Thursday, March 31, 2016

Treatment 45








It's been a while since I wrote last. Many people think the worst when I don't post anything for a while. I can understand that. It takes a lot out of me to write. I will start off with some photos and updates of what we have been up to lately.
 
It's a busy birthday time for the Howell's. Ava's birthday was on Tuesday and she turned nine. We went out to dinner did presents and had ice cream cake. We had a great time celebrating and are looking forward to her party this weekend. Happy Birthday Ava! We love you!
Birthday Girl
Ava & Daddy
My little love!
Family <3
Birthday Cake
 
My birthday is on Friday. Mike and I celebrated early due to his treatment schedule. We went out with friends last weekend. It was a fun time. First time in a long time where it felt normal to be around our friends. He got to hang out with the guys and I hang out with the girls! Thanks to all of you who could make it.
 
; )
 
My BFC ; )
At a friend's fundraiser
 
We spent Easter Sunday at brunch with The Lanza's and the Howell's. Mike was very hungry that day which was great to see. He helped himself to many plates of food :)
Easter Brunch

 
 
For those of you who are local... our good friend Kc Godin is hosting a 45's Tournament to benefit Mike's Fight. There is still room to sign up but you must do so soon! If you would like to register his information is on the flyer below. Hope to see you there.
 
Today marks treatment number 45 for Mike. It has been 1 year and 7 months since his diagnosis. There have been a lot of emotions lately. We're thankful that he has been beating this monster for this long but it also makes us very scared. We're scared because he has outlived the average person with this disease and he has outlived his original prognosis of 10 months. We're scared for the day we find out his next scan comes back bad. We're scared for when there are no more treatment options. We have been moving through the motions for so long it feels like nothing bad will ever happen. It feels like to keep Mike well and here we have to sacrifice him having treatment and not feeling that well but in the end it means he will be here forever. At this point I'm sure he would agree, we would prefer those horrible treatments where his body is poisoned with chemo if it meant keeping him here with us.
 
I don't focus on the prognosis like I did when I first heard it. I have learned along the way that a prognosis doesn't mean a whole lot in that moment. I used to think it was a time sensitive death sentence. Oh man I was wrong to think that. It's easy to get lost in the numbers and words like death. I know all the people I've meet through this journey feel the same... they harp on the information and it makes them literally sick. What I have learned through out this all is that every person is different. Every tumor is different. No two people have the exact same reactions whether it's a good one or bad. My lesson for all is don't get too caught up in the prognosis. It's an estimate. There is no equation that knows exactly how long a patient has. You have to remember we are all dying... Every single one of us. We have all heard the phrase you could get hit by a bus tomorrow... any single one of us. For all my caregiver friends, patients and everyone else... don't get caught up on the prognosis. Don't use your energy that you consume yourself with worries instead flip it around and use that energy on making memories with your sick loved ones. Instead fill your mind and heart with happiness, laughter, smiles and precious moments. Be with them. Be in the present. Get off the internet and get off the damn phone. You don't want to waste the time that you have with them now.

