NOTE: The following comes from a web page which Michael's mom created. I 'lifted' the material and moved it to my server (on 4-4-05) because I was afraid the Geocities page would vanish, and all the material would be lost.

This diary reads backwards in time, from Michael's death on December 1, 2000-- back to December 8, 1999 when he showed his first symptoms.

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Michael's Health - Coping with Glioblastoma.

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6th December

Thank you to everyone who has written to us, to date we have had in excess of 150 e-mails, 100 sympathy cards and 50 personal letters.

Michael's death announcement was in yesterday's Times:

 

NORTON, Michael. On 1st December 2000 at the Royal Marsden Hospital, aged 14 years, after battling a brain tumour with courage and dignity. Ex-Head Chorister at Guildford Cathedral, where his funeral will be held on Sat. 9th Dec. at 10am. All Welcome. Family flowers only. Michael asked that donations be made to UK Brain Tumour Society, c/o G. Boutell &Son, 50 High Road, Byfleet. KT14 7QL.

 

Please come to the funeral, if at all possible

 

 

1st December


I can't believe I'm having to write this.

Michael died this morning. We thought we were losing him yesterday
afternoon but he hung on and on; at 2am he slipped into unconsciousness but
Graham and I sat holding his hands and talking to him until, at 7.50am,
Michael took his last few breaths and quietly slipped out of the room.

For the record, the brain tumour did NOT kill him. It wasn't near his brain
stem. But
he was blind, frail - unable even to prop himself up on one elbow - and
confused in so many ways. But he KNEW he had had enough and refused totally
to accept any fluids after Sunday night. I think he felt the disease had
taken everything but he wasn't going to let it take his dignity. And it
didn't. This boy was staggering to the bathroom and demanding privacy in his
last 24 hours, even though he didn't seem to know who we were or where he
was. And I will treasure the hug he gave me, quite spontaneously, on
Wednesday night - for ever. So the disease didn't take him, he left the game
on his own terms when he had had enough. As we always knew he would

An extraordinary boy in every way and his courage and dignity were
outstanding.

His funeral will be at Guildford Cathedral next Saturday morning, December
9th, at 10am. I would implore those of you who are able, please to come;
there will be no memorial service later on; Michael planned his funeral down
to the last detail and in a way it is his own memorial to himself. I know he
wanted as many of you as possible to be there - you have walked this journey
with him and I think Graham, Christopher and I need you to help us walk the
last few steps together.

Family flowers only, please, but we would welcome donations to Michael's
fund at the
UK Brain Tumour Society,
c/o Fiona Redpath-Potter,
22, Hunter Street,
Rugby,
Warks CV21 3NS

or at the HQ which is:
UKBTS,BAC House,Bonehurst Road,Horley,Surrey, RH6 8QG

I can't thank you all enough for everything which you have done for us and
for Michael-
but you know all that, don't you?

24th November


At last we are back on line after a most difficult move.

The new house is lovely and Michael was very happy in his 'penthouse'
bedroom, livingroom, bathroom and WC) despite his visual problems.

Unfortunately last Wednesday he had a brain haemorrhage, and probably
another on Thursday. We transferred him from the local hospital to the
Marsden last Friday, by which time he was confused, disorientated and very,
very angry. He has almost stopped speaking to us which is partly the fact
that he doesn't have the energy and partly the disease, which is making him
difficult and quite aggressive. All he kept on saying was 'Want to go
home' - over and over again.

We finally got him home on Tuesday, and I think he was pleased to be back,
at least with his cat if not with us. I won't upset or frighten you with
what went on in hospital but I can give you an idea of the situation now.
Michael is, we think, blind now - or at least his vision is so vague that it
isn't any use to him. Even with one eye patched he is seeing double, triple
or who knows what. But worse than that, he has no concept of time or space.
He can fumble his way to the toilet door, and despite his huge fragility he
slams it in the face of whoever is trying in vain to help him. Then you see
the door open and have to stand by as he repeatedly bangs his head into the
wall because he can't understand how to turn himself round to come out
through the doorway. If you touch him he pushes you away and tells you to
leave him alone, he can manage. He remains fiercely independent despite
being so weakened. He is dehydrated from lack of fluid and vomiting, and
despite everyone's best attempts to regulate the pain relief we are lurching
from crisis to crisis, continually upping the basic morphine dose whilst
still needing to give emergency injections when the breakthrough headaches
come, which are sudden and acute, and each one with the unspoken threat of a
major bleed and sudden death. The paranoia is not so obvious now but he is
holding us all at bay, and I find this deeply hurtful and distressing
although I KNOW it is the disease, it ISN'T Michael.

I am trying to hold on to two pictures. Last week in the hospital before the
paranoia began, Michael was euphoric and kept asking for Christopher.
Christopher came to the hospital and Michael kept on saying how glad he was
to see him, how special it was for him. Finally, after holding tight to
Chrissie's hand and watching him carefully for a long while, he asked
Christopher to get onto the bed and lie next to him while he went to sleep.
We turned out the lights and listened as the two brothers talked quietly
about the puppy, Christmas and being together. If Michael had slipped away
that night we would all have been at peace.

After this awful week, yesterday Michael managed to get out of bed and was
sitting in his living room 'watching' the video of 'You've Got Mail' which
he loves the music of. He let me sit with him, a huge leap forward for me,
and we were companionably side by side. He hasn't volunteered a single word
for a week now, but he did give one word answers to a couple of questions.
After a while I left him in peace. Then I heard him coming downstairs - a
huge undertaking for him, taking a long time, as he can't see and doesn't
really understand what stairs are anymore. He arrived in the living room and
held out a tube of white chocolate buttons. I took it and opened it. There
were two left in the bottom. 'What are these for?' I asked.

'You and me'.

You won't be surprised to know I cried.

But maybe God is trying to tell me that my little boy is still in there
somewhere, inside this person who looks like Michael but isn't anymore.

Have just gone into his room - the CD of You've Got Mail is on. His eyes
are shut but his mouth is moving to the words.........

Christopher gets his puppy tomorrow. Are we mad? I think I might be.

8th November


Michael just isn't well at the moment and being with him on my own,
especially when he is at school and I am teaching but I know he is in the
building as well, is very stressful. Graham finds the same. Plus he is
disorientated and confused very
often, which is distressing not only for me but I suspect at some level for
him too. We have been to the hospital today and have been told that we can
expect him to lose his remaining vision in the next few weeks, and that he
could become physically very helpless- needing to be fed, unable to move or
communicate much etc - but not in a
life-threatening way , and so could remain so for some time
before moving into the last phase of his life. This does not thrill us
greatly to say the least, but we are as ever dealing with one hour at a
time. There has been a lot of coverage in the UK of CJD victims and it
reminds me rather of that.

But there are lots of good times still; his school friends are brilliant
with him when he goes in for lunch and they escort him about willingly and
with good heart. He has been advised to wear an eyepatch to help get over
the problems of double vision, so with his scar and baldish patch he looks
tiny but VERY mean! He is talking less but we still get the occasional
flashes of Michael smile; he loves to listen to music still - he can feel it
in the very centre of his being. We took him to the opera last week and
although he couldn't really see it or follow the plot, he was obviously
moved by the singing.As he was when we took him to hear his brother sing at
St George's Chapel - it was all religious music which he had sung as a
chorister so recently and his eyes were closed but his lips followed the
words throughout.

6th November

At the moment Michael is becoming more vague day by day. He can't remember
many nouns so everything is supported by masses of arm waving as he tries to
'draw' what he wants to say. I showed him a picture of an elephant. He told
me he could 'see' the word in his mind but he can't read it, of course. He
knew there was a letter in the middle with an upward stalk (h) after one with
a downward stalk (p), he knew it had a long (arm wave) and two (arm wave
again) on either side of the first (arm wave) , and could even tell me the
difference between ones from India and ones from Africa........it would be
fascinating if it wasn't so AWFUL.

He's going into school for an hour a day to see his friends, but is losing
sight fast now. So soon he won't be able to make himself understood or to
see, and his memory is so bad he can't think of things anyway. He is,
though, SO peaceful and serene that he is lovely to be around.

We went to see the Keeshond puppies again yesterday; we'll
collect ours after the move. To see him burrow his face into the fur and hug
a small bundle makes the hassle worth it. If he can't see he can still FEEL,
and you don't need a big vocabulary to hug a dog.

 

 

 

 

24th October

 

Went to Southsea today, not very crowded and Michael seemed to cope better. He played the slot machines and enjoyed them, although he lost, like we all do.

 

He also seems to be coping well with the new chemo tablets.

