Saturday, September 22, 2007

I am - You Are

I'd like to share a thought from my journal that contrasts what I am feeling or experiencing some of the time with what Jesus is All of the Time.

Yesterday, I spent most of my birthday alone and resting because I had a low grade fever and cold. On an ordinary day I would just ignore those symptoms and expect to heal on the go. But the chemo had caused my white blood cell counts to drop from 8.7 to 1.7 and I knew my body’s ability to fight infection was greatly compromised. During the day I wept as I realized that what I was experiencing after my first chemo treatment was going to be repeated for several months.

I am — You Are
By Fink Holloway
September 22, 2007

I don’t want to be so medicated.
I don’t want to be so nauseated.
I don’t want to be so constipated.
I don’t want to be so isolated.
I don’t want to feel so frustrated.

But sometimes

I am.

But God, when I consider who you are
Not just who you are today, but every day,
I know I can still trust you.

You are my Savior.
You are my king.
You put a song in my heart
That I still want to sing.

You are the reason I can persevere with pure joy.
You give me a hope that nothing I face in this life could ever destroy.
You are my life jacket.
You are my peace.
You are the reason I can relax and find sweet release.

You know how to heal
You know when I call.
You know how many hairs are still on my head.
You know when they will all fall.

God, when I consider who
YOU ARE
Not just who you are today, but every day
I know I can still trust you.
And I do!

Saturday, September 15, 2007

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Thursday, September 13, 2007

New Port, Chemo Appt

I had a new port implanted yesterday (Wednesday, 9/12/2007). That surgery went well, and I am planning to begin my chemo tomorrow afternoon (Friday, 9/14/2007). I plan to ride with Jerry to Springdale and work at the Schmieding Center in the morning. Then my friend Valerie is going to take me to the Highlands Oncolocy Group at 1:00. Jerry plans to meet us there. The treatment will take about 3 hours, but tomorrow I have to do blood work first and I expect it to take longer this first time.

I will be having a chemo treatment every three weeks for 6 weeks, so that takes me right up to the new year with the chemo. I expect to stay home from work when I feel like I have been hit by a freight train, and work when I feel like I can think clearly enough to contribute. Technically the cancer books don't say I will feel like I've been hit by a train, but some of the feed back from people who have been down that road gives that impression. If it is easier for me I'll be grateful. Whether it is a breeze or quite miserable, I know that I won't be facing it alone. The good Lord and dozens of you friends are travelling with me, and I am comforted by that!

One of the cards my mom sent had these words:
With God behind you and his arms beneath you, you can face whatever lies ahead of you! "Deuteronomy 33:27 Underneath are the everlasting arms."

Thanks for praying!

Friday, September 7, 2007

Gaze at the Lord

I expect to be at Washington Regional Hospital on Tuesday morning for pre-op work (paper work, blood work, e.k.g., etc,). Then on Tuesday afternoon I meet with a genetic counselor to help establish my risk factors. I meet with my oncologist after that to get the details about my first chemo treatment, discuss possible side effects and ask questions.

Wednesday I’ll be back at the hospital at 7:45am to get a port which will be used for the chemo. The MRI & sentinel node IVs caused an acute inflammatory response, so the port is needed before chemo—which should begin on Friday the 14. So keep me in your prayers.

My mother had breast cancer in 1988, and the poem I wrote then is relevant now for me.

Gaze at the Lord
By: Fink Holloway
July 27, 1988

When life isn't giving me its best
And I'm being put right to the test
It's easy to let my thoughts dwell on the trouble
But doing that makes it all seem to double.
So should I bury my head in the sand,
And pretend that all is great at hand?
No, but when facing reality I can't afford
To forget about my Sovereign Lord.
I'll glance at the trouble,
But gaze at the Lord.
I'll remember that He is the One adored.

Then, when life is awesome and great
Should I just enjoy myself and celebrate?
No, in health or success I still can't afford
To forget about my sovereign Lord.
I'll glance at this world,
But gaze at the Lord,
And remember that He is the One adored.

When I look at Him my priorities become right.
Things that won't last don't make me up tight.
If it won't even matter when we get up there
It shouldn't consume me--be a constant care.
Though I glance at this life,
I must gaze at the Lord
And remember that He is the One adored.

Whether you're happy or sad
Whether it's great or it's bad
Just glance at the circumstances.
Gaze at the Lord.
Remember, He is the One adored.

