Pippa Rea

Pippa's Journey with a Brain Tumour

Minute by Minute, Day by Day

Today we entered the 8th day of  reirradiation.  I no longer profess to evaluate whether or not it has started to work as last Thursday I thought that her walking looked better but then on Friday I was hit with a tonne of bricks.  Pippa wakes in the morning, smiles and looks at me with her big, beautiful eyes……that is enough.  That in itself means we have another day and another day means time for the treatment to work.

We have a lovely, tranquil and peaceful apartment in which to spend each day; perfect for just existing.  I’m sure it’s the relaxing view both day and night that has contributed to me finally heeding Pippa’s oncologist’s advice of, “try not to worry about things that are out of your control.”  For the past 17 months it’s been easier said than done but right now I know I am doing precisely everything I can and if I didn’t try this I would regret it forever.  The hardest thing is that Pippa had to get to the very edge to let the treatment try and work.  Right now, there is simply nothing more I can do.

Pippa rests, sleeps, does drawings and plays games.  Monopoly though,  has been sent home because no one else ever wins!  Instead, we have kept Tony’s beloved vintage (we’d better not call it antique) Chinese Checkers Board and of course we still have all of our favourite “Julie” games including Greed and Rat-a-tat-Cat.  Sunday we went for a “roll” in the sunshine along the waterfront market – it was lovely but tiring.  The warm weekend also saw Pippa have a brief swim in the pool helping exercise her leg muscles affected by both the tumour and the steroids.  On Monday I was wondering how on earth I was going to wash Pippa’s hair – balancing slippery shampoo, conditioner and Pippa all at once was going to be challenging.  My solution saw us stop off at the hairdressing college on the way home from Peter Mac.  She was well and truly ready for a sleep when we got home but it was certainly the perfect answer!

We are just keeping everything very low key; going along day by day.  Actually, as Pippa corrected me yesterday, “this is how we go mum – seconds, minutes, hours, days, weeks and then months.”  Of course she is correct.  Last night she had hours of belly pain from her steroids.  Once we fixed that she had hours of sleep, today she’s had minutes of radiation therapy, minutes of fun playing games waiting and then hours of sleep again.  Minute by minute, day by day; all to get more precious time for one precious girl.

 

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Tumor vs Reirradiation and Steroids

Over the past 17 months I have written some really difficult words so I can record, remember and communicate this journey James, Patrick and I have taken with Pippa.  Somehow though, these last two posts have been the hardest for me to write.  I am not writing pragmatically or clinically or even emotionally; I am simply numb watching my gorgeous Pippa struggle every minute of every day and I am exhausted hoping that the massive doses of steroids that she has been on for the past week can just keep the tumor at bay until the radiation therapy kicks into action.  To me, these words are just mushed up babble on a page making no sense at all but we have virtually disappeared again and this is the easiest way for me to communicate.

Last Friday we returned from Noosa straight into a  planning day and Tuesday was the day we were to begin reirrradiating Pippa’s tumour.  I know we have been told there is nothing more that can be done for Pippa and 12 months ago I was told Pippa could not have more radiation but I had researched this as an option to improve Pippa’s current symptoms, delay her disease progression and prolong her life.  This is not buying a cure, but buying time and we are hoping it will work.  Too early or too late and the treatment doesn’t have a chance to work (albeit temporarily) against the tumour.

Pippa needed to tick many boxes to be considered for reirradiation and then we had to wait.  I have been silently watching and waiting for weeks.  The timing needed to be so precise and if it wasn’t there was no point attempting it.  Both Pippa’s oncologists supported me and agreed she was a good candidate for the treatment but I was put through a lot of questioning from them to make sure I understood my (our – because I had discussed it with James, Patrick and Pippa) decision.  How could we not try to buy our precious Pippa extra time here with us?

In addition to the time waiting for the tumour to become aggressive enough to be attacked, radiation therapy itself needs time to start to work.  Firstly we had to make it from Friday to Tuesday.  Pippa declined even more rapidly on Saturday and Tuesday seemed like a lifetime away.  Tonight, after a 5th treatment this week we are waiting again.  This wait is proving even more painful.  James and Patrick have joined us in Melbourne earlier than planned.  We can’t be apart just now.  It’s the battle of tumour vs steroids and reirrradiation.  Pippa needs the radiation to hurry up and join the fight though – its’ currently taking its time stepping up to the plate with a rather nonchalant attitude.  Her little body is fatigued; walking, talking, eating and breathing exhausts her.  She is on such high doses of steroids that they too are taking a toll on her – making her leg muscles ache and sometimes her stomach cramp.

Even with all this going on inside her body she is still our amazing Pippa – not one complaint and just the right amount of cheekiness.

One thing that put a big smile on our faces today was hearing Pippa’s CD for the first time.  It’s strange hearing yourself  but James, Patrick and I were all very impressed and I think a pretty good indication of how Pippa felt was that she sang along to her own voice and when it finished she said, “there’s two more songs I want to record”.  I am very thankful for the opportunity that Pippa had to do this recording before we left for Paris.  I can hear in some of the songs the strain the tumour was putting on her voice and breathing  even then, but it is beautiful and another memory to have for each of us including Pippa.  I wouldn’t change anything I have done in the way I have dealt with this and if given more time we will create more memories and have more fun.  Even though Pippa can’t do much at the moment, just being with her every minute is fun and memorable.  She is the most beautiful and wonderful person to have in our lives.  She is the very centre of our little family and we love her so very much.