 

 

23rd October

 

We ARE back from Paris early. And I don't think I will ever go again.
Eurostar was fine but by the time we got there Michael was exhausted, so he
had a sleep in the hotel before we set off ( by taxi) for an evening look at
the Arc de Triomphe and supper. We walked round the bottom of the Arc and
watched as the police prepared for a military parade, discussed the Tomb of
the Unknown Warrior and admired the traffic jams. Then we crossed back to
the Champs-Elysees and went into a brasserie for supper, as Christopher
hadn't eaten for at least 45 minutes which meant starvation was a real
worry.

'Pizza, pasta or omelette, Michael?' I asked. Silence. Michael was looking
at me as though I was speaking in Martian. He'd put the menu to one side
because he couldn't read it. 'What's an omelette? I've got a feeling it's
something I used to like but I don't know.......'

Christopher was sitting next to Michael and I was aware that what happened
next was going to be hugely important. Graham ( my husband ) and I realised
that not knowing WORDS was a new symptom and both our brains were in
overdrive as we tried to get our heads round that.

On the opposite side of the table, Christopher moved smoothly from the role
of little brother into the new role of protector. 'Well, I can tell you that
you can make omelettes and they are very good. You always use 2 eggs and
butter..........' and he chattered on, rescuing the situation and at the
same time changing the family dynamic for ever. Two minutes later the parade
went past the cafe window. 'Look, Michael, they are going to the Arc de
Triomphe!'

'What's the Arc de whatever you said?'

As we left, Christopher realised that Michael's eyesight had taken a turn
for the worst again and put his hand through his brother's arm and gently
guided him around the French masses. When we got back to the hotel, it was
Christopher who realised Michael couldn't find the light switches and gently
and unobtrusively put the lights on when necessary, and equally quietly
propelled him away from the bathroom door when he actually needed the
bedroom door, etc.

We got to the Louvre yesterday morning and he saw the pictures and
sculptures he had been waiting top see. But by yesterday afternoon he was
quite distressed by the people, by his inability to recognise any of the
signs ( even tho' he can't read any more, he can recognise things - but
obviously not in another country), by his tiredness...... Finally last night
we decided to bring him home, and this evening he seems much brighter. So we
are starting the VP16, 24 hours early, and hoping like hell it brings some
short-term relief.

He can't identify colours any more, though he knows what they ARE. He just
can't match the name to the colour. He can't remember much about Paris and
indeed I expect tomorrow he might not remember we went.

Meanwhile, I am ashamed to say that I went into Notre - Dame yesterday and
for the first time in my entire life wasn't sure that there was anyone there
listening to my prayers. I don't know how anyone gets used to the idea that
they are moving from a family of four to a family of three. But for the
record, my 11 year old is a boisterous, rumbustious, affectionate,
maddening tomboy with the voice of an angel and the mischief of a devil
however well he behaves when he's singing in Chapel!!) and as he shot down
the banisters outside Montmartre on his stomach I screamed at him. When I
caught up with him I said to him 'I can't BEAR to watch you put yourself at
risk like this! Not now! '
He looked at me, straight in the eye.

'I noticed', was all he said.

 

19th October

 

We saw the neurologist this morning, and she was clear from the beginning of
the session that she was dealing with a large area of new tumour, quite
separate from the original tumour site. Apparently there was a large case
conference this morning and everyone concurred. It would seem that at some
point there was doubt ( before the scan, when I first told them about
Michael's visual
symptoms) and they thought it might be anxiety-related! Unbelievable that
anyone could think that Michael
should decide he couldn't read on that basis, but anyway.......

So the long and the short of it is that we are dealing with a fairly
swift-growing recurrence.
The 'good' thing about it is that it can grow a fair bit more without
causing headache or other distress, other than to his vision, which he may
well lose altogether - and that could be a very swift decline. So there
should be a reasonably lengthy period before it gets into the rest of his
brain - but, of course, with gbm no one really knows. What WAS clear today is
that Michael has lost a significant amount of vision just since last
Thursday.

From all this, well, the endgame is now certain. We are probably talking a
matter of months, but how many no one can possibly say. He will hopefully see
this Christmas but after that we don't know. The Professor wasn't
encouraging us to buy him a birthday present. His birthday is in February.

Michael himself is subdued and white-faced. We discussed treatment options
which are:
1 to do nothing at all, or
2 to take a course of palliative chemotherapy. This will be a course of
low-toxicity chemo ( atopa - something??? with another - must look at the
pills when I pick them up tomorrow and then I can tell you) which will
possibly dampen down the symptoms for just a short while - weeks - and give
him a little bit of respite in terms of 'quality time'.

We asked all the questions about other drugs, and any trials for which
Michael is
eligible, and everyone who has met him agrees that for him, it is quality
not quantity of time which will matter to him now. What has been agreed is
that we will a psycho-neurologist who can identify the precise areas of
brain which have lost function and then try to help us to work around them,
so that Michael can still find some way of dealing with the written word and
music for a bit longer. The longer he can go on playing the cello, the
better.

We are advised to go off to Paris for 3 days as planned on Saturday, which
we will do. I can only thank God we had such a good summer holiday.

Before you good friends all hit the 'reply' button with lots more treatment
ideas, we have talked over the last couple of weeks to some of the best BT
brains around in Europe and everyone is agreed that Michael's personality
combined with the way the tumour is growing and affecting his music and
reading ( his only real loves ) are such that to put him through long drawn
out chemo with the same result isn't in his interests. And he agrees.

So we enter a new phase, but this time the end is clear, and is coming into
distant but obvious focus.

Please pray for all of us tonight because the future looks so desperately
sad.

 

12th October

 

To cut to the chase, no one can agree on whether or not it is tumour. It was
rather like that speech from the 'Mikado' where the Lord High Executioner is
deciding whether or not to cut off his own head and every sentence begins
with, 'But on the OTHER hand.......'. The trouble is there are two problems
which at first sight are unrelated; the first is a large new area of
enhancement on the scan on the OPPOSITE side from the original tumour and in
a different part of the brain (white matter rather than grey), and the
second is the gamut of neurological symptoms which have suddenly developed
over the last 2 weeks, which have now left Michael unable to read words or
music because although he can SEE the letters and notes, his brain cannot
make any sense of them at all. Interestingly, he cannot tell the time from
an analogue clock or watch, either.

So this is the problem:

1) When there are such serious symptoms after brain tumour treatment, the
first thought must be that it is recurring disease

2) The first course of action is an MRI

3) After the MRI , if the disease is obvious, it is treated

4) If there is NO sign of disease, then the symptoms can be regarded as
radiation damage

5) In Michael's case, the MRI DOES show significant change in an area of
earlier concern, where the earlier decision was eventually not to operate
but to 'wait and see'

6) BUT the area of concern is not typical: it isn't an obvious mass and,
more significantly, it is not in the area which is responsible for the
symptoms Michael has got.

7) Even if we regard it as radiation damage, firstly it is pretty much
unheard of and secondly it doesn't address the VERY real problem of what the
area of concern actually IS.

So we have to see a neurologist ASAP, hopefully in the next couple of days.
The neuro-radiologist inclines to the view that it is disease, the
oncologist to the view that it's radiation damage and no one apart from Eric
in Canada thinks it might be chemotherapy damage.

Whatever, we don't know if it's permanent or reversible and meanwhile
Michael himself is becoming lower and lower. He is far more tired and
lethargic, very spaced -out a lot of the time and running out of patience
with the whole thing. The only solution is to see a true brain expert, have
another barrage of tests and see what the conclusion is. The absolute last
resort will be to have a brain biopsy. The ONLY thing cheering him up at
the moment is the prospect of going back into school for just a few lessons,
armed with dictaphones, amanuenses and people to stop him getting lost. This
is way above the call of duty for the school in many ways, but for Michael
it represents a real vote of confidence in him and in the chance of him
having a future, and he is determined to crack it somehow. But not having
any answers today has really upset him again, and I can appreciate that at
times he wonders if the medics have any ideas at all as to what is going on.
All we can do is hope this appointment is soon AND conclusive ....

But this evening he's decided he'd rather be a duck. I expect the next
update will be winging in from Birdworld.

 

 

 

 

 

6th October

I don't really know where to start. We have seen Michael's scans, and the
area in the lateral ventricle that caused a little concern last time has
changed quite dramatically; at the moment the neuro-oncologist is not
absolutely whether it is further radiation damage or new tumour.

He has told us that the symptoms Michael is having, which are getting worse
each day ( memory/double vision/ balance problems plus a tendency to do
strange things eg switch off a light by pressing the door handle) are not
explained by the situation of this new area.

