, not clumps or chunks.  We are trying to avoid brushing it as much as possible, so that she can have a few more days of long hair even though her attitude about it is mostly positive.  She is excited to get a haircut "like Brinley" (her good friend here) first, and then she is talking about a mohawk next...before it needs to be shaved all the way off.  She is excited about all these steps and wants to experience them all!  There is a stigma about hair falling out - that it means something bad or negative - but Ava reminds me that different hair is exciting.

2.  As I've mentioned before, we were hoping that we could spend a lot of August at home and do a round of chemo in JC, but when we looked at the calendar yesterday with Ava's doctors, we realized that the timing of scans and rounds means that Ava will only be home for a short "visit" and only if her numbers are good.  This means that she probably won't be able to start at the beginning at her beloved school and will participate in the St. Jude school program here.  If all goes well for the long term, she'll be able to join her classmates intermittently throughout the fall, and hopefully full-time before Christmas.  We are super disappointed about this shift and are trying to make a plan for how we will be a family away from each other.  We have some ideas about how this might look, but none of them are very appealing. 

Ava's 2nd round of chemo begins Thursday (the 24th) and will go through Sat.  We assume she'll be discharged on the 4th day (Sunday) again, though we understand that as the rounds continue, her recovery time will be slower and slower.  This cycle has been very easy, as we've been told.

For those of you that are the praying type, here are some things you could pray for us specifically:
- a different housing situation here at St. Jude (more space, with separate bedrooms).  We think we are on a waiting list, but not sure how long or if that will happen at all
- the ability to go with the flow, and to recognize that the plan is completely tenuous
- for our ability to stay connected and strong as our family is away from each other
- for Ava's strength - mental and physical
- for Ava's healing, for wisdom for doctors
- all the other things you can think of

Thank you to everyone who has checked on us and who continues to touch base.  These threads keep us connected to reality and we need you all more than ever as we go through these long days.

Love to you from West TN. 

Wednesday, July 17, 2019

The Climber


This has been another slow week here at St. Jude.  We did lab work on Monday and her numbers looked good, except for her phosphorous level - this required a doubling of her current supplemental dose and is not a huge concern.  They will run the numbers again tomorrow and see if the upped dosage was effective. Throughout the week, we have also had appointments with Psychology, Dental, Social Work, and the nurse practitioner.  All of these went great. 

Ava has mostly been doing GREAT.  In fact, yesterday we went to an indoor rock climbing facility and discovered that she is an amazing climber!  This was her second experience rock climbing and she executed some moves that were extremely impressive.  We are hoping that this can be an activity we nurture in the future.  She has been eating better and in general, seems to be "normal" (ish) in terms of energy level and physical ability.  

Along with feeling great, there are several moments per day that she experiences grief: that she is spending the summer here, that she is missing so many fun things her siblings and friends are getting to do, and in general: that Beatrice the Rude Tumor is in her body.  We are trying to let her experience these moments of sadness and anger without trying to fix it.  We can't.  We can't coach her into not feeling these types of emotions, or buy our way out of it.  She is human, and we feel the same way, honestly.  It is a common sentiment and practice (subconsciously, in most cases) among parents to prevent our kids from experiencing negative feelings - to keep them "happy."  Frequently, we have to remind ourselves that it is our job to help her learn to navigate hard things, not fix them so that life is easy.  The easier and extremely tempting route is definitely to distract her, or pretend, or buy something else. 

To be clear, her spirits are up most of the time.  She keeps us laughing and busy and playing games.  We also feel very blessed because Ava has a new friend that she really enjoys, and that has been the best medicine of all.

Overall, we are all doing ok.  The adults here are definitely experiencing some down moments, and some moments of crazy (speaking for myself only, here).  I'm guessing that's normal, and just part of the deal.  We are doing the best we can!  Thanks so much for your prayers and continued support in all the ways.

Round 2 of chemo starts on Wednesday of next week, so Ava will be inpatient through at least next Saturday.  

Sending love from here to you, wherever you are. 





Sunday, July 14, 2019

St. Jude


Ava is doing great and there hasn't been much to report, so I thought I would spend a minute or 10 (40, as it turns out) telling you all about our experience at St. Jude thus far. 