Many people know chemo makes you sick but they don't see first hand how bad it really is. Here is a day in the life... We spend on average 8 hours a visit at Dana Farber between lab draws, appointments, chemo pumps, and iv drugs. Mike sleeps in the chairs in between appointments. Treatment days get to him. He anticipates the anxiety that overcomes him when he walks into the building. Even the car ride in is silent. It's hard to recognize him and who he is on treatment days. We subconsciously hold our breath while we wait for his doctor to come in the room every time. Waiting to hear his lab results. He maintained his weight this week... check, his labs came back good... check, his symptoms were managed this week... check, he's good to get chemo this week... double check. We always try to get him a bed. Mike just can't do chemo in the chair. It's uncomfortable, it doesn't push back far enough, and he doesn't like the curtain separating him from everyone else getting injected with their poison. When he has a bed he can relax and after a few short awkward hours of rest Mike is all set to go home. He peels himself off the bed very disorganized and nauseous. We make our way to the car sometimes I'm pushing him in a wheelchair other times he stumbles through the halls with me holding his arm while he clenches on to the puke bag. More so often he dry heaves the whole ride home while I frantically look at the road and back at him as I weave in and out through the city to get him home and comfortable. Sometimes I don't even remember driving home. Mike falls asleep while I turn up the music to drown out my bad thoughts, to drown out my silent tears and everything else around me. I hate those drives home from treatment. I get a lump in my throat that hurts. Sometimes the tears fill up my eyes and I have to squint them away. They become magnified from all the city lights and dance around the highway. I hate knowing how sick Mike will feel the next few days. Once we're home he barley has the energy to get out of the car and into the house. He usually goes to the couch to fall asleep after taking his nightly concoction of pills and blood thinner shot. I wake him up later to go to bed for the night and into hibernation for the next few days. During the night he sweats out the chemo, soaking his clothes and pillow. He usually wakes up many times through out the night to use the bathroom due to his 2L of iv fluids he recieves. He never gets a good nights rest after chemo. The next day he stays in bed sometimes till noon. Once he gets up he makes his way downstairs for his 1 of 2 daily blood thinner shots and then proceeds to choke down his daily morning concoction of pills and heads to the couch for the day. I soon creep in acting like a waitress trying to take his order and get him to eat. Some days I'm successful others I'm not. The barrel is always close by for when he gets sick and sometimes he does. He doesn't have energy to do anything. He barley eats, he's fatigued sleeping on and off. I monitor him for the next few days for fevers from the chemo. When he sits there, sometimes by himself, not feeling well his mind wonders. He thinks about the worst. What his life has become, how it will end, becoming sicker, he thinks about Ava, myself and our futures. These thoughts are just as toxic as the chemo... I go into auto pilot mode. Cleaning the house, running errands, and everything else in between. I stop for snuggles and kisses when he's awake. Subconsciously I'm trying to keep my own mind and body busy. Lately Mike's mind has been down and depressed. He feels weaker. He feels like he won't be around much longer. It feels like a dagger to the heart that is then ripped through my stomach. It never gets easier hearing these painful words coming from my husband. I've become so numb lately. My emotions are raw, my heart aches. We bargain with ourselves constantly. Why him, why us, why not someone else? When people ask how I am doing lately I say we're hanging in there. When I say this I literally mean hanging, I want to let go. I want to throw my hands in the air and scream I don't want do this, I don't want Mike suffering. I want to take it all away I want to heal him. I'm not fine, he's not fine, our daughters not fine and our families aren't fine. I'm tired. I feel less than human. I don't think straight and I never feel right. Days blend together. My mind doesn't work like it use to. I can't remember things and I hate it. I lay in bed every night fighting my thoughts away. Wondering what we did wrong to deserve this. There are no answers to find and that makes it worse. We just want to know why? I'm sad, broken, hurt, scared, exhausted and some days I don't know how to keep going. But yet each morning I open my eyes, I hesitate and pull my self out of bed. I suit up and I do what has to be done for Mike, for my family and for myself. No matter how hard things are right now I am so thankful that Mike is here and he is fighting. I refuse to let myself think I ever have to do this life alone some day...  
 
Dear Cancer,
 
It may seem like you have control in my life right now, but you really don't
Your presence only makes me stronger, braver, kinder, wiser
I choose how I think, what I speak and how I love
You will never be able to touch those things, NEVER
 


To donate to Mike's Fight Click Here All donations go directly to us. 
 








 


 

Monday, March 7, 2016

Germs & Treatment

It's been a while since I posted last so I figured I would give an update. This past Thursday Mike had his 43rd treatment. We were so happy to see our favorite nurse Erin. It had been a few months since we saw her last. We have gotten attached to two nurses now. One had left a few months ago to further her career and Erin's day off had changed to our usual Thursday's so we had been bummed! Having a connection with a great nurse truly makes all the difference in the world. We love you and everything you have and continue to do for us Elena and Erin! 

It's hard to believe he has been fighting for 18 long months. I couldn't be any more prouder of him. It's been a hard journey that no one else can truly understand but us. Hand in hand we cross each hurdle as they are thrown at us. Recently he came down with another new symptom. He had been complaining of a sore throat for a few days. We didn't think too much about it. After a few more days it was becoming harder and harder for him to swallow. He was getting an excessive amount of saliva which was continually gagging him to the point of dry heaving. We were sitting in the car and all the sudden it clicked I asked him to show me his tounge and gums and I could see the white patches all over them. I instantly knew it was thrush. Thrush is a fungal infection that is most common in infants but also common in people with weakened immune systems (such as people with cancer). We had heard about it before. I wish I had thought of it sooner so he didn't have to suffer as long. This was by far his worst symptom he said he has encountered. He said he would prefer the cancer pain in his stomach over the pain from thrush. Watching him so miserable was hard. He couldn't even talk or eat. He quickly dropped a few pounds and was stomach sick from only eating popsicles and juice for days. His oncologist prescribed him a mouth wash to take care of the infection and after a few days he was feeling much better. Unfortunately today it seems like his thrush started to come back again. He already started taking his meds again. 

Thursday when we were at his treatment I wasn't feeling so well. I woke up really achy and miserable. As the day went on I felt worse. By the time we got home from treatment I couldn't wait to crawl on to the couch. Throughout the night I had a fever that spiked to 103. I had emailed my doctor to let her know that I wasn't feeling well. She is well aware of Mike's health and wanted me to come in. My mom brought me Friday morning and she gave me medicine. I also spent the night in our spare bedroom to contain the germs from Mike so he could be protected. Since he had treatment that day his blood counts would be dropping over the next few days which always puts him at high risk for infections. 5 days later I'm still miserable. I have been wearing masks and disinfecting the house continuously. I haven't been this sick in a long time. It sucks because I couldn't take care of Mike after his treatment and he can't take care of me because of his immune system. This has been hard for me. When your sick all you want to do is to snuggle up with your loved ones and have them take care of you. I couldn't do this and it hurts my heart. Protecting him is my top priority so I do what I have to do. Thankfully we had Ava this weekend and she took great care of Mike and I. She kept asking me if I needed anything and brought me water often to stay hydrated! I would ask if she was getting up soon and if she could grab me my medicine and she would say you don't have to ask if I'm getting up I want you to tell me what you need and I'll do it right away. It was like a reversed mother daughter role and boy did she tell me! She was my hands in helping me make dinner so I didn't contaminate any of the food. She is such a sweetheart. I kept saying I was sorry I was sick and she reassured me it was okay because I'm always the one taking care of her and daddy. She said it was her turn. We're usually always caught up in some type of activities when she's with us but I wasn't up for anything. She just laid in bed and on the couch with me and chit chatted. I'm so blessed to have her as my daughter. 

