So I did this thing tonight. It was not something that I felt comfortable about as it approached, but it was an event I'll remember for a lifetime. I was offered the chance to work with Health Story Collaborative on a different project. The idea was to work with a medical student to craft a narrative of our story and then present it in a live "healing storytelling" session with three other people and an audience of invited guests. Now writing has been a balm, but the talking part, well, I'm still figuring that piece out. Balance has not yet been achieved between saying too much and completely avoiding the elephant in the room. Add to that I'm an introvert, so public speaking isn't my favorite thing. Of course that is unless you need an extended lecture on the intricacies of SN1 vs SN2 reactions, then I can deliver with enthusiasm and a PowerPoint presentation complete with (funny to me) illustrative YouTube videos!
The session tonight was amazing, and not only because I got to tell our story to a captive and super polite audience, but because the stories of the other three participants were incredibly moving. They were engaging, sincere, brave, one really knew how to build in suspense. Some storytellers even brought props! I did not... What could I have brought? A picture of a bad brain MRI lit up with tumor? (We have some of those downloaded from Chris's phone but I do not choose to look at them.) Seriously, the event was transformational due to the human connections in the room between strangers. I'm incredibly grateful that I had the chance to participate and attend, and for my special guests who came to listen.
I'm dropping the written form of my narrative here. It was different at the event because I tried not to read from it and also I tried to respond to some points that I thought about while listening to others. In some ways it was probably better in spoken form and in some ways I wished I would have just read the thing. It hadn't been the best grief day and I thought I was going to cry my way through it, but it ended up OK after I regained my composure early on.
This is for Chris, and this is for me. It's also for the kids and the Davie and Colby families who lived it with us but had different perspectives. It's also for every caring friend who has supported us along the way and wanted to help/understand; I haven't always known how or when to share effectively. This is an attempt.
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Before it all
began, we were just regular people, living our quiet life and growing into a
marriage. I often shake my head in disbelief that something as dramatic as a
brain tumor happened to such a boring couple. You see, we met in a hotbed of
nerd-dom, MIT, in a graduate program for organic chemistry. I had come from a
small college and felt behind academically, and most of my peers had come with
serious relationships while I knew nobody. As I struggled to find my way, I
noticed Chris. He exuded calm and kindness in a competitive, charged environment.
After a helpful prod from a mutual friend, I summoned the nerve to ask Chris
out for a visit to the Harvard Museum of Natural History on our day off from
lab. He accepted and asked me to lunch the day before our date. He surprised me
by being funny and talkative, and we hit it off. Our time at the museum was
almost magical. As it was about to close, Chris and I
entered the Earth and Planetary Science room full of minerals and rocks. It was
dark outside and the display cases of gems seemed to shine brightly in
contrast, and I was also shining with happiness. We extended our time together
with dinner, then again with coffee. I felt lucky.
We bonded quickly
over our shared interests in organic chemistry, teaching, and family. Unlike
most of our peers, Chris had a rich life outside of school, full of family and
friends. Rapidly our separate worlds became entwined. We were a team: best
friends, partners, each the biggest supporter of the other. He did not ask me
to marry him, we decided together. He did not surprise me with a ring, we chose
one together. We turned to each other to debrief about work, to discuss our
worries, to make plans. We didn’t need much outside of our private world.
In 2007, we were
three years into our marriage and everything was just taking off. I landed my
first “real” job, we bought our house, we had our first child Nathan, and we
turned 30. On the last day of 2007,
everything turned upside down never to quite right itself again. We were in the
Midwest visiting my family, headed to a New Year’s Eve gathering. Chris,
luckily not driving, began acting strangely. It was the shock of my life to see
my husband unresponsive and in uncontrolled motion, experiencing what I would
later learn was a grand mal seizure. I fished Chris’s cell phone out of his
pocket and called 911 in a panic. At the hospital, Chris was given anti-seizure
medications and sent straight off for a CT scan. Soon after, a clearly experienced
doctor broke the news - the seizure was caused by a mass in Chris’s brain. In
my shock, the only thing I could ask was, “is it big?” The answer was not
encouraging; it was “fairly good-sized.”