I have long had an aversion to medical environments - funny, since my two siblings both work in the medical field.  I can't explain why, except that the tile floors, fluorescent lights, and windowless rooms feel like the opposite of being outside, which is my natural habitat.  Additionally, the terminology of this space doesn't stick with me.  In the past, I've gone to a Dr. appointment for myself or my children and walked out retaining none or very few of the words that are necessary to understanding whatever illness or malady we were dealing with.  I have to concentrate very hard to remember what I need to know, or write it down. 

However, all of this is changing here at St. Jude.  To me this aspect of the place stands out the most.  Every single person we have come across who is employed here is eager to answer and patient with questions.  This generosity ranges from the people serving food to the head surgeon.  They create an environment of teaching and compassion.  When I arrived, I knew next to nothing about cancer, and it suddenly became very important for me to learn a lot, so I have asked many, many questions.  The Drs and nurses are so, so patient and thorough.  They (most) are able to read the energies of the room and meet us where we are.  Most importantly, they talk to Ava and give her space to ask anything.  I cannot to describe to you how important it is that St. Jude has created a culture of teaching and compassion. 

We are often greeted by strangers/employees with smiles and friendliness.  When you are walking around a new space bearing the weight of terrible news (a very sick child), this warmth is incredibly valuable and it has enabled us walk through these days with more grace than should have been been possible.  I have remarked often that either these people are either paid well or believe an incredible amount in their daily work.  Most likely it is both/and - I hope it is.  It really does feel like a place where people don't dread being at their job, and we have heard the stories of several people who were here as patients when they were children and fulfilled their lifelong goal of returning to work at St. Jude as adults.  It says something that Ava is currently stating she wants to be an oncologist when she grows up.

A beautiful moment: one of Holly's special treats to herself is get a Starbucks several times a week (thank you to everyone who has sent gift cards!!).  Last week, she was in line and our favorite nurse practitioner jumped in line and bought her coffee.  Whenever we run into members of the staff (office workers, nurses, and doctors) treating Ava outside of the office, they stop to ask how she's doing and speak to her directly.  I've never experienced anything like it before. 

It would be silly to skip over the fact that we are in the absolute nicest medical facility I have ever seen.  It is immaculate, well-maintained, and cutting edge.  Even the landscaping is lovely and that means so much to some of us who are here.  When Ava was inpatient last weekend, her unit in the hospital was unbelievable - not just the equipment, but the centering on making the space interesting and comfortable for kids. 

I could write a lot more about St. Jude.  I am losing steam on this post, but I must add one more thing, in case you don't know and that is that we are here for free.  If this space didn't exist, and if we hadn't been referred and accepted, these medical bills for Ava's treatment would break us, as they would any regular family.  I'd heard of St. Jude before we came.  I've seen the fundraisers and I might have even thrown some pennies into a designated jar by a cash register.  After this experience, I will be a lifetime supporter of this place.  I will never forget the generosity of individuals and corporations who are making this possible.  I will donate that extra dollar at the grocery store and I will send a check annually.  I will tithe to this place that facilitates healing.  I encourage you all to do the same, as you are able. 

Being here has made the reality of Ava's cancer more bearable.




(***It feels necessary to clarify that so far neither Holly nor Daddy Bo have expressed interest in relating their words on this blog, so it's just me saying the things that I think are of importance.) 


Thursday, July 11, 2019

Today's News


Today, Ava's port was re-accessed and they took some blood samples.  After about an hour of waiting for results, we met with the nurse practitioner and learned that Ava's numbers were exactly as they should be after Round 1 of chemo.  This was good news.

We didn't learn much else, except that the next scans (to assess progress of chemo) would not be until right before Round 3 (mid August).  We also made a firm decision to stay here until Round 2 was over.  This timing will put us into late July, and after that we might be able to go home for a little bit.  It is even a possibility for Ava to attend school, as long as her numbers are good and she is feeling well!  All of these things are "maybe/probably" and depend on how she continues to respond to her treatment.

It feels good to have a plan for the next 2-3 weeks.  And, it also feels like a lot of unknowns...but that's the new normal!

Thank you for your prayers!  They are holding us up.

(And, check out the awesome beanie Aunt Nancy knit for Ava!  Each color symbolizes something, and she loves it!)


Wednesday, July 10, 2019

Today and Tomorrow


----------------------------------------------^^^^ INDEED ^^^^-----------------------------------------------

Today, Ava felt a little better.  Her appetite has been better, but she still has moments of nausea and weakness.  We did an outing today to see Toy Story 4 and it went well until the very end.  She has been great this evening; she ate a huge dinner and has been happy and playful.  This is quite the rollercoaster already, and we are just getting started.