The moms also came over and helped clean the house, do chores and make dinner for us which was a huge help. Thanks moms! You're the best!

Saturday we had our families over for Sadie's (our family dog) first birthday. I know it sounds ridiculous but it was a great way to get all the family together. We all had a great time despite Mike and I not feeling so well. It's always nice to create family memories when we can. 


That's about all for now. We're just all trying to recover and feel better! 


To donate to Mike's Fight Click Here All donations go directly to us. 







Thursday, February 18, 2016

Latest scan results

Saturday Mike had treatment. We had to go into Dana Farber on Friday for him to get his labs done and to be cleared for treatment for Saturday. Luckily all was good to come back the next day. That night we rushed to get home to take Ava to her school for a father daughter dance. He wasn't feeling great but he made it happen like always. He's such an amazing father to Ava. On Saturday he finally started to receive his two chemo's again. We were very glad for him to be back on both. However his body wasn't as glad as we were. He was miserably sick for 3 days and struggled the next few. He had been doing so well after treatments so it was tough to see him so sick again. He also didn't have much turn around time before his next treatment (only 5 days).

Today Mike received his 42nd treatment. It was a very long day. We headed to DF at 9am and didn't get home until 8pm. He started the day off with a scan before his chemo. Since Ava is on school vacation this week she asked if she could come in with us. She really enjoys coming in. She loves to be involved with Mike and his treatments and likes to help out in any way she can. Her therapist and our social worker have always highly recommend her coming in. The research on this topic is extensive and agrees. When dealing with sick parents and children it is so important to keep the children a part of the process. It helps them learn, cope, and feel like they are included. Of course every family and child is different and it is always up to the parents and child to make those decisions. For Ava it has been VERY helpful. She is able to learn things in an appropriate and safe environment. The nurses and doctors are always so happy to see her. They are gentle with her. They take the time to explain things to help her understand. She even asked them questions all on her own. It makes Mike so happy when she comes in with us I love it too. She's my little side kick and helps me make Mike comfortable and at ease. Today Ava even got to help the nurse out by scanning the meds into the computer. She felt so important and it was truly a priceless moment. She had a huge smile on her face and wanted to help out more!

A few weeks ago Mike, myself and Ava got the opportunity to go into Dana Farber for a Parenting with Cancer group. It was put on by the social workers including ours. We were happy she finally got to meet Katelyn, our social worker. We met other families in the same situation as us. Ava had the opportunity to meet other children her age who had sick parents. We had separate sessions (kids had one group and the adults had another). Then we all came together and did a group session. We worked on an activity with our families. We decorated walking sticks. It went along with the theme of the kids session. They drew pictures of getting over a mountain of obstacles. The walking sticks represented our family tool to help us get over the hard times.  Ava also got balloons, books and lots of pizza... oh and I can't forget about the endless cookies! She was so happy to meet the other kids. She said it made her not feel so alone being the only kid with a sick parent. Overall it was a great experience and we all would highly recommend it to other families in similar situations. Dana Farber does a great job helping children who have sick parents. They provide many great resources and are always trying to help in any way possible.



Working on our project.

Showing off our project! Our family walking stick.
Today we had a lot of time in between Mike's scan and his treatment. We went to the café for lunch. Then stopped by the resource center. Ava picked out a book to take home and we went to the arts and crafts room. We made bracelets and paper flowers. Ava made a paper flower for Dad's doctor, his nurse and our social worker. The flower she made for his oncologist was even his favorite football teams colors. The Jets green and white! As we went through our day she passed her gifts out. She got tons of compliments in the elevators on how pretty her flowers were. She is so adorable.
Hanging out in the craft room