"Gaze at the Lord"
Copyright 1988:
Fink Holloway
22692 Hwy. 295
Wesley, AR 72773
479-456-2949

Saturday, September 1, 2007

3 Tumors, Mastectomy Mandatory

I have 3 tumors with inflamatory ductal carcinoma that span 4.9 centimeters, and I have been told that a mastectomy is mandatory. Honestly, I expected to hear that recommendation after researching info on multiple tumors in the breast. My lumps are not "in situ" or cancer that is contained within the milk duct. It is invasive--spreading into the rest of the breast tissue, and I really would have felt uneasy if the doctory had recommended a lumpectomy. I asked if the mastectomy would eliminate the need for chemo, because some people do not require chemo if the cancer is contained in the breast.

To find the answer, I went to the surgery center on Friday and had a sentinal node biopsy to see if the cancer had spread to any lymph nodes. I learned today that it has. Dr. Cross removed 4 nodes and only one was positive for cancer. It is good news for me that most of the lymph nodes did not have cancer. But I am going to go ahead and have the chemo since it has begun to spread to other parts of my body. The chemo will preceed the mastectomy, and will begin as soon as we can get it scheduled. Monday is a holiday, so it will be Tuesday before calls can be made to schedule the
next thing.

Besides cancer I have another problem that I would love for you to pray about:

I had one I.V. for the MRI on Thursday and another I.V. Friday for the sentinel node surgery, and both sites became inflamed. The one from the MRI sent a red streak up my arm, and so I have been laying around with an ice pack in my arm pit for the incision, which is two inches across and 2 1/2 inches deep, and with a heating pad on my lower arm to try to aid in the healing of the phlebitis. The 2 for 2 pattern of problems occurring in my veins from an I.V. is rather disturbing especially when you consider all the "Bee Stings" that are in my future. Personally, I think they should call the needle pokes "flea bites" since I'm getting phlebitis from it. (ha!)

Dr. Cross said when a vein has an acute inflamatory response they can never use that vein for and I.V. again. So I probably am going to have to have a port to start the chemo.

Love you all and thanks again for praying!

Tuesday, August 21, 2007

Mammogram not normal

The mammogram I had on Tuesday, August 21st, was not normal. It was followed by a biopsy on Wednesday, and on Thursday, I learned that I have breast cancer. It is an Infiltrating Ductal Carcinoma; 80% of all breast cancers are that type. I have a MRI this Thursday morning and meet with Dr. Cross later that morning at 11:00 a.m. I have been told he is "the best boob man in NWA"-so I am grateful to have an appointment with him.

Please keep me in your prayers.

I know that many of you have a mom or a friend who is also dealing with this issue. Or you may be facing it yourself, even though breast cancer usually strikes the grandma generation instead of the mommy generation. (I do have two grandchildren now!!)

Feel free to e-mail me so we can support each other. I am adding entries to my prayer journal quite often and would be willing to share my thoughts with others who are in the midst of a similar battle.

Thanks to all of you who will join me in prayer.

Fink Holloway
Schmieding Center for Senior Health and Education
Administrative Assistant

Monday, July 2, 2007

Caregivers Should Take Aim at Goals

Caregivers Should Take Aim At Goals,
Care For Self
This article was published on Monday, January 29, 2007
By Fink Holloway
Special to The Morning News

Website:
http://www.nwaonline.net/articles/2007/02/09/your_family/013007yfschmieding.txt

It is basketball season and we know that the players who excel spend hours shooting at the goal to improve their game. Since your work as a caregiver is so much more important than basketball, you also need to practice. Practice to reach your caregiver goals. Some days your "ball" will fall short of your goal, but keep on trying.

Caregiver Goals

1. Take care of yourself.

Eat healthy foods. Take a nap. Get away. Take time for a walk or trip to the mall for you own pleasure. These trips not only provide physical exercise, but bring fresh air to your spirit.

Too many caregivers do not realize the importance of taking care of themselves. They work without sleep, skip meals, and eliminate all of their former interests to care for someone they love. That isn't good. Some people who tried to be on call 24 hours a day 7 days a week have died trying to provide care for their loved one. Don't kill yourself trying to do more than one person can possibly do.

