Pippa Rea

Pippa's Journey with a Brain Tumour

Good Vibes Only

Good Vibes Only is what I would like and what I need but they seem to be evading me.  Last week Pippa noticeably declined.  Not in a big way, but there were slight, subtle changes that I knew were signs.  First she woke up one night when her hearing changed again.  She was terrified and scared; the empty, hollow sound of vacant space within her ear nerves.  Nightmares began.  They were always the same and she clung to me with force.  Next her breathing became worse which we managed (and when I say we, I refer to the constant medical support I have) with symptomatic medication.  The medication is also helping with her anxiousness and her nightmares. I am open and honest with her but there are things she can’t mention or talk about and even though I am with her every minute of every day she is scared.  She has every reason to be scared – she’s a ten year old little girl facing a demon that even adults shouldn’t have to face.

Her breathing now is ok and, for the time being, under control but her balance, walking and speech have all deteriorated to some degree and now these symptoms seem to change hourly. At the same time though her facial palsy, smile and eyes are better; having improved somewhat.  For a while I have been treating both eyes for not closing or blinking properly, now it is back to only being her left eye that is affected and only slightly. Currently I no longer have to thicken her fluids but for how long I’m not sure.

It is a confusing and hour by hour day that we live.  For a while Pippa was best in the mornings; refreshed and rejuvenated from sleep.  Now that her symptoms are changing so do our days – all the time.  At times she is now better in the afternoons because she is managing and adapting to her weaknesses across the day.  Other days she is worse in the afternoon because she is tired.  She can also be worse in the mornings if the pressure on her brain is greater after lying down.  Three days ago she could barely walk the first part of the day yet in the afternoon she decided that she would walk not “roll” (our reference to having to use the wheelchair) through the supermarket.  She held mine and Patrick’s hands and the next thing I knew she’s doing lunges up and down the aisles.  Very clearly she said, “What? This has got to be good for my muscles mum!”

Pippa’s determination and “I can do it myself” attitude still shines through.  For ten days nowI have been doing twice daily physiotherapy with her. The steroids are now at a low enough level that perhaps we can start to rebuild her muscles.   I am doing all that I can.  I can help her muscles become stronger, but I can’t help her nerves that control her balance.  Physio also helps her mentally to know that although it is a routine, it is beneficial and purposeful.  On warm days we go to a friend’s pool where, in private with her brothers at her side, the weightlessness means she can run, walk, swim in the water……….essentially it means she can be free.  It’s really hard for an outdoors girl who in summers gone by has lived at the beach and loves the ocean a to not be able to walk on the sand or even consider standing upright in waves on hot days.  Pippa, not unlike other children, lived most of her life until now in bathers.  With nostalgia in her voice she reminded me on the hot day recently of days she has spent at the beach boogie boarding all day long being able to take relief from the heat in the waves.  Now she is unlike other children and she feels it.

I don’t tell Pippa I know what she’s feeling.  I don’t.  I can’t.  Only she knows.   Instead, I tell her I understand.

We still try and do something fun every day.  But fun is becoming more and more limited due to her speech and walking.  The past two days it was a trip to the movies.  The three flights of stairs we had to climb to Cinema One on both days (of course!) was ridiculous, tricky and tiring.  In this day and age I found myself wondering why and how there is no elevator?  Today it will be a visit from beautiful friends driving a long distance to see us for lunch.  They will bring with them hugs and love for all of us.  Afterwards a swim in the hot afternoon. Then maybe more movies later in the week – perhaps downstairs may be helpful.  At some point Pippa has a shopping list for school she needs to fill.  We will roll, I know, but it’s good to look forward to and plan for normal life when the life surrounding us is so abnormal.

Last year on the first day of radiation, the first day of chemotherapy and the first day Pippa had to knowingly have a blood test  I wore a t-shirt I had been given.  It had a picture of the Eiffel Tower on it and it said Follow your Heart.  Pippa is my heart.  This year in Paris I bought another t-shirt.  This one has a photo of the Eiffel Tower taken from the exact spot we picnicked.  It says Good Vibes Only. You don’t always need a plan.  Sometimes you just need to breathe, trust, let go and see what happens. 

I have no more plans.  I have trusted everyone that has helped us on this journey.  Sometimes I can’t breathe.  I’m not ready to let go.  I don’t want to see what happens.  My wish for 2015 is simple but elusive.  I would like to have Good Vibes Only.

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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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Pippa’s Milestone

Once you reach a 12 month milestone it then becomes ongoing – 12 months of……..12 months of diagnosis, 12 months of starting radiation, 12 months of ending radiation, 12 months of starting chemo cycles…….and so on.  The more milestones that are reached and passed, the better.

For Pippa, the date she has continued to refer to and one that she will never forget is the date she underwent a risky and dangerous 6 hour craniotomy to obtain tissue from the tumour within her brainstem in order to reach a diagnosis to treat.

12 months was Friday 11th July.

What to do?  A party? Of course Pippa the social butterfly wanted a party, but celebrating her head being cut open seemed a little bit odd.  Instead, we came up with an idea to not celebrate, but recognise where Pippa is now compared to the same day 12 months ago.  We decided that James and Patrick would come and watch Pippa do three fun activites that she now does on a weekly basis as part of her ongoing brain therapy.  Therapies to keep her brain active, her cognitive function developing, stimulating her left/right brain, working her short and long term memory  and to generally let the “lump” know that it certainly doesn’t belong!  Doing them all on one day was actually quite tiring especially as it was during a chemo week.  Regardless though, it was a perfect way to mark the date.