Ava with her flowers
After Mike got started with his treatment our social worker Katelyn came by to visit. Ava already loves her and has proceeded to tell her she's pretty many times she also told the receptionist she was pretty too, who then have her a cupcake rubber ducky. Ava's always handing out compliments and making everyone feel so good! Ava showed Katelyn all the good stuff she packed in her bag to keep her busy, including her cd collection.
Ava with our social worker
When her CD player batteries ran out the nurse came back with a baggy full of new ones. Such amazing staff. After Katelyn left we went to pick up Mike's medications at the pharmacy. We also stopped in the gift shop and got matching bracelets that read "Never never never never never ever give up". She picked out a kids activity book too. Back in the infusion room we colored together before grabbing dinner. Once Mike finished treatment we headed home. As we got into the car Mike started to feel sick. He started dry heaving. I always look to Ava when she's around and this happens. In the past when Mike has started to throw up she gets very upset and starts to cry as she hides her face in my tummy. Today was the first time she looked at me and said, Mommy I'm okay. A few days ago when I picked her up I had told her dad was at home resting not feeling well. She quickly asked was he throwing up. I said yes. She said, "It's okay I don't want him to feel like he has to hide being sick for me, I understand." I was blown away. As I sit here and write this it brings tears to my eyes. I hate how she has been forced to grow up so quickly but I am so grateful that she is in my life. Instead of her running away and hiding when Mike starts to get sick she now jumps in and says how can I help. Whether it's a cool cloth, trash barrel, or drink she's there. Sometimes I forget she's only 8 (well today she told every one she was 9 because her birthday is coming up. Her reasoning was it was easier to say 9 than 8... not sure what her logic was with that one!). She is so mature, brave, and strong. I tell her all the time. We talk about daddy's illness a lot when we are alone. We NEED each other. We both couldn't go through this without one another. Some days she needs me and others I need her. His illness has brought us so close together. We have an amazing bond that I am eternally grateful for. Between her and the puppy I'm never alone sometimes I feel like I have my own entourage when I walk in the room. Mike always laughs and calls us the trio.  
Chemo selfies

So here is what you all have been waiting for... Mike's scan results! Since we have been in this fight for a while now I have learned how to manage my scanxity (for now). Knowing Mike's tumor markers have been very low almost not detectable in his labs and knowing he has been feeling relatively well. I wasn't very anxious about this scan report. Something was telling me my feeling was right. Mike on the other hand was not feeling so good about it. He felt like being off of one of the chemo's for so long was a recipe for disaster. Luckily today my feeling was right. His scan showed no new growths and the current ones had decreased. Of course having it all disappear isn't exactly in our cards it was still a great thing to hear. Like I have mentioned in the past we live scan to scan. Now we feel like we can breathe easy for a couple of months. Thank you for all your prayers as always! Our support is truly amazing. My YouTube video has received over 1,600 views and this blog has over 40,000 views!

Our fear is always when will this treatment stop and we're at the end of our road. I shared this concern with his doctor today and he talked us through it. He even said there was a drug that Mike would be eligible for if his current treatment stopped. Unfortunately even he could not pronounce the drug name. It was all I needed to hear to get my focus back in check.

Mike and I have an amazing marriage built on love, communication, honesty, trust, and loyalty. We were one of the lucky ones to find our true love. Many don't get this opportunity or are stuck in toxic relationships. The cancer life is tough but our relationship makes it a little bit more manageable. My job in life right now is to care for my family. I give Mike and Ava my ALL. Even when my needs are not met and why is that? Because they deserve it. When their needs are met it allows me to lay my head down to sleep at night. The relationship that Mike and I have helps us lead by example for our daughter. Though cancer may be teaching her the hardest lesson possibly in her life that she will have to learn but it also teaches her one of the greatest which is true love. I can't make it all go away but I can make them comfortable and as happy as possible. The choices our family makes while WE are on this journey maybe not everyone agrees with but that's okay because we don't care what other people think... no one can break us. We have endured a lot through hell and back and nothing is going to stop us from the love we have for one another not even... CANCER!


On that note, NEVER, NEVER, NEVER, NEVER, NEVER EVER GIVE UP

This is an older photo but one of my favorite ones of our family.

To donate to Mike's Fight Click Here All donations go directly to us. 



Thursday, January 28, 2016

Feeling defeated

Before the day had begun I could feel it was going to be a long one. Mike had been having pain in his feet and legs since Monday. It kept getting worse each day. He hid it a little bit from me knowing that I would be on his butt to get him in to see the doctor. On Wednesday it became very noticeable that he could barely walk up and down the stairs. The pain started to shift into his left leg more prodominately and continued to get worse. My first thought was a blood clot. I begged him this morning to let me call after he noticed his ankle was starting to swell. Not sure why I had listened to him and didn't call. Over the summer I had learned to call when I felt it was urgent. Things had been going well the past few months so I kind of forgot all about that. When we got to Dana Farber today all the nurses noticed his limping and let the doctor know. First thing his oncologist said when he walked in.... Take a guess...  "why didn't you call!" His concern was a blood clot too. He had a few options hold off treatment go to Brigham and Women's ER right away. Try to fit him into an appointment for a ultrasound right then and come back for treatment. Depending on what the ultrasound said he could come back and get treatment either way. If the images proved to be a blood clot he could get started on blood thinners today and still get treatment. If it didn't show a blood clot then he could get treatment and go right to the ER after because it was concerning that we didn't know what was causing his crippling pain. However his amazing oncologist scrambled to worked his magic and got him in for a ultrasound that minute. After some disagreements in making him take a wheel chair down to the Brigham his oncologists and I won. I quickly wheeled him down to vasular diagnostics. As I waited for him to come back I called our parents to notify them of the situation. Before we left the house Mike and I had packed overnight bags just in case he need to be admitted to the Brigham. We've learned to come prepared now. As I sat there I managed to keep it all together. I wanted to fall apart but just honestly didn't have the energy to do so.