When my father was terminally ill, there were times when my mother slept in the bedroom next door to my father so that she would not have constant interruptions throughout the night. She knew the child who was working the night shift would call for her if she was needed, and she didn't need to be awakened every time Dad needed a drink. She was exhausted and needed some sleep. It was good for her to take care of herself so that in the morning she had more energy to give to Dad.

2. Get some help.

It is not just "OK" to ask your children or your neighbors to help you with meals or help with the care of your loved one; it is a very wise thing to do.

When someone offers to help, by all means accept it. One way to let them know what they can do is to make a list of the things you are doing. Then when someone offers to help show them the list and let them choose the things they could do. Include things like: buy the groceries, prepare meals, do laundry, clean the house, drive to the doctor's office, pick up prescriptions, and stay with your loved one so you can get out. Accepting help is not a sign of weakness. The wisest and wealthiest businessmen recruit other people to assist them. So don't wait until your loved one qualifies for Hospice to seek Respite care.

Individuals who have a stroke or Alzheimer's disease may need care for several years. Their caregivers need a break too. Many community and church groups have volunteers who give help. If you do not know anyone who can assist you, contact The Schmieding Center for Senior Education. The Schmieding Center has a Resource List with information on volunteer organizations and adult day care centers. The Schmieding Center also has a list of home caregivers who can be hired. Call 479-751-3043 and ask for the Caregiver Directory. It lists names and phone numbers of individuals who are trained to give care in the home. The cost of hiring a trained caregiver to come in the home runs from $8 to $12 per hour.

3. Look for assistive devices.

If the condition that caused you to become a caregiver is new to you, there is a very good chance that you do not know about helpful gadgets and medical equipment that are available. Some of the bigger items such as hospital beds and mechanical lifts can be rented. Many other tools that make life easier can be purchased. Stop by a medical supply store or drug store and ask the clerk if he knows of products that are helpful for someone who has the condition with which you are dealing. There are items that promote safety, save time, and protect the back of the caregiver. Some devices are designed to restore independence to individuals. These make an excellent investment and may be covered by Medicare and/or private insurance. Look in the yellow pages under Medical Equipment and Supplies for a listing of the stores in your area.

4. Smile.

When a person is tired or overwhelmed, it is easy to become grumpy and frown. So practice smiling. Sometime today, look in the eyes of your loved one and give them a warm smile. You will both feel better. Smile at the person you are caring for AND smile at yourself. Whether you look in a literal mirror or just look in your soul, smile at yourself and give yourself some pats on the back. Coaches love it when players smack each other on the back or give high fives. Athletes who are in the prime of their life need to hear: "Good job!" Caregivers need encouragement too. So smile at yourself, and encourage yourself. You will find your job is easier when you smile while you work. Don't forget to smile at the physicians and nurses you meet. That little expression of warmth is bound to be a blessing anywhere you go.

5. Be Gentle.

Many people recognize the letters TLC -- Tender Loving Care. As a caregiver, make every effort to be gentle and kind. The person you care for is more likely to cooperate and be pleasant when you give the care in a way that shows tenderness and respect. If a person feels threatened or abused by rough treatment, he is going to resist, and make your job harder. Yanking the sheets or clothing can actually tear the skin, creating additional pain for your loved one and extra work for you. Your personal satisfaction as a caregiver will be greater when you know you have treated others the way you would like to be treated.

Basketball teams would never have a winning season if each player practiced alone and merely worked to sharpen his skills as an individual. Coaches know the importance of team work, and they work hard building the team spirit. Caregiving is also intended to be a "team sport." Caregivers who try to beat the odds alone could put their loved one at risk. If exhaustion and fatigue set in, performance could decline. So make a conscious effort to be a team player. Seeking advice and support from others who are traveling down the same road is bound to be of great benefit and will help you in reaching your goals.

The Schmieding Center has two support groups for caregivers: Family Centered Caregiving (which meets on the third Monday of each month), and Family Caregivers of Persons with Dementia (which meets the second Tuesday and fourth Wednesday of each month). Contact Carolyn Wheeler at 751-3043 for more information. There are others in your community and family who can play a key role in your caregiving and help give your loved one the very best care possible.

Fink Holloway is an administrative assistant for
The Schmieding Center for Senior Health And Education.

Schmieding CenterFor Senior HealthAnd Education
(800) 866-8991

Springdale
2422 N. Thompson
751-3043

Bella Vista
1801 Forest Hills Blvd.
876-2335