He feels that a straightforward tumour would show a mass and that swelling would be evident behind the optic nerve, whereas this is more like an area
of infiltration - and that, as we know, is one of the delights of gbm. Therefore he is consulting with the neuro-radiologist and the radiologist who did the treatment, as well as a neuro-surgeon, to see if it could be radiation damage. He has told us that tumour is the more likely option, for which surgery would probably not be the answer, and chemotherapy might not,
either. He told us that from the look of things and from reading about and meeting Michael, his overriding concern would have to be providing a decent quality of life for the remaining time available.

So we wait for another week while he gathers the information he needs, but in the meantime he was more than happy for us to forward the scans to Canada to Michael's previous consultant, and I await FedEx as I am writing this. So still a small straw to cling to, but realistically this is not good, and as he said, even if it were not tumour, the symptoms Michael has are not going to be easy to live with.

We have decided, therefore, to see if the hospital school would be prepared to take Michael back ; he needs to be free from pressure but still to see
his friends. And we will try to keep him playing the cello while he can.

In himself, he is mildly euphoric; we had tears this morning but at the moment he is planning the best way to maximise his remaining time; the words
'Ferrari' and 'Harley Davidson' were bandied about at one point. For some this is black humour taken to extremes; for he and I ( but emphatically not
Graham) it is a way of saying what we feel we need to say in a 'safe' way.

What he does feel is that he doesn't want to suffer or to be gradually and increasingly disabled. Whatever turns up next week, we have to respect that. And we will. IF - and it's still if - this is new tumour, then we will go for a short but glorious burst of life over a long drawn-out battle if
that's what he wants, even if it's hard for us. Watch this space - Michael said way back in January that if it came to it he would go down with all
guns blazing..........


4th October

One piece of good news; today we met a lovely Italian paed. neuro-onc who's
come over from Italy until a replacement can be found for Eric. He was very,
very nice and had actually read ALL Michael's notes - very refreshing. He
did all the neurological tests; he can see something behind the left eye,
but said that could be a relic from surgery. He could see that something
wasn't right, but he said that the symptoms ( or combination of them) were
unusual and he couldn't immediately point to what is wrong.

The bad news is he feels the most likely explanation is a new tumour, and if so it must be moving at a fair rate because Michael is worse today than
yesterday, worse tonight than this morning he has just crashed into the toilet door; he can see it but can't seem to work out how not to walk into
it.

This neuro-onc will go and look at the scans straight away ( hallelujah!) and tell us what he thinks, but he did say that one possibility is that the
tumour is diffuse and small bits are blocking, for example, the optic nerve. He didn't want to put Michael through a CT scan today; he started him back on our old friend Dexamethasone in the hope that it might reduce any swelling, and meanwhile we wait. No guesses as to treatment options because there are no guesses as to what is going on.

The move is precarious; the people at the bottom of the chain have decided to start messing about, but our solicitor is getting tough and pushing for Nov 1st come what may. I had decided to abandon the puppy idea altogether but am being told to wait and see what evolves over the next few days.Probably very wise.

Michael looks thin, sallow and ill. He's very very docile tonight - he doesn't want to talk and I'm not sure that he realises what is going on, in many ways.

He's still sparky, though. We had to have some bloods done today and Lynne, the nurse, uncertain of what sort of tests we were having, walked over to him and said,'What's it to be today, then, Michael?'

Michael furrowed his brow.
'Well,Big Mac and double fries, if you're paying!'

30th September

A bad news day here, I'm afraid.

Michael has started to see double most of the time, can't walk in a straight line and is drifting through school like an alien.

I looked out of my teaching room at midday to see him lurching into the wall, over and over, on his way to the music department. I went out to talk
to him and I could see he wasn't sure who I was at first. I held up 2 fingers and said 'How many fingers, Michael?' He said,'3 on THAT hand, and
one' gesturing into open air 'over there'. This went on for a bit - so I got on the phone to the hospital. His teachers from this morning said he had been spaced out all morning, able to argue the rights and wrongs of separating Siamese twins but not able to read a short sentence. He tried to switch off a light this morning and ended up pressing on the hinge of the door 8 inches away.

The hospital told me to bring him home for a rest and to take him up to see the neurologist tomorrow morning. They can't bring forward the MRI but they could in extremis do a CT scan - not that that will tell them much. It's possible it's intercranial pressure, but he's got no headache and he doesn't
feel sick - patently since eating 4 Mars bars a day
We are being told to prepare for the worst.

I can't believe it.

28th September

Things here are not so good at the moment. Michael has become very tired,
which I would expect after 3 weeks back at school full-time, but more than that he has started to have trouble reading and writing words again; sometimes he writes down a word and then realises it is nothing at all like the word which started out from his brain to travel down his arm.

Now his memory seems to be impaired; he has been found several times wandering in the corridors, unable to remember where he should be. Yesterday his form tutor found him and he couldn't remember whether he was on his way TO a piano lesson or on his way BACK from it.

Now, today, his eyes have started to slip in and out of focus. He is still going to school and trying to keep up with GSCE work; he enjoys being with people and seeing his friends, and, indeed, being 'normal'. In a way it only works because I am on the staff and everyone is therefore aware of the situation - plus I am on hand if needed. I don't know if I'm doing the right thing or not; the hospital agree that he needs another MRI ( next Thursday -a week for the results, though) and unfortunately today we found out that his Tegretol level is normal - I'd kind of hoped it was that that was the problem. One doctor told me that it couldn't be radiation damage causing the problems because the treatment was too localised.

Well that's not what our consultant told us - but of course he's now in Canada and we have no BT expert on hand. I am already planning on sending these MRIs out to someone but I have to say that I am worried. If it ISN'T radiation damage then ............ and yes, I've always known the odds but we've had such a lovely summer I kind of hoped we'd have a bit more.

Mind you, he went for a complete change of scene last night and had his first-ever golf lesson. One of the other teenagers asked him what the (still - bald) patch on the side of his head was for. 'Well,' says Michael, 'Put it this way - don't upset the instructor.....!!'

 

September 23rd

Oh dear - a whole month has gone past, for which I apologise wholeheartedly.

Michael is back at school full-time since September 7th. We are still reviewing this, because he has been unbelievably worn out by it. Of course, who ISN'T tired at the beginning of the school year, so I haven't jumped in too quickly, but after his first games lesson in which he rather foolhardedly decided to set off on a cross-country run, (!), we have decided that maybe sport is best left alone for a little while. On the other hand, he is about to start a course of golf lessons, which will give him a little bit of physical exercise and allow him to go out with Graham sometimes.

The problems which are worrying us at the moment are that he is finding it so hard to write. Even the shortest piece of homework takes him hours, and frequently he will write an incorrect word - sometimes a wholly inappropriate word - and not even notice. Occasionally his spelling will be bizarre to say the least, and, even more alarming, he is starting to misread words. Again, sometimes a totally unrelated word comes out. He has also begun to lurch to the left when he is walking. This might be a reaction to the Tegretol again, just as it was when he began taking it back in February, but at the moment we are not sure. The hospital have done blood tests and we have to wait for the results. His friends seem very pleased to see him back, but now that he is in his GCSE years, the form all go off to different lessons. This can be a problem for him, since several times he has forgotten where he is supposed to be, and if he then can't remember what day it is he can't even locate himself on the timetable! The staff are all being very good and patient and they know if Michael doesn't turn up that they ought to go and find him! On the other hand, his cello playing seems OK. He's back at Youth Orchestra and is planning on doing Grade 8 next term.

A lot will depend on the result of the next MRI, which is on Oct 5th. We don't get the results till Oct 12th because we don't have Eric to read them for us. What we have to find out is what has happened to that large white patch that was on the last MRI. We hope that it is radiation damage - but this week we were told by the registrar ( STILL no sign of a replacement brain oncologist for Eric ) that Michael's strange symptoms couldn't be radiation damage because he wouldn't have any. I hope she is as wrong as I think she is - because if there's no radiation damage then what the hell IS that white patch? Rather a lot hangs on that result.

The thought of all this stress and still no house move provoked Graham into booking us a few days in Paris for halfterm. Michael really wants to go to the Louvre, so we thought we ought to do it now. Naturally, within 4 hours of booking the hotel and train, we sold our house to a man with a firsttime cash buyer behind him who wants to move in within the next 6 weeks - ie right after halfterm!