Before he had gotten called back he yet again looked so defeated. He wants to give up he's tired. His body is tired. His depression has set in again. It's so hard to keep him positive when I can barely find the strength to do so myself. We're both worried because he's been off part of his chemo (abraxane) for over a month now due to his nails suffering from the toxicity. We worry it's been too long. With treatments getting shifted around were scared his tumors will grow or spread. Once we get a few big appointments out of the way we will push forward full force so he can get back on track. His port has also not been working so we will need to have a test done to find out if it needs to be replaced. Though it may not be a big deal it's just one more thing we need to find time to do. It's also very discouraging. Mike hated that procedure because he has to be awake while they cut into his chest right in front of him. 

After Mike came back from his ultrasound he said the techs had noticed right away that there was a spot that showed up as a blood clot. It was sent to be reviewed and we would have to wait back at Dana Farber for his results. I wheeled him from the Brigham back to Dana. I had felt relieved that it was a blood clot because now we knew what it was and would not need further testing or an ER/hospital stay. Mike wasn't relieved either way. The only way he would ever be satisfied is if they said his cancer was gone...

Mike started his chemo (still gemzar) only.   Today was his 40th treatment! The doctor came over to the infusion room and confirmed that Mike has a large blood clot behind his left knee. I will need to give him a blood thinner injection twice a day in his belly for an unknown amount of time. Mike is upset about. Just one more thing to have to remember... One more thing to worry about... It may not be the worst outcome right now but it defiantly doesn't help. His oncologist told us that it is very common for pancreatic cancer patients to get blood clots. I guess I was unaware of this. It was the first time I had heard it. Goes to show I still learn something new every visit. 20-45% of PC patients develop a blood clot. The doctor explained the blood systems runs in a very balanced way for a healthy person. It clots when it needs to and circulates when it's suppose to. The cancer causes an imbalance and throws off the flow. It could happen again and we now know what signs to look for. After the doctor left I ran downstairs to the pharmacy to pick up the shopping back of shots I will be giving him.

Cancer has yet again thrown us in to a depressed state. While he got his infusion we sat mostly in silence. Not because we were mad but because we just didn't have much to say. We feel the same way we're sad, scared, worried and much more. This photo of Mike shows what I just can't seem to find the words to say...
Defeated 


With a heavy heart I am also sad to say that a fellow cancer fighter lost his battled on Saturday. Matt Moore, 38 has been fighting brain cancer for the past 15 months. He was diagnosed right after Mike. I have become very close to his wife Terri and she told me the news Saturday morning. They have two little girls 2 and 5. My heart breaks for them... I'm so glad I have made friends and connected with others but hate under the circumstances that it has happened. 
RIP Matt Moore.


It's hard because we feel like all the connections we have made have pasted on now. We feel like sitting ducks..

We need a miracle. 

The car ride home I will fight back tears the entire way. It will only be a matter of time until I lose it. But tonight I will crawl into bed with my husband and hold him tight... 💜


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All donations go directly to us. 



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Tuesday, January 19, 2016

What you can do for a cancer patient and their family


Mike had treatment last Thursday. They have continued to hold off on one of his chemo drugs due to his nails still bothering him. We are still nervous about this and hope to get back on track in two weeks. Ava caught another cold and generously shared it with me. I have been feeling pretty crummy and Mike's been keeping his distance from us both! 

For Christmas I got Mike a gift card to a shooting range. We went on Saturday! We both have never been and it was a lot of fun. I am so glad he enjoyed it! 



Here are some photos of Ava and the Clydesdale horses at Kimball farm in Haverhill. Horses names are Mark and Mike! (The horses names crack us up... my dads name is Mark) in the fall we went in a hayride with the horses! 




Mike is very happy about his Patriots being in the playoffs! Let's go Pats! 

Not to much to update you all this time. I have been working on a list below that I wanted to share. I hope it helpful! 


What you can do for a cancer patient and their family...
Before my husband, Mike was diagnosed with cancer, I had no idea what to do or say in such situations. In fact in the past I handled such moments with silence and awkward body language, simply for the lack of knowledge and experience. Now that I have dealt first hand with being a caregiver for a sick spouse I have learned a lot. Everyone has different life experiences…. Some have more experience and some have less either way everyone and every situation is different.


When Mike first got diagnosed it was so hard to function day to day never mind be able to talk about it with others. We were so overwhelmed and didn’t know how to ask for help or what to ask for – but we sure needed it. When you have a friend or family member newly diagnosed with cancer of course you want to help! But how? Don't make the mistake of making a vague, questionably-sincere offer "Well, call me when you need me if you just want to vent!" (they won't).