Time seemed to
unfurl differently after that. Moments blended together in a haze of shock. We
flew back to Boston, Chris slept on the plane with our son napping across our
laps. My mind was buzzing with white noise, there was only one thought that
stood out with clarity – what is going to happen? There would be no quick
answer to that…
January was a
dark, confusing time as we chased all over the Boston area in search of the
right medical team. Finally, we landed at MGH. Chris had an aggressive, awake
craniotomy on one of the longest days of my life. The rest of the year was a
dark blur of a difficult recovery from the surgery, daily radiation treatments,
cognitive rehab appointments and a terrifying uncertainty. We also had a
perplexing diagnosis for Chris – low grade glioma. The doctors were absolutely
clear: there is no cure, the tumor would come back and be more aggressive, but
the prognosis was that Chris would likely live for 10-20 years.
At first the
disease surveillance scans were frequent. Gradually the time between them
lengthened as they came back stable. As partners, our shock turned to coping
with a long-term disease. We took things one day at a time, waking up, readying
our son for daycare, working. When one of us had a particularly bad day, we
learned to get through it by staying in motion. Vigorous house-cleaning, raking
the yard, cooking on the grill – these things provided helpful distractions. Through
it all we had each other. We talked about everything as we always had, but we
became even closer. Slowly, our life did return to something resembling normal,
but the undercurrent of wondering when the tumor would return was always there.
After a couple of years, the tumor began to feel surreal and we discussed this
endlessly. How could life feel this normal? Did anyone else understand that we
were waiting for the other shoe to drop? There were no days that Chris did not
think about dying and no days without the incurable tumor crossing my mind, but
there was still work to do, our son to raise, dinner to fix, and bills to pay.
This long-term,
terminal diagnosis threw a wrench in our family plans. If we hadn’t already had
a child, perhaps we would not have chosen to bring children into the situation
to avoid the future pain of loss. But, our son was already on this path with us
and we had always wanted to have more than one child. We interrogated the
doctors about genetics and felt assured that the kids’ risk would not be
higher. We “just” had to reconcile the idea of a new baby with a terminal brain
tumor… Over time, “no” gradually turned to “yes” for Chris, and neither of us
looked back. Our second pregnancy brought a sweet joy. The brain tumor gave us
a deep appreciation for this chance at new life. Our son was thrilled when he
learned he would be a big brother! One day in the middle of a science seminar,
I looked down and smiled at my black and white patterned shirt wiggling in time
to the first palpable baby kicks. The day we found out the baby was a little
girl, Chris and I were both overjoyed and marveled at our great luck to parent
a girl along with our boy. Just before
she made her entrance to the world, Chris and I slowly walked the hallways of
the hospital, pausing frequently for contractions, Chris supporting me as he
always did. Despite the pain, I remember thinking how improbable this moment
was in light of his illness, and trying to etch it in my memory. As she was
born, Chris played his favorite song The One Who Knows and we both shed happy
tears. We delighted in this little girl, knowing that nothing about life was
guaranteed and still, here she was somehow.
As our family
expanded to four, the richness of life also expanded. Chris reveled in being a
dad – he was funny, always able to diffuse difficult moments with a joke. He
was kind, quick to enfold his children in hugs. Chris grew professionally, becoming
a leader at work. For several years life was a beautiful, normal dance of “do
you need to leave early this morning, I’ll pick the kids up tonight, can you
grab some milk on the way home, do we have plans this weekend, let’s go out for
pizza.”
That is, until the
tumor came back. It’s interesting, when I anticipated the recurrence, I always
thought it would be instantly devastating, like falling off a cliff. Instead, we found that recurrence
was gradual but progressive. It happened like
this: Chris experienced a slight uptick in focal seizures in the months leading
up to his annual MRI. Instead of the
usual “looks good” post-appointment text, I received one that just read
“appointment over.” Chris reported that there was an area of concern that could
be tumor growth. A biopsy revealed Grade 3 tumor, more aggressive than before,
but still, Chris was himself. We were lucky in that respect. He entered a
clinical trial and chased all over Boston for special MRI scans and long
hospital days, all the while keeping fastidious track of cycle days, medications,
and symptoms. We were worried, but we were doing something about the tumor.
Things went
smoothly, until the awful day Chris's clinical
trial doctor popped her head in the exam room to exclaim that his tumor had shrunk
by 30%, but soon came back to say no, sorry, there was a mistake in the
software measurements. The tumor had actually grown so much Chris was ineligible
for the clinical trial.
After four months
of normal time on Temodar treatment and a stable MRI, Chris had a grand mal
seizure once again. The dread of the next MRI scan was sickening, and it
brought worse news than we imagined – not only was the tumor growing but it was
also infiltrating a second area. Another biopsy revealed that the tumor had
progressed to glioblastoma. But still, Chris was himself, working on his laptop
not 48 hours past brain surgery.