Twelve months ago Pippa went in for surgery relatively fit and healthy (she was a 9 year old who could walk and talk after all) emerging out 6 hours later with many of her gross motor functions diminished.  A situation quite difficult and frightening for a 9 year old to comprehend.  Most noticeably, she had lost the balance on her left side.  Six weeks later her neurosurgeon was happy with her recovery but did advise me that the balance she still didn’t have may not fully return.

For the past 12 months music has formed a very important part in Pippa’s therapy and will continue to do so for years to come.

On Friday Pippa danced……….

She sang………

And she drummed………..

Each activity James and Patrick watched and they also tried.  They spent a day in Pippa’s brain therapies.

At the end of the day the sun shone in the afternoon light and we flew kites together. Something liberating and free; beautiful and fun……….

Thank you to Pippa’s weekly “brain therapists”………….

 

 

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Opportunities & Memories

With Pippa being so well the past few cycles I decided it was a good opportunity to travel west and visit my sister and her family in WA.  Pippa’s oncologist agreed and gave us medical clearance to leave shortly after her last chemo cycle. Things don’t always run smoothly though and for the 2 days prior to us flying out Pippa started some random vomits.  Not uncommon for oncology patients but most certainly uncommon for Pippa.  Advice from her oncologist was that the vomit cycle needed to be quickly broken before it set in and became a habit.  Not good.  His advice and preventative actions worked and we headed off vomit free (always a good option!)

It was so ridiculously cold and wet in Mandura that we had packed everything from beanies to bikinis!  Beanies were needed when we camped out one night to watch bilbies in the cold and the rain.  Pippa also spent a day helping Linda look after the tiniest little 2 week old greyhound puppies.  A long day but she loved every minute of being with all the dogs and helping out.

Unusual for me, I didn’t mind about the cold because we were there to spend fun times with family.  The other reason I didn’t mind about the cold weather in Mandurah was because we had decided to take an opportunity and create some memories – we were heading to Broome for a week!  7 days of red dirt and beach in 34 degrees!   We were lucky to have a beautiful house complete with a pool to base ourselves from, a 4wd to keep James happy and lots of things to do:

We visited a pearl farm and learnt how pearls are crafted;

We watched a movie at the historic 90 year old outdoor cinema (complete with jet taking off directly overhead halfway through);

We rode in a hovercraft to a rocky point where the red dirt meets the sea to see fossilised footprints of  a Bracheosauraus;

We drove our 4wd into the Kimberley’s to walk through Windjana Gorge and wade through the dark caves of Tunnel Creek.  We saw freshwater crocodiles and beautiful cliff faces and Pippa and I shared a sand bar with a black headed python in the dark (absolutely, positively, no way was I stopping to take a photo of him with a flash in the dark!).  Thanks for shining the torch so we could see him though (and not step on him) James!  The wade out in the dark just wasn’t the  same as the wade in – what else was in the water??? – it could have only made it to the sandbar by swimming!  It took a long time for my heart reinstate itself back into my chest after that little experience!  It was a 14 hour day which included driving through a lot of bumps and corrugations, sand, a water crossing and being on high alert for cattle on the road all the way back in the dusk and dark.

And of course, what trip to Broome would not be complete without hours spent on magnificent Cable Beach?  We rode camels swum, explored rockpools and watched sunsets………

What lovely memories of a beautiful week in Broome and how special to have fun with family  as well.

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3 Weeks of Being a Normal 10 Year Old

Pippa has just completed her 7th cycle of full strength chemotherapy (after having also had the 42 days straight of low dose in conjunction with radiation).  7th of I’m not really quite sure how many.

Between the last cycles Pippa had 3 weeks of being a normal 10 year old with no trips to hospital either planned or unplanned in between cycles and no pains or discomfort.  She enjoyed the holidays, went to school, had plays and sleep overs with friends  and  made the most of everyday life.  All with what seems like an almost complete smile across her face.

So normal were we that when we were due to go to Melbourne to the hospital ready to start the most recent cycle we both had trouble leaving.  I seemed to wander around the house aimlessly for 2 hours!  It was a beautiful sunny Sunday; Mothers Day in fact,  and Pippa was playing James & Patrick.  She came to me to say she didn’t want to drive to Melbourne and leave James and Patrick again.  At the same point I found myself ironing James’ school tie (what??!!).  We hugged.  The stalling for 2 hours was just a feeble attempt at trying to put off the inevitable and not reenter the life we’d been able to ignore for the past 3 weeks (sort of).

Of course we made the trip down the highway.  This time Pippa read her book out loud for 2 of the 3 hours.  We went to the hospital on Monday, all was good, collected the medication and came home that night to start the chemo routine again.  Like last time Pippa breezed through the week of treatment with no side affects.

 

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9 months in

Yesterday was 9 months since a lump the size of a golf ball was found inside Pippa’s brainstem.  Our options have been nothing other than to kill it and Pippa’s doctors have attacked the tumour as aggressively as it attacked her.

The anticipation, anxiety, trepidation, stress and worry leading up to an MRI scan is unbearable.  Not knowing what is going on inside, but knowing that soon you will be updated rips you apart in every direction.  Holding all that together on the outside is exhausting.

Yesterday evening Pippa’s oncologist rang me.  He was sitting in front of Pippa’s scan from the day before and could easily see a shrinkage in its size.  Death to tumour is our ultimate goal; shrinkage to tumour is an unexpected bonus!

We have a very happy little family in our house at the moment but we all know there is still a long path ahead of us.  And just to remind us poor Pippa has spent the night with another sore tummy and then provided a slight interruption to writing this blog this morning for a vomit.

For the time being I feel that we are one step ahead of the tumour and I can’t wait to see the pics for myself next week.

 

 

 

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