 

This put us into a bit of a doo-dah, but we have now found a lovely house in Woking with a huge garden, even if it is not ideal downstairs, and so peaceful that we have decided to go for it. Those of you with astute memories will realise that the puppy is due to arrive that weekend, too. The pups were born 2 weeks ago but tragically they were born too early, and all the dogs have died. I thought that maybe there was a paster plan to all this, but apparently the breeder has connections with a litter in Jersey, and has given us first refusal on one of these if we can get our move tied up in time. Now that Michael is off chemo and his blood counts are going back up ( at LAST 0 he can really look forward to the puppy, who is possibly going to be called (remember at this point that we have a cat called Jake) ELWOOD - on a mission from Dog. Only Blues Brothers fans will be giggling at this. If you don't think much of that as a name, I have had to veto Christopher's choices of Psycho and Vomit, though he still favours Rebel.

Christopher went back to school happily and has made a good start into the term, singing a couple of solos and even singing a solo on the new St George's Christmas Carol CD!!!!(available in all good Woolworth's at the end of October, folks). However, he was VERY unhappy to find out that we had bought a house before he had even seen it - quite rightly, since I had promised him I wouldn't do that. Sadly life didn't work out that way and within 48 hours we had accepted an offer on ours and found another. So I'm trying to treat him very gently.

Next update Oct 12th, I promise. Meanwhile, anyone who's a whizz at packing, unpacking or puppywalking please get in touch asap. I won't lie, Michael is NOT doing as well as we would like, but realistically he's a hell of a lot better than he might be. Oh, BTW, he has been asked to share a platform with some very worthy people to address the first-ever UK Brain Tumour Society meeting in London on Nov 6th. And I bet he'll be terrific. What we are praying is that this deterioration is not the beginning of a long slide. Fingers crossed. - and please pray for him on Oct 5th and 12th.

August 26th

We're back!!! And we have had a WONDERFUL holiday. Michael coped better than the rest of us with the heat overall, and remained really very well until the last couple of days. I could bore you for hours with all the details, but essentially we have had a complete break and I really think we all forgot about illness altogether. Michael used a wheelchair to get around the Theme Parks, and to be honest that was very sensible with 100% humidity on many days and a temperature that never fell below 90. He was most unhappy when Christopher was pushing (!) but apart from that he accepted it well. The Disney Corporation have got all this off to a fine art, and we had preferential treatment on nearly all the rides, although even when we didn't ( at Universal Studios, for example) the queues weren't ever very long. The longest we queued was about 20 minutes. Most rides had a separate wheelchair entrance, and the fact that Michael was able to walk meant that he was able to experience all the rides properly once we'd parked the chair. Christopher and my friend Andrew made a pact to try out all the thrill rides, and to my amazement that is exactly what happened. Christopher has been on rollercoasters that made me sick just looking at them. You wouldn't believe the video footage we've got! And after all that, he was still able to eat his way around Florida.

The first ten days were very tiring - we spent three days at Disney, three at Universal and one at SeaWorld, with a day at Cape Canaveral as well, plus one day at a water park where the others conned me into going on a white-knuckle water ride, clinging on to a raft for dear life - and remember, I can't swim . The water was only about 6 inches deep but that's enough for me!! Each day was different but we all learnt lots ( especially at the Animal Kingdom and at the Cape ) as well as having fun. But by the end of the 10 days we WERE worn out, and we were relieved to arrive at Marco Island. We had a palatial house, even by USA standards, with a pool and our own private jetty on the inland waterway at the end of the garden. Even more exciting, outside the front door were three nests for burrowing owls, and a hoghlight of each day was to see the owls sitting on the posts by their nests ( they were roped off as the owls are protected) watching us. Michael has taken 10 rolls of film with his SLR over the whole holiday, and the wildlife provided much material. We took a tiny boat trip to go shelling, and to our delight we were joined by a couple of dolphins and a manatee. Michael was in his element taking pictures and collecting shells. Christopher was in his in the pool and the sea, not to mention the fact that we had the largest TV in the world in the living room. More like a small cinema, really. However, he was feeling the lack of thrills by Wednesday, so he, Graham and Andrew hired a waverunner (Jetski) and set off into the wide blue yonder as I manned the video and wondered if they'd get back in one piece. Michael didn't want to go, and he sat on the beach very quietly until he suddenly complained of a stranger smell inside his head and a very dizzy feeling. It passed quickly, but once the waverunners had returned we took him home. The next day was our last day; we drove back to Orlando and spent the afternoon at DisneyQuest, a virtual reality centre where Christopher designed 3 rollercoasters to his own spefication - and then got in a simulator and rode them. Yes, THREE . I watched the simlator rotate through every plane imaginable - often several at once- and I still don't know how he ate pizza afterwards. We then went to the airport; Michael had a bad headache on the way home, but hopefully that's just the pressure in the plane. None of us wanted to return - we really have had a lovely time.

 

Michael went to the Marsden with jetlag…. He started the final chemo while we were in Marco Island with no side-effects, but today his platelets and white blood count are the lowest they have been. He's still painfully thin - he looked like a starving refugee on the beach in his swimming shorts - but he is very brown and looks extremely well, so things aren't so bad!

August 3rd

We went to the Marsden today for a pre-holiday check up and to see how things were going. We met with the Head of Department, a very kindly man with a lot of knowledge, but for Michael just not the same as Eric. The plan is to do a last round of chemo, then an MRI at the beginning of October and basically after that to sit and wait. Obviously this is not quite the same approach as Eric's, and the differences between the continental way of dealing with gbm and the UK way are becoming more apparent. However, we did find out that this week Eric's job has been advertised. Oh well. 

July 23rd

Sorry, folks, -it's been a long time. And we have been very busy. Michael is now halfway through the 3rd course of PCV with no side-effects, thank heaven. His hair has grown back everywhere except over the actual site of the tumour, and even there, there is some sign of a little hair returning. So that helps him to feel a bit more normal. He has had an exciting time since I last updated. I wanted you to know that Michael celebrated being a six-month survivor of a glioblastoma in style!

Christopher's school, who were performing their end-of-year show in Eton College's theatre, had kindly asked Michael if he would nominate a brain tumour charity to whom the School could donate any profits they made from
ticket sales. Michael decided on the UK Brain Tumour Society, a charity just over two years old dedicated to funding research in the hope of finding a cause and a cure for this awful cancer . John Redpath, the Society's Chairman, came down to Eton for the evening armed with folders containing information about UKBTS, its aims and plans for the future, and on the front of each folder was a purple ribbon on a safety pin which will be the symbol of the charity in the way that pink is for breast cancer and red for AIDS .Michael and John stood in the foyer handing the folders out as the audience arrived - to much greater effect than Graham and I, I have to say. John is a
big man and Michael is a small boy and I think people were drawn to the two of them by the force of their determination to get people to understand about UKBTS. I was moved to see people pinning on their ribbons after
talking to them.

During the interval we were invited to meet the guest of honour, Princess Alexandra, her husband and other dignitaries. Michael talked to them all and answered questions with gravity, dignity and great honesty. I think the
Princess was quite taken aback when she asked his favourite school subject and he said 'Religious Studies'. She asked if he was religious and he said, 'Well, I am a Christian but I enjoy studying other religions and I'm very interested in philosophy.' They discussed that for a while before moving on to music and his cello playing. She was delightful. At the end of the concert, she went up onto the stage and Michael presented her with flowers. I think he got one of the biggest cheers of the evening. Then John made a short speech about UKBTS and the Princess then presented them with a cheque for £2000!!!! Graham and I were quite overcome - we never thought when this was first discussed that Michael would be well enough - or even here - to do this. He was a credit to himself, to the charity and to cancer sufferers everywhere and we were SO PROUD of him. Boasting - but I don't care! And then the next week, he got a handwritten letter from the Princess - handwritten envelope included - which he will treasure, I'm sure.

Anyway, he hadn't finished there - Michael managed to wring another £120 - about $200? - out of the hospital
school parents this week. There was an art evening with refreshments at the hospital school, and Michael sold purple ribbons. After that he played the cello, and that combined with the profits from food and drink managed to
raise a little more. it all helps!

Meanwhile, Christopher has also been mixing with royalty. In his case, 12 of the boys went to sing to the Queen Mother for her birthday in a private party at the Queen Mother's house in the Great Park. They met her 2 corgis ( stars of the pageant on TV ), had refreshments and were shown over the large summer house given to the princesses 60 - odd years ago in the garden. Apparently she was lovely to the boys and they certainly liked her. Then Christopher went on to win the 400 metres at Sports Day and the Middle School Art Prize on Speech Day, so that cheered him up a bit. It is hard for him because, obviously, everyone always asks about Michael. Similarly, a friend of ours knows Doug Naylor, writer of Michael's favourite TV series 'Red Dwarf', so Michael has ( to his absolute ecstasy) been given some Red Dwarf Tshirts, books, posters and even a mug and watch. I think Christopher is sometimes quite wistful about it all -especially as , at the moment, Michael looks perfectly healthy and well. It is hard for other people to understand, and for us to explain, that this disease can return and devastate his brain at quite literally ANY moment. And we can name quite a few children to whom just that has happened. We have to live for today.