But then, Chris
declined suddenly. He began having lengthy focal
seizures, his vision deteriorated, and reading was problematic. He went on emergency
radiation treatments and last resort Avastin infusions. After a whirlwind of daily
hospital trips, we had to wait and watch how the tumor responded.
We
were on borrowed time. We did unpleasant things: estate planning, transitioning
all of the bills to me. Chris showed me where the water shutoff to the house
was and where to find manuals for the lawnmower and snowblower. Those
discussions about how to carry on without him were excruciating. Chris’s main
concern was that the family would be taken care of, and in light of the painful
fact that he would soon die, he did everything he could to ensure it. Most
importantly, we tried to be present for each other and the kids. We noted how
difficult it was to “live in the moment” for an extended period of time, but we
tried. We enjoyed simple moments, knowing that there would not be many left: walks
together, date lunches, family outings, time at the park, beach trips. Chris
did not feel the urge to check off an ambitious bucket list, but rather he treasured
the kind of togetherness that can be so easily taken for granted.
All
the while, we braced for the worst. For a few months, it didn’t come and we
started to muse over the fact that it had not happened. Summer turned to fall
before the tumor grew, but still Chris did relatively well even after we
received this news. Our hearts were full and breaking as we fit in lots of
lasts – last Halloween, Chris’s 41st birthday, trip to the Midwest
to see family, Thanksgiving. As the holidays approached we knew that if Chris
made it to them, they would be the last as a family of four.
As
we were preparing to leave the house to pick out a Christmas tree, Chris had a
grand mal seizure. Just as he came out of it, another started. I did my best to
stay calm and administer medication, but then a third seizure started. He was
taken by ambulance to the ER and almost died from respiratory depression.
Somehow, Chris made it through. We were lucky. We had not been ready to say
goodbye despite all of our preparation.
Chris
came home by ambulance on hospice services. It was a terribly difficult December
as his right side weakened, seizure activity increased, the number of
medications was overwhelming, and the end was drawing close. We set small
goals, trying to make it through Christmas and have a nice family time. Somehow
we did, but afterwards Chris was less peaceful and I could no longer care for
him well. In our past discussions about this end stage we had always prioritized
Chris being at home but realized things could get out of hand and a hospice
facility might be needed. Chris had wanted to shield his children from the
worst of his decline. The moment arrived when he felt he should not be at home
and I agreed.
On
yet another difficult New Year’s Eve, we got word mid-morning that a bed opened
at a hospice house, and Chris left our home by ambulance, just a couple of
hours later. To say it was hard to watch him leave doesn’t begin to touch the
emptiness of that moment. As he was loaded into the ambulance, Chris lay on a
gurney facing the front of the house we bought together and raised our family
in. I often wonder what was going through his mind. Was he desperately sad? The
kids and I had to watch him leave, knowing he would never return to us, and we
cried together for a few minutes after he left. My solitary journey to the
hospice house was marked by shock that this was actually happening. Despite my
wanting time to stop, Chris faded over the next eight days. He was mostly
peaceful, always loving, and truly serene in the end. When he could no longer
speak, he telegraphed his love by winking his good eye slowly several times. Chris
died on January 8th.
Chris’s
brain tumor changed the course of his life and ended it early. It shaped mine,
too, and that of our children, in ways that we are only just discovering.
Telling this journey is something that helps me process everything. But, Chris
was so much more than this terrible cancer. Before the tumor was discovered
Chris already embodied gentleness, loved a good laugh, was whip smart, always
kind, and steadfast in his love for family and friends. These things did not
change in the face of terminal illness. If anything, Chris doubled down on the
way he lived knowing his life would not be a long one.
Now,
Chris is gone and I’m no longer dreading his death but I’m desperately missing
and loving him in his absence. I am left with a hundred thousand memories to
carry as my life continues without my partner. I move forward reluctantly but
still, I move forward. I am learning about myself and my capability as an
individual. When things seem hard, I remember Chris’s unwavering opinion that I
could do it, whatever “it” was, and I remember how he managed so admirably
under his impossible circumstances. On my better days I focus on the feeling of
being lucky. I was lucky to know Chris, to learn from him, to love and be loved
by him, and to share a life with him. I told Chris before and I will say it again now, in a heartbeat I would do everything all over again with him.