We are learning our way around Memphis and how to locate the things we need.  I have yet to find time or place to get a haircut, but hopefully that will happen soon.  *Thank you to our small group - we've been receiving packages from you each day with goodies: toiletries, books, and clothing items.* 

Tomorrow, Ava's port will be re-accessed and they will do some bloodwork, after which we'll meet with her oncologist.  I'm not sure what we'll find out, but of course we are hoping for a time frame of some sort.  This is unlikely, but here's to hoping. I'll try to post with whatever news we receive in the evening. 

Thank you for your prayers! 

Tuesday, July 9, 2019

Shifting

Well, some of the side effects of chemo have caught up with Ava.  She has been weak, nauseous, and her appetite went from huge to tiny.  She gets tired easily when walking around and being near food makes her sick.  We spoke to her nurse this morning and she assured us that all these things - even the delayed reaction - were a normal response. 

We've been hanging closer to our room and pulling her around St. Jude in a wagon.  She isn't miserable all the time, but movement and smells trigger her nausea, so staying put is the best thing right now. 

On Thursday, she will have blood work done and we will get to meet with Dr. Furman (her oncologist) to find out more about how she responded to the first round of chemo. 

Currently, we are unsure how long we will be here at St. Jude.  Our amazing hospital in JC has a St. Jude affiliate, but we don't know if our oncologist will want to keep us here until Beatrice the Rude Tumor (as Ava refers to it) is removed.  There are still so many uncertainties and we are kinda getting used to that as a new normal.

We've been getting lots of packages - most of them filled with goodies for Ava.  If you know Ava, you know how much presents light her up.  Thank you.  Thank you also to those of you who have sent toiletries and other necessities to Holly, Big Bo, and I, sent financial support, and who have organized fundraisers.  Thank you to those of you who are fervently praying for Ava's healing.  Most of all, thank you to the people who are taking care of Lily and Bo while we are away.  It's so disorienting (to put it mildly) to have your family split up, but we rest easier knowing that our people are filling in the gaps. 

*I feel like I am falling into a hole when I start verbalizing my gratitude because I will always leave people out or not do an adequate job, and will never be able to accurately express the level of thankfulness that Holly, Big Bo, and I feel.*

Here is one more photo from today of Ava meeting the therapy dogs!  You all know this made here day.  This is Jake, who we are absolutely 99% certain is Hunter's cousin! 

Sunday, July 7, 2019

This Day


Today, we had a free day and went to an arcade that has St. Jude discounts.  It went ok, but Ava is now experiencing some of the side effects of chemo.  She is extremely sensitive to smells and gets hot and nauseous easily.  We will not be attempting an outing in the afternoon/evening tomorrow.  Overall, she is doing well, but her appetite has decreased and overall she just doesn't feel well.

The first Dr. we met at the St. Jude affiliate location in JC told us that this journey would be a marathon - not a sprint.  There would be moments of bursts of speed and then slow, painstakingly boring times.  I feel like the last week and a half has been a sprint and we are now entering into a slower paced period. That feels like a welcome relief in some ways, but I also feel like we - Ava's parents - will also have to face the things we haven't dealt with yet, too.  We will see.

For now, we plan to stick closer to the St. Jude complex and get some stuff done - not sure what "stuff" is yet, but hopefully it includes plenty of posts for all our supporters.  One of the things I hope to do is express my gratitude for the ways that you all have loved us and supported us during this time.

Saturday, July 6, 2019

Discharged!


We were discharged from the hospital around lunchtime today! Ava was a champ during her first round of chemo (3 days).  There was no nausea and her "numbers" look great, according to her Dr. We have an appointment with her oncologist on Thursday to assess how the first round went.

Ava is in great spirits and is PUMPED about her new scars, particularly the significant one above her port.  She is supposed to wear a mask in large crowds from now on and we must be diligent about germs and awareness of public spaces.  

It's good to be back at our "home away from home" at Tri Delta.  It's funny how there are different types of home. 

ROUND 1 of Chemo: DONE!  Ava wins. 

Clothesline TODAY!

Don't forget to shop at the Clothesline today!  Tell all your people!