We had an offer on our house last week - not as much as we would like, but better than nothing. We had found another house but OUR buyers have to find a buyer for THEIR house before we can confirm anything, so if someone else gets to the house we want with the cash first - then it's back to square one again. Graham has been on the QE2 cruise liner in Scotland for 2 days this week watching the Open Golf Championship. Corporate hospitality (corporate hostility as I call it ) so he's now sun burned. Ha ha ha. He continues to massage his dodgy finger and it continues to hurt, but the surgeon won't operate while we're all in trauma here. Unusual for a surgeon not to be taking money from someone?!

I hope this VERY long update will mollify all those who have been bombarding me with emails asking what's going on!! We go away on August 4th. We'll have to visit a hospital for blood tests, but I truly hope that it'sONLY for blood tests. I'll TRY to update before we go - but otherwise you'll have to wait till the end of August. Still - remember, no news is GOOD news!!

July 4th

I took Michael to school this morning, and phoned the hospital to ask who I should take Michael to see; what was the next step etc. As I was driving home, I got a call on my mobile from the outreach nurses to say that they
had checked the Day Unit and the MRI was up and running - and it was worth me giving them a ring. So I pulled into a lay-by and phoned them and was told if I could get Michael to the hospital by 10.30 they'd scan him. I
turned round, shot back to the RGS, picked him up and hared up the A3, getting to the Marsden at 10.33. Michael heroically had a line put in with no local anaesthetic to save time, and we got to the MRI unit by 10.40.
It was a long lunch hour, but we saw the consultant at 3.00. The amazing news is that the 'suspicious white blob' that we were told would DEFINITELY be on the scan today has HALVED IN SIZE and is only just there ( according
to his inexpert eyes - we must wait for next week's written report before we're sure.Look what happened last time). The consultant told us that no neurosurgeon would operate because there's nothing significant to operate on.

Now for the strange bit. We were absolutely delighted, as you can imagine, because we have been fearing the worst and our emotions have roller-coasted in the last 24 hours, never mind the last few weeks. But the consultant was
strangely subdued; he has given us a copy of the scans which we are being encouraged to send for a 2nd opinion - though what on, I'm not sure. He told Michael that there are significant changes to the brain visible on the scan
which have been caused by radiation, and that he should expect to find next year's exam results not as good as last years; that he will develop slowness of thought which will need to be accommodated with extra time in exams.
He also told Michael again that he cannot guarantee anything; that in the UK, treatment for high-grade glioma is palliative rather than the aggressive approach often found elsewhere; and as Michael himself said, the tumour may
not be present in a mass at the moment but the most likely scenario is that it will return and at that point there will be nothing more that can be done that would do any more than try to buy some time.

So once again, no champagne by request, please. But for now, we can have our holiday without brain surgery ( look out Mickey Mouse, here we come!!!) , Michael can plan his puppy and we can relax that no one thinks our house is
worth living in because we have another couple of months' grace. It's 6 months since Michael became ill, and that amount of survival is in itself a mini cause for celebration. I know the consultant was amazed that the 'blob' has become smaller. I don't know if that proves it is tumour rather than scar tissue; can anyone tell
me, does scar tissue on the brain shrink? I like to put it down to the power of prayer of the huge number of people wishing Michael well. For that we can't thank you enough. We still can't guarantee he'll be here for Christmas, but he's here today and tomorrow and for the Summer, God willing, and we are going to try and enjoy every last minute of it. 

July 3rd

Just a note to tell you that we had a phone call at 5.30 today to say that the MRI machine has crashed, and it won't be fixed for at least 24 hours.Therefore Michael's scan tomorrow has been cancelled.
You can imagine how we feel. This is very bad news for us because his consultant leaves tomorrow and won't have seen the scan. I spoke to him briefly this afternoon, and he told us that he knows he is in the minority
in pushing for more surgery on Michael and he will let us know who in the States we should approach for advice.

More to the point, I have to see who will be taking care of us now, when we can see that person and how it leaves the chemo. PCV is a 28 day protocol and we leave for the State in 31 days. Do we start chemo, do we wait for the
scan, who will help us make the decision and how long will we have to wait for the results of the scan when it happens? This sounds like the cliffhanger from a Dick Barton radio story. But Eric looked at the scans on
the same day - I have no idea what will happen now. Michael is like a punctured balloon. And he hasn't even had the chance to say goodbye to Eric. Just for the record, despite this he walked onto the stage 2 hours later and played 'The Swan' absolutely beautifully. Attaboy. 

June 21st

We went back to the hospital today. Michael's blood count seems to be much better than last week, which is good, and we were able to have a chat with Eric. He said to Michael, 'I heard that you were very cross with me as I am leaving' - in such a way that meant Michael couldn't be cross even if he wanted to be! He also said that his last clinic is actually July 3rd, but he is coming in on July 4th to see Michael's MRI ' so the very last dictation I shall do will be for you!'. The less cheerful thing is that he seems very certain that whatever was on the last scan will still be there, and he feels that we should then push hard for it to be removed. The scan will probably be sent to the States for another opinion but he obviously feels strongly about it. He asked when we are due to go to Florida but he didn't seem to think flying so soon after a brain surgery would be a problem. Possibly not but then he won't be on the plane panicking with me!!

At the moment I can't begin to think about it. We have to wait and see what shows up, Michael seems not too bad - he passed all his exams ( except Chemistry, which appears to have been so bad it wasn't even marked…) but since he hasn't had any science lessons at all since 1st December I suppose I should be grateful he got 60% for Physics and Biology. Imagine how well he'd have done if he'd done some work! He is still very tired and the hot weather did nothing at all towards his recovery. He does seem to be slowing down a bit, but that's probably a combination of all sorts of things. He finished the 2nd course of PCV today, so I will watch carefully. This is when he started to feel so ill last time and now we are weaning him off the steroids. The next update won't be until after the MRI. Please think of us at 10.30 on July 4th!

June 12th

I think maybe things have been a little bit better since I last updated you from the point of view of how Michael is - and worse from every other point of view. He is back on the chemo, but as a result of juggling the timings of the medication and the anti-sickness pills, has managed without any vomiting! He is still feeling sick a lot of the time, but he is keeping his food diary still, and he is managing to graze on crisps and things during the day even though he doesn't often eat what you or I would call a meal. Last night he ate a whole pizza, though, in a restaurant, no less, so that was a big plus for the week. Since being back on the steroids he is definitely much more cheerful and positive about things, and although he is still getting very fatigued he is able to do much more than previously - including school exams, much to his chagrin. He could have done more work than he did ( by a factor of several hundred per cent ) but those of you who know Michael at all well will know that he has always been a lazy toad. However, he is also a very intelligent lazy toad who won't let a chance of a good skive pass him by!!

His hair is now visible on most of his head, apart from over the tumour site which had by far the most radiation. There is a chance that it might never come back there - but since 'never' might not be a long timescale we won't worry about that yet. Today he nearly gave me a heart attack in the car on the way to school. He suddenly felt 'that funny feeling' from the very beginning of all this in December. Thank heavens it was only for a split second, and not accompanied by strange smells or noises like before - and probably nothing at all - but it makes you stop and think for a minute. The scan is three weeks tomorrow and such a lot rests on it.

Yesterday was Christopher's day, though. He was confirmed at Evensong at Windsor Castle. The sun came out, the music was wonderful and Christopher's family and close family friends were gathered together to make a fuss of him. It was lovely and I think he really enjoyed it. Michael struggled to keep awake throughout the service, but at least we were all there - another plus. The next big occasion is the concert at Eton on July 7th - Michael has been asked to join the drinks party in the interval to talk to Princess Alexandra, and I think he will prove to be an excellent ambassador for the Brain Tumour Society. Hope he doesn't drop the bouquet at the end of the show…!

Tomorrow I take Graham to the hospital to see the plastic surgeon about having this operation to remove a growth on his finger. It needs careful surgery as the growth, which is about 0.75cm across, I suppose, is mixed in with the blood vessels and other stuff in his finger so there is a risk to the ligaments if not done properly. Given our luck at the moment I would be a worried bunny in Graham's shoes…!