 

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Noosa

We went to Noosa for a week. Technically it was to have a lovely little break with some friends but in reality I knew it was to watch the subtle decline of Pippa. Things started to happen that affected Pippa’s speech, her walking and the movement in both her eyes. She had already lost the ability to swallow liquids and had been on thickened drinks for a few days. We were there to spend some time focusing just on her and being just with her and the boys. Our friends we holiday with are the type that can just be in the background and let that happen and I thank them for that.  The beach and sand were too difficult making her unstable but the pool with its weightlessness was a lovely respite for Pippa even though just 10 minutes did wear her out.  Pippa was watched over and protected by her beautiful brothers.  Such special boys.   Even though she was tired she was looked up to and adored as always by Kate and she had a surprise visit from Claudia

Pippa did visit the beach once.  She quietly went to the water’s edge and wrote on the sand……..P&M 4 Ever.

Silly me asked her who M was – Mummy……..

 

We returned from Noosa to the Children’s Hospital and Peter Mac for scans and planning.  We’re not taking this lying down just yet.

 

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Back to School and Keeping it all Fun

Exactly what has pippa been up to since returning from Paris?

Well, Pippa, James and Patrick have all settled back into their routines of life, school and sport.  I wanted to leave Pippa’s beautiful blog post up before I posted anything else because it truly is gorgeous.  She loved writing it, taking the photos, going through all her purchases and reflecting on everything we did.  She really did enjoy every single day – in her words at school assembly when asked what she enjoyed the most, she said, “Well everyday we saw or did something different that was really good and every place was special”.  Once again thank you to those who helped get us to Paris so quickly and also of course to the friends and communities who rallied around us last year working very hard with exactly that purpose in mind.  I am eternally grateful to have been able to create this special memory for my family.

Pippa has now been back at school and aside from her breathing still being laboured we are really lucky that essentially for the time being on the outside she is not so different from any other ten year old.  In fact, she has started back at tennis, dancing and drumming.  At the moment we’re waiting for singing as at the end of the day her breathlessness limits how much she can speak and therefore sing.  Pippa represented her school at regional basketball and although they didn’t make it through to the next round she rocked the defence and had a lot of fun being part of a team.  Getting fouled when you’re ten is pretty cool actually 🙂   The school swimming program has started but that proved tricky as her breathing means she takes in water which makes her feel sick.  Thus, in keeping with the “Everything Fun” theme she now plays happily in another pool capably swimming and duck diving at her own pace.

Fun times have also been spent with cousins – birthdays, lunches, dinners, catch ups, plays and even a harvest picnic dinner with the world’s greatest Grandfather, Tony – just don’t ever call him a Grandfather!  We arrived home from Paris to information about a Rea Reunion at Christmas time so hopefully that will come around soon enough and more fun can be spent with many more cousins.

We spent last weekend in Queenscliff with cousins and lots of fun was had doing everything from crafts, to playing cricket, riding buggies, swimming, bashing a piñata, eating (of course) and going to the market.  Lucky or unlucky for the piñata the good old cricket bat came in extra handy.

After Queenscliff we needed to be in Melbourne for Patrick to run in the state athletics so took the opportunity to catch up with more cousins…….So much fun and laughter and Pippa was even taken to kinder to “share”.  Darcy & Alexander were full of cuddles for her and continually announced (and  even sang) that they were going to keep Pippa for ever and ever!  Apparently she’s going to live with them and never ever going to leave.  Just ask them!  So cute!

I agree with the boys.  I can’t imagine why they wouldn’t want to keep her.  I think keeping Pippa forever and ever is a perfect plan.

Not letting her go....ever

Not letting her go….ever

 

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Just cruising…….

We are currently cruising (without Internet) around Croatia, Turkey and Greece. James, Patrick and Pippa are loving seeing the different cultures and ports we stop at.
Libby and I are currently suiting dockside in Kusadasi enjoying some delicious Turkish food before we set sail tonight…..

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Paris Dreaming

This week Pippa’s treatment has come to a conclusion.  The chemotherapy medication is not working against the the tumour and it is growing.

We are now going to live her dream and take Pippa to Paris.  We are organising that at the moment and plan to leave as soon as possible.

The next phase is going to be about having fun and enjoying our time together as a family.  Together with Pippa and her brothers, I am taking little steps, minute by minute, day by day making one decision at a time.

The support and care we have received on this journey so far has been incredible.  I will continue to update this blog throughout the rest of our journey as it serves not only as a wonderful purpose of communication but also provides us with a fantastic way of recording and sharing our memories.

I have held suspicions close to my heart right through this but I have always said I will never post anything on this blog my children don’t know.  They are each processing the information they received this week in their own individual way.  We don’t have a lot of answers to a lot of questions, but they will come in time and I am sure Pippa will lead the way once again.  In the meantime we are going to have FUN.

The concern and understanding of everyone who reads this helps us and we look forward to posting pictures of Pippa and her French dreams soon.

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