Instead, make your family member or friend's life easier by anticipating his or her needs and giving tangible, much-needed support. Here is a list of things that helped and continues to help us and I hope they will help others in the same situation! As time goes on we continue to learn more. Every patient and family is different. This is a list from my husband’s point of view as well as mine (the caregiver). Some things are in general and some are very specific to our journey. This is an ongoing list that will be updated as situations arise.

1.       Don't put on "Cancer Face": You know, The "look". That expression of pity, sadness, or concerned looks. I know that these looks are unintentional, and that the emotions behind them are very real, but try not to appear as though you are saying your final good-byes in these moments. It can be scary for the patient. And certainly don't put your sick friend in the position of having to comfort you.


2.      Bring or send a meal: Cook something for the family. If they are not up for visitors, leave it outside the door in a cooler and send them a text to let them know it’s there. If there are children it is helpful to include a kid friendly option. Not up for cooking? Find out their favorite delivery place; call, place an order and have it delivered to the home. Include a tip so the family doesn’t have to search for money. Of course let them know when to expect the delivery. Either way also let the family know when you would like to cook/send a meal so they don’t get duplicates on the same days. For us meals on treatment days are helpful. After spending hours at the hospital for treatments in the city the last thing we want is to come home and think about dinner.

Tip: If you or someone in your home is sick with a cold or stomach bug think twice about preparing a meal for a cancer patient and their family. Germs spread and the last thing you want is to get them sick! Either way be sure to wash your hands thoroughly and make sure you clean utensils and cooking surfaces before you use them. Also don’t go crazy and make too much food. You would think more food is better but often too much food gets thrown out. There is either no room to store it or you can only eat so much lasagna in one week! A meal for one or two sittings is plenty, sometimes less is more!


3.      Unexpected visitors: Never show up unexpected without calling or letting the family know. Sometimes we’re just not up for visitors. Be respectful it’s nothing personal. For us you never know when we’re having an emotional day or spending quality time together. Not that we walk around naked but heck even if we did we don’t want others to scare us and see our “goodies!” ;) Even if you text or leave a message make sure the person responds to say it’s okay to visit. Don’t assume they saw your message.


4.     Positive vibes: Let them know you’re thinking of them but don’t expect to get a response. Add a “no need to respond" to the end of your message. They'll appreciate hearing from you without feeling the need to do anything in return. Sometimes it’s nice to know you cross other people’s minds. So often friends and families continue on living their lives and for us it feels like we are forgotten about even if that’s not the case!


5.      Don’t take it personally: After a diagnosis you may notice the patient or their caregivers personalities change. Maybe they don’t respond to you like they used to. They don’t laugh at jokes that they once did. Their minds are constantly racing with thoughts. You may notice when you look at them their faces look blank. Please, please, please don’t take it personally if they don’t respond like they use to or act differently now. Until you have been sick yourself you can’t begin to understand and know how it feels. Even if you have been in their shoes you can’t expect them to act the same way you may have. Our lives have forever changed and we’re still learning how to adapt.


6.     Help with errands: If you’re at a store send a text and let them know and ask if they'd like you to pick anything up for them. So often there are little things we need but don’t have the energy to go get it ourselves.


7.      It’s hard to ask for help: When Mike first got sick it was hard to keep our heads high and ask for help. We didn’t want to feel like his diagnosis got the best of us. We wanted to feel normal and capable of everyday routines. It took time for us to reach out and ask for help. You wouldn’t believe how hard it is to work up the courage to ask for someone to run an errand, cook a meal, or pick up a prescription.


Tip: If you are asked to help out in some way try to make sure you can find the time to do it. Not that everyone should jump when we snap our fingers but there’s nothing worse when you finally break down and ask for help and someone makes a “big deal” out of it. We don’t want to put you out so be upfront and honest if you can’t do something let us know so we can ask someone else.


8.     Don't ask, "What can I do?": Instead, think of things you can do that might be helpful and just do them. However, make sure that they do not require input or participation from your friend or their family. Understand that a cancer patient and their family are often too overwhelmed to ask for what they need; take the initiative by offering specifics, instead of saying, "Let me know if there's anything I can do for you." More often than not if you’re too general we won’t ask for what we really need! However don’t come across as overbearing! Say, "Give me a task." Maybe it will be laundry, or an errand, or picking up groceries. Be in and out. No socializing needed. If they don’t have anything to offer help with also be respectful and let them know the offer still stands and again, mean it.


9.     Help Clean-up: Keeping the house and yard clean when there is a sick family member is often difficult. Offer a helping hand to help the family clean or work on the yard. Before Mike got sick he was always helpful with the house and keeping it clean. There was no “man” or “women” chores. We were a team and helped each other out. However, when Mike got sick our team effort turned into a one "wo-man" show. I don’t blame him at all he shouldn’t have to have the responsibility or burden to clean the house. However, for those who know me know how OCD I am about being clean. I get stressed when the house is messy it’s just how I am wired and I can’t shut it off. Sometimes keeping the house clean after two adults a child and dog keeps me running around like a maniac till 1am. I know I could use the help!