STILL no buyer for our house - every other house in the galaxy has been sold. I'm beginning to take it personally. On Friday we lost the house we wanted - £1000 poorer and back to square one - but that was comparatively good news compared with the other news of Friday - that Eric, Michael's French oncologist, has accepted a job in Toronto. Michael is very distressed by this, as are we all, since he is that rare thing - a brain tumour expert, and just about the only person who has given Michael any chance at all of surviving the gbm. |Even Eric told us that most medical people would say Michael is absolutely certain to die from this, but he thought that Michael sttod a chance with aggressive treatment. As time goes on we are part-relieved that Michael seems to be so well, and part-terrified that he is about to deteriorate. We need some good news.

May 31st

The last two or three weeks have been very traumatic for everyone. Michael has felt less well than at any point since after the surgery, really. He coped OK whilst on the chemotherapy, but once he'd come off it he started to feel nauseous and then sick, and started vomiting without much warning, particularly in the mornings and evenings. We went back to the hospital, who agreed that Michael didn't look at all well, and gave him more anti-emetics. Unfortunately by this time even the thought of food was making him feel ill, and as a consequence he wasn't eating anything and was fast losing weight. We went to see the dietician and the psychologist, both of whom recommended feeding by tube to take the pressure off the constant nagging ( mostly by me ) to make him eat, which was making the situation worse. Michael was understandably very resistant to this, so we made a deal by which we would keep a food diary of EVERYTHING ( except toothpaste!) which went in his mouth for 2 weeks. That's up later this week, and he'll be weighed again to see if he's managing to sustain his weight at all. I've done as I was told and left him to eat as and when he wanted. As a result he survived for the first week on a few Pringles and a couple of Frubes. This last week has been a bit better but still nothing like the 2,500 calories a day he needs. At the last count he was taking in about 300. He has also started to suffer from total exhaustion, sleeping once or twice in some days, and falling asleep at school. This is probably due to the after-effects of the radiotherapy, and last week he was put back onto the steroids in the hope that it will lift his mood, keep him awake and help his appetite.

At the back of our minds is always whether there is a more sinister cause for all this. The next scan is on July 4th, which will be even worse than the last one for being nervewracking. Over half term we have been to France for a few days. For the first 24 hours, Michael was very very tired and distressed; we had a long drive to Graham's vineyard ( well, where he rents a row of vines ) not helped by being in a Paris traffic jam for hours. We arrived at the hotel at midnight which was just too much for him. The next day we moved on to Futurescope, and after a long rest he was able to enjoy that, but again we had to pace things very carefully indeed.

His hair is starting to grow back in a couple of places!! That will cheer him up a bit, but I have to say that at the moment he looks very frail and sallow. He has found walking a huge effort and he has spent most of his time lying down and resting. Still, on June 7th he will be what the Americans with this disease call a 'five month survivor'. I can't believe it's been that long, though time tends to stop under these circumstances, but with this particular tumour every month survived, especially in Michael's circumstances where he has no real deficits and is still definitely 'Michael', is a cause for celebration. Many people with gbm don't get nearly that much or, if they do, are blind, deaf or paralysed. We can't say this will last; this last fortnight has been awful because he has seemed so ill, but today he seems much brighter again so hopefully it was a blip and not a trend.

We have not sold our house yet; the house we wanted has now gone because the vendor only gave us a fortnight to sell ours before taking another offer of a let. This has really depressed all of us but particularly Michael, who really wants to move while he is still well. We very much wanted to be settled quickly so that he could have a peaceful and happy summer, and this has upset all of much more than we expected. So if you know of anyone who wants to live here then please send them our way……..

 MAY 13TH

Sorry, everyone, but the news is moving so fast it's hard to find the time to keep up. After the entry for 29/4, we started to unravel plans for this term and to face the prospect of another operation. We went back to see the consultant last Monday expecting to discuss a date, and in fact were told that the neurosurgeon who operated on Michael back in January had now seen the scans and was of the opinion that it too soon to operate again at the moment. This doesn't mean he doesn't need it, just that his brain is currently still recovering from the effects of the radiotherapy and the surgery and there are still changes going on. Michael was not particularly pleased by this because he trusts his oncologist, and if he feels there might be another tumour in there then Michael wants something done about it. We were told that the surgical team felt there was every reason to suppose it could be scar tissue and that it would not hurt to wait for a while. Michael will have another scan in 8 weeks time and if the white mass we saw on the MRI is still present at anywhere near the same size, then everyone is agreed that an op. will be needed then. So this has necessitated a huge rethink again.

Unfortunately Michael has not been feeling well, either. He is feeling sick all the time and this week actually started vomiting. As a result he won't eat or drink unless coerced to an extraordinary degree, and this has become a source of real concern. He's taking in fewer than 350 calories most days and the medics feel that if things don't improve, then he will have to be fed by naso-gastric tube. This has scared him, of course, so it's been agreed to give him 2 weeks to try and up his intake. Sadly at the same time he seems to have become depressed or at least so lethargic that even moving around the house takes more energy than he can find. Again, we have been told that this could still be the late effects of r'therapy and not to be surprised if he starts to sleep for nearly 14 hours a day. We are still anxious about the mark on the scan, of course, and hope this horrible week can be put down to drugs etc and not down to tumour.

The Saga of Graham's Finger goes on - he can't see the specialist until the beginning of June and presumably will have to wait a similar time before his operation. He's still in a lot of pain but the consolation is that whenever he is particularly irritating I now have a swift and effective way of ending the conversation - I just sit on his finger. The Saga of the House Move is even more traumatic; at a time when we are told houses don't even appear on the market before being sold ours is the house proving to be the exception to the rule, and we've even taken Michael out during viewings so as not to frighten the horses. Actually it's more to do with the agents than us, I think; Graham has gone into Stress Mode as a result of which the For Sale board finally arrived at 10.45 one night. We have found a house which we love and which would be perfect for Michael but the vendor wants us to complete within the next 30 seconds so I see it all unravelling very swiftly and then it'll be tears all round. So if anyone wants to buy our house please get round here PDQ. All in a good cause.

Hope this long update will get me off the hook with you all. This week we have more blood tests, a few heavy sessions to try to get to the bottom of the sickness saga and possibly starting the next round of chemo. On a nicer note, Christopher's school are having a huge fundraiser for the UK Brain Tumour Society at Eton in July, at which Princess Alexandra has agreed to be the honoured guest. Michael has been asked by Chrissie's Headmaster to be the other honoured guest and to present flowers/make conversation etc. Really nice. And if he's too ill then his little brother is Number 1 reserve. Expect an 'accident' in the car park that night.

Keep the emails coming!!!

April 29

 

Michael is continuing to be unfortunate, he has now recovered from the Portacath insertion, now to be told by his neuro-oncologist that he is not totally convinced that the showings on the MRI scan are all scar tissue. He has asked a paediatric neurosurgeon at another London Hospital for his opinion and he is not sure and recommends that Michael should have another operation to have it removed and the cells tested. We are now awaiting Michael's neurosurgeon's and the paediatric neuo radiologist's report, which will be received by end of next week at the earliest. It now seems likely, as it is viewed better to be safe than sorry, for Michael to have another brain operation in two weeks time.

We are all praying that it is just scar tissue.

Michael returned to school on Wednesday and did a few lessons on Thursday and Friday as well in between hospital visits. He is glad to be back and keen to start having a more normal life than he has had to date this year.

Berrie is away for a few days having a much needed break to recharge her batteries for the next series of medical treatments.

  April 21

Yesterday and this morning have been dreadful, Michael is feeling marginally better at the moment ( but only marginal). Yesterday he spent most of the day at the hospital, He hates injections and they put a canula in as soon as he got there, very painful!!. Then they took some blood. An hour later they decided that one of the blood samples needed redoing, more pain. At the same time they gave him 4 injections as part of the Chemo, again more pain. At about 4pm, he went up for the operation to put the Portacath in the right hand side of his body, returned about 5pm to the ward, in considerable pain, not only where the box had been inserted under the skin but where the line had been connected to the vein. The area is swollen, bruised and muscles have been pulled. Various painkillers were given but with little impact, about 7pm in the hospital he was sick. Eventually got home by about 9pm, still in pain and feeling sick. Then he had to have something to eat for he had to take the next Chemo drugs, Procarbazine.

 

At about 4.30am this morning he was sick again, and every 20 mins for the next 2 hours he felt nauseous and tried to vomit. Slept for several hours this morning and is feeling not so nauseous, still painful and has no appetite.