Thank you to the amazing owner and staff of this store - they are our family. 

Friday, July 5, 2019

Happy 4th of July!

 We had a nice 4th of July with family!  Unfortunately, we missed the fireworks - we were told we could see them out of our window, but that was not accurate.  Ava didn't seem to mind though. 

Today - after her second round - she is doing GREAT!  No sickness or feeling bad/weird yet!  We are so thankful.  We have one more round this evening and then we get to go back "home" to our Tri Delta suite tomorrow.  It will be great to return to that space. 

Lily and Bo are returning to East TN tomorrow.  We are dreading their departure, but are so thankful for this time we've had with them. 

Thursday, July 4, 2019

T-Shirt/Car Decal Orders

 Our good friends designed a t-shirt (shown above) and a car decal (below) to show your support for Ava!  Click here to order yours.  


Saturday at the Clothesline

Y'all go shop at the Clothesline in Johnson City on Saturday, July 6 to support Ava! The owner and employees are dear friends of our family and you'll find some great deals on name brand clothing.  Go check it out and please spread the word! 

4411 N. Roan St. 



First Round of Chemo

These last two days have been a whirlwind! 

We received the diagnosis on Tuesday and were admitted to the hospital last night (Wed.).  Ava had her first round of chemo during the night and it went very well.  So far, no side effects, except a tired little girl.  Ava has been a champion at verbalizing her feelings and taking new things in with courage and humor.  The Dr. has already been in and is pleased with her numbers from last night. We will have another round at 9:45 tonight. 

Lily and Bo are being an incredible support for Ava; they are taking in the experience of St. Jude with wide eyes and curiosity.  It has been wonderful to have them here, along with our mothers.

This facility and staff is incredible.  I will be a lifelong supporter of St. Jude after this.  I'm sure I'll write more about it later, but for now, just know we are in the best of hands and feel so loved and supported by everyone here. 

Tuesday, July 2, 2019

Diagnosis

We got our diagnosis today - a day early.  Ava has a stage 3 germ cell tumor in her abdomen.  We will begin Round 1 of  chemotherapy tomorrow, for the next 5 days.  She will be inpatient in the hospital and stay until they have a clear read on how she has reacted to the chemo.  We are unclear how long she will be in the hospital, and if/when we will be able to come back to our "home" here at Tri Delta.  The chemo is also necessary because it appears that there may be some spread to Ava's lymph nodes, but that is currently an unknown. 

The goal is to shrink the tumor before they attempt surgery, but it is in her future.  

There are quite a few unknowns - those are the basics that we heard today.  There is no timeframe for when we'll be home in East TN as a family again.  It all depends...

Lily and Bo and the three grandmas are here with us and our plan for a touristy holiday around Memphis has transformed into a different shape.  We hear we can see the fireworks from her room in the hospital, so that's fun.  It sure was good to hug our other babies and our mamas today.

Thanks for your prayers and support.  We need it.

Be sure to check out our facebook group: Ava Fierce and Brave and our Instagram account @avafierceandbrave

Our friends are selling tshirts to support Ava - maybe I'll get a link to that on here when I get a chance.  And the Clothesline in JC is donating all profits to us on Sat. July 6th.  We are surrounded by amazing community.  Thank you all.

- Casey, Holly, and Big Bo

Monday, July 1, 2019

Surgery Over

Here is silly Ava, right before her surgery.

It went well - all three procedures were successful.  The port was installed under her left shoulder successfully, they obtained a piece of tissue from the mass, and most importantly, discovered via the systoscopy (sp?) that Beatrice is not growing out of or into her bladder, just putting pressure on it from the outside.  This is good news. 

Currently, Ava is extremely groggy from anesthesia and is laying in bed, asking for mac n' cheese (her favorite food) for dinner!  And she shall have her mac n' cheese.  

We will be getting results from pathology on Wednesday, we are told.  A few appointments are scheduled for tomorrow and most exciting, Bo and Lily will be arriving with the three grandmothers tomorrow.  We are soooo ready to see them!

Many of you have asked about visiting and for right now, visits from anyone but immediate family are not ideal until we have an idea of what the plan is. 

Thanks for your continued prayers and for keeping us in your hearts during this time. 

1-Year Anniversary of Clear Scans

   This past weekend, we were so grateful to be able to celebrate the 1-year anniversary of Ava's clear scans.  It is truly hard to beli...