10.  Have a skill?: Have time to help and you are handy? Often many things go undone around a home where someone is sick. Offer to fix things around the house… whether it’s a loose towel holder, leaky sink, moving heavy furniture, hanging a photo, painting a room, picking up the yard, shoveling, etc. I know there are many things someone can help out with.


11.   Let them know you're "on call": Cancer is unpredictable; you never know when something is going to happen. Of course we have our families to rely on but if an emergency is to arise let them know you are available to help all hours of the day and night and most importantly, mean it.

12.  Send a surprise/gift: We often have so many people that want to help and do more but don’t know what to do. We are pretty simple… here are some ideas for those who always want to do more… send an edible arrangement, flowers, a game to play, gift card (gas cards and grocery cards are VERY helpful), magazine subscription, movie, a visit to the spa for a massage, chocolates, or a just a simple note. Let’s be honest who doesn’t love a surprise in the mail? Having something that arrives in the mail even if it’s just a note can help lift our spirits.
13.  Mood swings: We're sorry if we're cranky, emotional, grumpy, afraid, snippy or more. It's hard to keep emotions under control. One minute we could be fine and the next we're not. At times a song, smell, or thought can trigger a waterfall of emotions for us. Be patient with us and don't take our attitudes or bad days to heart. We don't mean it
14.  Don’t be afraid: More often than not people walk around on egg shells around us. Given the circumstances it’s defiantly understandable. However, please don’t treat a cancer patient and their spouse differently. It tends to push them away. They want to feel as normal as they can. Act the same way as you would before they were sick. We know there is a fine line that’s hard to distinguish sometimes. Try to take into consideration to not to push them to do things there physically not capable of doing anymore or just don’t want to do.  


15.  Don’t enable: Believe it or not this happens more than you think! Don’t make decisions for the patient. Try not to go around them to ask their caregiver questions about them if they are capable to answer you on their own. Don’t team up them and give an “intervention”. The last thing they want is to feel enabled. Or as if there not “capable” to make decisions, plans or choices on their own.


16.  Remember you’re not the only one: Often many friends and family members want to help out when someone is sick. Try to remember you’re most likely not the only one offering to help. So if there is nothing to do this time don’t get discouraged. You never know when something might come up.


17.   Don’t get offended: Don’t be offended if we have to cancel our plans to hang out. It’s hard to plan days in advance you just never know when the cancer patient may not feel well or up to it. Also don’t get offended if you’re able to consistently help one week and then the next day it doesn’t work out anymore. It’s so hard to make and stick with concrete plans.
18.  How are you feeling?: This is a daily battle. This one is from Mike directly. He never knows what to say in the moment but so badly gets frustrated with this question. So here's the brutally honest truth. Mike is a cancer patient and he never feels 100% well. Whether he's in pain from the cancer itself or nauseous from the treatments there are always unpleasant side effects to battle. He’s always tired mentally, emotionally, or physically. He never gets a break. He worries about his future, his daughter, me and his family. One thing people have to remind themselves is they are not the only ones asking him how he feels. Everyone does, because of course everyone cares. He gets it, we get it. When we are working we see many people in the community. It's a constant back to back “how are you feeling”, “how are you”, or the worst one yet “you don't look so well”. One of these days I'm waiting for him to snap and say, “how do you think I am feeling I have cancer and I'm dying”. I wonder how someone would respond? He could be having an ok day and someone tells him basically you look like crap. That ok day then goes to a worse day. In all try to refrain from asking questions about how he's feeling and more general things like "what's new?” This blog is a great way to stay informed about his health so we don’t feel like broken records.
19.  Just listen: Don't share stories about how your now-dead friend/family member had the exact same diagnosis, symptoms, doctor, or treatment plan. We're never ready for such information. We'll likely become hungry for cancer stories later and have hundreds of questions. In the beginning, however, if you can't say something positive, don't say anything at all. Don't give over bearing advice, don't try to be super cheery, don't push lifesaving remedies or magic pills you have heard about. Though we do appreciate the information and advice, we also hear it a lot and need to make decisions on our own. Provide us with the information and if we would like to peruse it more we will get in touch with you to do so.  Unless we ask for this type of information-- just listen and let your friend talk.

20. Cancer isn't contagious: Give your friend a hug to let them know you're on their side. For me this may help as for Mike he doesn’t like to be touched! Only Ava and I get touching privileges. 😉 Most of all Mike doesn't want situations to feel awkward and he doesn't want to be stressed out! Sometimes he as well as I just need space. In those times being respectful is the best thing to do to help us. 

21.  Things not to say: I don’t know how you do this? I couldn’t do what you’re doing. Those these may come out naturally there not things you want to hear. You do what you have to for the ones you love when you’re in the situation. Please don't judge us. If you haven’t been through it before DON’T SAY YOU UNDERSTAND or “know” how it feels. Everyone has different experiences. It may be helpful to share your experiences but don’t explain how they are alike or compare them. We don’t want to hear this! In the beginning or maybe throughout it all we don’t want to hear how “strong” we are. Frankly we don’t always feel strong and don’t want to be told over and over.