Thoroughly fed up

 

April 13th

Michael had his MRI today and the consultant came to see us straight afterwards. As he says, he is not a radiologist and so his impression is not set in stone at all. However, the cautiously good news is that there is no obvious sign of a tumour at present. There is a lot of scar tissue, which is to be expected at this stage . What he doesn't know for certain is whether that scar tissue contains even the smallest amount of suspect tissue, and we won't know that for certain until the expert from Atkinson Morley has reviewed the scans with Michael's surgeon on April 28th. If there is any doubt about any of that scar tissue at all, then the decision would probably be made to operate again.

So we can breathe a very small sigh of relief. BUT, and it is a very big BUT, it is important to remember, as Michael's oncologist told us, that this does not by any means mean that we can relax. This tumour is fatal more often than not by a very large margin, and can come back with a vengeance at any time. After all, it only took six weeks to do most of its growing in the first place. So Michael is very keen that no one should get too excited because he still feels very threatened by it all. And he still feels pretty ill most of the time, too. All this means is that we've got on to the first step of the ladder - which is a lot more than some people are able to do, so we do feel very fortunate to have done so - but we know Michael could be back on the ground all too quickly.

He is starting the chemo tonight with several tablets of CCNU; next Thursday is another horrible day for him because he is going back into hospital to have a Portacath inserted ( a permanent line through which the vincristine can be injected and bloods can be taken ). The 3rd chemo drug is called procarbazine and will also make him feel quite grotty if he eats the wrong sort of things.

I hope all this doesn't sound too miserable; we feel a whole lot better than we did this time yesterday!! -but we are just too superstitious/realistic to start celebrating this early on. We are expecting Michael to feel a bit grotty after starting the chemo tonight.

 

 

APRIL 4TH

Graham and I emailed Dr Friedman in the States after our last meeting with Dr Bouffet, and, as we had been told he would, he emailed us straight back saying that he would be happy to advise us if we sent all Michael's notes. This led Graham and I to sit down and have some pretty serious discussions over what we were going to do. We have always been of the opinion that the most important thing is that we are a family, and that certainly would not be the case if two of us took off to the States for an indefinite period. However, we felt that we both needed to be absolutely certain that we were getting the very best treatment for Michael - and we were (and are) always being told on the Brain Tumour Support Line that the UK is miles behind the US in BT treatment. So Graham and I went back to see Dr Bouffet again - he very kindly gave us another hour of his time - this time without Michael, who refused to come with us at all. We went right through everything. We told him that we needed to be certain that the treatment being offered was the best, and not just the cheapest, and we wanted to know why Michael's odds seemed to have dropped so drastically. (Going back to black now as my eyes are going funny.) He was very honest with us. It would seem that if the tumour is back by next Thursday then his odds are very low indeed. The longer he can hold this thing at bay then the better his long-term odds are - the mortality rate is at its highest and most devastating in the first few months after diagnosis. Chemo won't cure anything but it might put the final nail into the tumour. It is possible that although the surgeon said the entire tumour was removed, that in fact some was left behind, because a GBM puts out little tentacles into the brain and small, undetectable tumours grow there. To me, Michael seems very well indeed and you'd never guess he is so ill - except, of course, that we didn't know he was ill at all until the day he collapsed.

Anyway, Eric Bouffet has obviously got the measure of Michael and said he'd like to talk to him on his own and he'd be very happy to come to the house to do so - and faxed Michael that day to tell him so. Michael was so bowled over by this that he immediately agreed to go to see Eric again, and yesterday he spent a whole hour (again! What a man!) with him, asking a whole range of questions from survival rates to sterility from chemo. Eric was always honest, as far as I can gather - brutally so, in some cases- and afterwards Michael decided he would take the courses of chemo and have a Portacath fitted, probably in St George's before Easter. I believe very firmly that the fact that Michael has so much time for, and respect for, his consultant might be the single biggest factor in his recovery with or without chemo. I wish you could all spend a couple of hours with him - he's so up-front and brave, all backed by an indefatigable logic to all his decisions.

If you are asking how he's different from before; he still has some vision problems; he's quite aggressive - especially towards Christopher at odd times - but on the other hand he craves affection and hugs. His music is causing some problems in that his intonation is suffering, a frequent sideeffect of R temporal lobe tumours, apparently, and he forgets odd things. He's just 'not himself'. But he's also 14 and what teenager IS easy to live with?

We intend to go away for a few days to Poole, if graham is able to (see 'Family News') to relax as best we can before the scan. Michael hasn't been NEARLY as tired as I expected following the radiotherapy, apart from 3 or 4 late mornings, so we hope he'll be up to it if his Dad is. Nest update will be after the scan. 12.15 on April 13th, results should be a few hours later. Please keep your fingers crossed and watch this space -

 

 

March 23rd

Here's the next update for all you complainers that I'm not working hard enough!

Today was not such a happy day. I must say here that Michael's oncologist is a lovely and very genuine person, who today spent an hour and a half with us talking about the various options. It would appear that Michael's tumour is not as straightforward as we had at first thought in that it is not 'pure' glioblastoma. In fact there are two other sorts of tumour cells;ependymoma and pineal tumour as well. I'm not sure whether this is good or bad in terms of diagnosis, but apparently this is often the case in paediatric brain tumours and is what differentiates them from adult tumours. As you know, Michael had said that he wasn't interested in chemotherapy if it wasn't going to improve his chances or improve his quality of life. The consultant spent a very long time talking directly to him, explaining the consequences of this decision each way. It would seem that without some chemo, his chances of even short-term survival might be as low as 15%, but this could double or maybe even double again if he tried some more treatment. What he has in mind is a 3-drug combination called PCV. The 'P' bit is injected, the 'C'and 'V' are oral, and he recommends 4 28-day courses with a couple of weeks in between each. The downside is that Michael would need frequent blood tests as well as the injections, and he is truly needle-phobic when it comes to these injections. One way round this is to have a permanent line inserted under his chest so that his veins could always be accessed easily. This means another op. To put it in and take it out, and by this time in the conversation, Michael was visibly distressed. In fact, this afternoon was the most upset he's been since the very beginning. At one point today he said he feels he's a hopeless case; in fact, the consultant was trying very hard to say just the opposite, but even when pressed the best survivors he could come up with were only four years out from diagnosis. Still, even if we can buy another year, that might be enough for something new to come along.

The good thing about the PCV is that there is no hair loss, minimal or no sickness (easily controlled) and he can go to school and live as normal for however much time we can get from all this. The worst case scenario at the moment is for the scan on April 13th to show regrowth. That was sufficiently grim for the consultant not to want to discuss it. He did say that it was a shame that we had not had an MRI immediately post-op. In January, since it was possible that there had been another tumour somewhere in the brain which had been missed by the surgeon. We won't consider that one at the moment.

For now, Michael has 3 weeks to decide whether or not he wants to accept the PCV, and, if so, whether he will opt for the permanent line or rather to have endless needles in his arm. The decisions must be his. He's fighting the disease, after all. Meantime, Christopher comes home from school next Wednesday and we will work hard at having some fun together. Michael is building up his time at the RGS week on week, but we were reminded today that over the next 3 - 4 weeks the 'somnolence' will come upon him and he might sleep for as much as 18 hours in some days. More to follow….

 As you may know, Michael is battling a very aggressive tumour called a glioblastoma. This is a very rare tumour in children; only about 20 children a year suffer from it and the survival rate is low. However, Michael underwent surgery at the Atkinson Morley Hospital on January 7th and the surgeon was able to remove all visible parts of the tumour. This is not quite as good as it sounds, since with this type of tumour there is always a percentage left which CAN'T be seen, and it is this unquantifiable part which is the root of all the bad news. It has to be 'zapped' with radiotherapy treatment.

March 14th

 Another week almost gone and only 3 doses left! This week Michael has been extremely tired and has spent much of the day resting in bed. Today we've seen the radiologist who has arranged his MRI for Thursday, April 13th. The original plan was to wait for 6 weeks, but Michael feels that as his tumour must have grown massively in that time before Christmas, that was too long to wait around. He's obviously nervous about it ('So that's when we find out if I live or die, Part 1') but we just have to be patient. Hopefully we'll get the result very quickly afterwards.