22. Don’t take things personally: Sometimes we say things we don’t mean or say nothing at all. We get cranky, grumpy, depressed, and we’re sad. If we don’t return a call or text right away please don’t take it personally. We don’t keep our phones with us all the time anymore and they are both always on silent. This way we can get rest at night and sneak naps in during the day when needed.


23. If something happens don’t hide it: If you or someone we care about is rushed to the hospital in the middle of the night, you have a bad break up, or are in an accident don’t hide it. Often people think we can’t “handle it”. To be honest we usually can handle it better than anyone else. Our lives are different now. We have been through a lot! The amount of stress, fear and panic we have dealt with has prepared us for pretty much anything. Sometimes we may be the best people to talk to!


24. Tells us about your lives: Don't avoid telling your friend about your latest problem at work or the terrible thing your boyfriend did last night. We're still the same old friend you've always had ... don't shield us from reality. After being in cancer world all day, we'd love to dish with you just as much as we always did, if not more. In fact, we're probably starved for the latest mindless gossip ... anything not cancer-related. But at the same time we might want to talk about the cancer, so leave that door open as well. And if you don't know what to say, just say that. "I don't know what to say." Same goes for the happy moments in life… having a baby? Going on vacation? Got a promotion? TELL US. Just because our lives are difficult right now doesn’t mean we don’t want to share your milestones and life victories with you!

25. Don't disappear. You may not know what to say or do; you may feel awkward or sad or uncomfortable. At those times, it's easy just to fade into the background. To not call, to not visit. To not say anything because you don't know what to say. Try to resist this very human urge. Try to just show up, even if it's just to leave a voice mail or send an e-mail or drop a card in the mail. Let the other person know that you're thinking about them when you are.
26. Caregiver: Literally means to give care to someone else. I believe it is the hardest job in the entire world. They often become the interpreter between the patient and everyone else. Everything ends up going through them and sometimes puts them in an awkward position. Sometimes they even become a punching bag to protect the patient. They are always tending to the sick persons needs and trying to take care of everything else at the same time. Their needs often go unnoticed and pushed to the side. They need a break too sometimes (even if they won't admit it). If you have been a care giver yourself pat yourself on the back it is the most selfless thing you could ever do for someone else. You are always on duty and in the front lines of the battle. If you know a caregiver give them big hug and recognize them for their work I know they could use it! 
27.  Respect wishes: Please remember to be respectful of the family’s wishes. You may be hurting but they are hurting just as bad if not worse. You may want to jump in and tell them what they should do but leave his up to the patient and their spouse/family. We have discussed at great lengths how we (mostly Mike) would like things done if there is a turn for the worse. We have talked about anything from last bedside wishes to funeral services. These are topics that most people are unable to discuss when a loved one is sick. It takes a lot of strength to be able to talk about these things. I know what Mike wants he's written his wishes down and had made them clear. Please don't turn the spouse or caregiver into the bad person if you don't agree with the decisions that have been made. Don’t try to change them to benefit anyone else. I've seen this rip families apart after losing a loved one and nobody wants that. 


28. Don't be selfish: When someone is sick they need to put themselves first. Other people's needs and wants can’t trump the sick person. Think you know how to make someone feel better because it helped you in the past? Think again. You can't force someone to do something. For example cancer support group therapy worked for you? That's great but that doesn't mean it will work for someone else. Nobody wants to be pushed or have to feel bad because someone else wants them to do something that they think the patient needs. It's nice to suggest things but not push it upon them. At times you have to stop and think is this in my best interest or the patients? If we don't believe it's in the patient’s (Mike’s) best interest we have every right to make that call. Sometimes you have to let your arguments go in order to support the patient. 
Lessons you can learn for a cancer patient 
29. Don't sweat the small stuff: Don't stress about the small things in life. Don't complain that you have it hard when you don't. Get in a fender bender? Well yeah that sucks but be thankful you’re okay. Have drama in your life? Find a way to get rid of it. It's simply not worth it. Surround yourself with friends and family that love you and not people who bring you down. In a bad relationship? Not happy with your life? Find a way to change it for the better. You are in control of your own happiness! Most importantly take nothing for granted... Why you ask? Because NO ONE is guaranteed another day. So stop sweating the small stuff and start living!

30. Be kind: Be kind to one another. I've learned to smile when things are hard. You never know what silent battles people are struggling with at home. The next time you have a cranky waitress or a rude cashier try to think about what they may be going through. Even if in the end they are just nasty people you didn't waste your kindness on them... In the end it makes you a better person. 
I hope people find this to be helpful! Remember these are things that have worked for us. Every patient and family is different... So take that into consideration. When it doubt simply just ask if it's okay. Feel free to share this list with anyone and everyone!



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