He went into RGS again for 2 lessons on Monday and coped quite well, despite his hat being pulled off by a few older boys who laughed at his hair before throwing it back. I was very surprised at that and rather upset by it, but I suppose we've got to get used to it. He was upset at the time but shrugged it off later. His skin around the tumour site is very burned and raw-looking, and he feels sick most of the time, but other than that he's not showing too many signs of illness. There are some behavioural'memory problems but nothing insuperable. Next Thursday we go back to the Oncologist, and then we start to talk about what, if any, options there are now. Then we get into opthalmologists, endocrinololgists - more 'ologies' than Beattie's grandson…!(The BT advert?…Oh, never mind…)

In short, crunch time is approaching and Michael is feeling very low. We know the next 6 weeks will be tough as his body recovers from the treatment. Still,we're planning a couple of good things to help…(see family page for info!). I've joined a brain tumour support group via the Internet, and to my surprise Michael emailed the List himself today. Maybe he's got to the point where he does feel he wants to talk to other sufferers. Hope he can cope if all 911 members reply!!

 

March 9th

Sorry to those of you who've been complaining about the length of time between updates…. It's a good sign, though, don't you think? After all, if nothing has gone wrong then there isn't anything to write about!! This week Michael is really starting to show signs of being very tired and fed up. He's been resting far more and his appetite is noticeably down, all of which are symptoms of the effects of the treatment. The steroid dose has been reduced again, which in itself reduces appetite and lowers the mood, so again I think he's coping with it all very well, really. He's managed 2 very brave things this week; on Monday he went into school for one lesson, and had to face his friends looking in his own words 'like a patchwork quilt'. He opted in the end to keep his woolly hat on, so it was unfortunate that several members of staff told him to remove it before recognising him! He was very worried about facing everyone, but as I pointed out he needs to think about how they are feeling, too. It's great PR for sick people if he can go in and show he's still very much alive and kicking! Just 40 minutes was definitely enough, though, and he slept later on. On Tuesday was a bigger test - he went out that night to play the cello in a local competitive music festival. This was a huge ordeal for both of us - for him because of standing up in front of everyone when he knew he wasn't at his best, and for me because I was absolutely terrified that he would fall over, have a seizure or something even worse. He actually played very well indeed, but I was not the only person very distressed to watch him when we don't know when we'll next hear him play in public. I was bowled over by his bravery - I couldn't have done it. He is quite extraordinary and we are very, very proud of him. Keep praying - I suspect things are going to get harder now. Michael is beginning to become very worried about the upcoming MRI scan. He feels at the moment he wants no chemotherapy. This will be a difficult one to work through.

 

March 2nd

Last Sunday was another good day - we went to Brighton for a few hours! We went on the pier ( Michael has his maternal grandmother's gambling instinct as demonstrated on the machines in the arcade…) and Christopher tried to make his father part company with his breakfast on a couple of dodgy rides ( see Disney, above!!), followed by us all eating takeaway fish'n'chips outside the SeaLife centre ( bit tactless, that…).We went into the Sealife centre for an hour or so; it was lovely to gawp at the fish and admire the colours and movement. By that time, Michael was getting tired and so we came home - but it was a good day, nonetheless. Michael also decided to spend all his birthday money on a Lego Robotics 'Mindstorm' kit. This is a scary project involving building a robot and then writing a computer programme which you then download into said robot to get it to do something. He's still mastering the programming bit but it's sure scaring the heck out of the cat!! It's all kept him very busy until today, when he got up feeling less than brilliant and he's been very subdued all day. This is probably the treatment - we're approaching the last couple of weeks now and have been warned that might be quite unwell for the next couple of months.

Michael himself said yesterday that in some ways he's dreading the end of the treatment, and I can understand that. At the moment we're doing something, but once the treatment ends, that's it: all we can do is wait. And that without the reassurance of going to the hospital every single day, although there is no doubt that they are always there for us at the end of the phone. It's just come as a bit of a shock to see him so tired and fraught today when last night he was in a great mood. Still, that's also a symptom of being a teenager so we have to be careful not to overreact.

 

FEB 25TH

This week has definitely been a better week, and the fact that I have taken a whole week to get around to updating this shows that we've been busy doing other things during halfterm! On the down side, Michael found on Sunday evening that his hair suddenly started to fall out - and I mean suddenly, as it had been fine earlier in the day. That was a bit depressing for him but Christopher tried to improve the situation by returning from a two-day trip to Disneyland, Paris with a huge be-tasselled jester hat. It made the day of everyone who saw it at the Royal Marsden, where smiles and laughter are sometimes a bit thin on the ground. Apart from that and one dizzy spell, he has been much more outgoing this week.

Good news for me too, because my Dad and his wife have been staying all week and driving Michael to his treatment most days. As a result, while the cats were away in Disney, the mouse went out to play in Oxford for the day, with a girlfriend. It was so nice to have a day out with no clock to watch and without any worry. And with a credit card for company. We went round the colleges and had an hour in Blackwell's Music Shop, had lunch out and generally enjoyed ourselves. Over the last couple of days I've also had some time with Christopher, too. He seems much more settled this week and I've even heard myself shouting at the two of them to stop messing about and behaving like wild animals. Bliss! ( but don't quote me). I don't know how long this will last but going to see Toy Story 2 like any normal family was the best thing we've done since before Christmas and this week will be remembered as a good one. Touch wood at this point, please.

 

 FEB 18th

Well, thank you to ALL of you who sent cards and emails! You should have seen his face when the postman arrived! You've never seen so many cards!

I hope that Michael thinks that he had a good birthday. Obviously you're not too old at 14 to enjoy yourself as he was awake before 7am for the first time in months, presumably in the hope of receiving large amounts of birthday booty. In this, he was not disappointed. His biggest problem now is working out how to spend the money he's been given. Fortunately we are being helped in how to sit and stare into space whilst thinking by the arrival of a lava lamp. This is totally hypnotic for all of us except Jake the Cat, who regards it with deep suspicion. He was tired after his treatment but rallied to play with his godson, and after lunch we dropped in on the RGS Music competition. This might have been an error of judgement on my part, since he was aware that he should have been playing and must also have registered the shock when his friends realised how much he has changed facially, even though that's just down to the steroids. I'm torn between keeping him in touch with school and him feeling he's drifting further away from it. After a rest, he and four friends went round to the Harvester for a meal. Graham and I went too, but sat at a discreet distance. It was poignant but good to see him laughing and joking with his friends, who are going to make such a difference to him in the next few months. If they can keep in touch it will be wonderful. The payoff from all this came the next day, when he was absolutely exhausted and totally foul. We need to pace him and he needs to learn to pace himself, too. There was also a big sense of anti-climax; we need to have lots of little goals to look forward to. This week has also been the week when we have had to start applying for allowances and other 'disabled' -type things. That's depressing in itself and we have to regard it as just another aid to getting through the rough days, and not symbolic in itself.

 

FEB 16th

Well, the good news is that Michael was 'allowed out' on Saturday and was feeling a bit brighter, although he was still shaky on his feet and having visual problems. We got him home for a long rest in preparation for the big day on Sunday . And sure enough we all got to the Christening on Sunday and we had a wonderful time; Michael got through the service very well but was obviously extremely tired by the time we got back to my sister's house. It was business as usual on Monday with radiotherapy again; this week he has seemed better in terms of feeling sick, but undoubtedly he is becoming exceptionally tired in a way that we wouldn't have expected to see for a couple more weeks at least. Today we saw the doctors and all the drug doses have been adjusted again. This has upset Michael, who is understandably worried about the risk of a repeat of last week. I have to say that the rest of us are all exhausted also; the relentless grind of driving up and down and never knowing what awaits you today is NOT to be recommended! Still, tomorrow is his birthday so we'll try to pull out all the stops for that.….

 

 FEB 11th

An even worse day today. Michael was clearly not well this morning; he was sleepy, confused and very unsteady on his feet. He managed to get as far as the treatment table, but as he was leaving the room it became clear that he was far from well. He tottered to the Children's Unit where he promptly started upon a pattern of heavy sleep punctuated by waves of vomiting and confusion. Finally when nothing seemed to stop the sickness he was admitted to a ward and put on a drip to maintain fluids. Again, it's very hard to know how much is the treatment, how much the disease and how much the drugs . We have to be very patient and trust the doctors to get it right. Michael, however, finds it hard. Maybe for the first time he is realising exactly what cancer is. The illness itself is often not as hard to bear as everything that goes with it; from his perspective, the so-called 'cure' is longer-term and far worse than the original tumour and he needs a lot of support to get through it. He has stopped listening when side-effects and other longterm measures are discussed as he says he needs all his energy to cope with getting through each day.

 

FEB 10th P>

Michael has started to develop problems with his memory and with reading; some words and numbers seem to come out wrong when he looks at them. Apparently this could be a problem of brain function, so the steroids have been reduced and he has been put on 600 mg Tegretol a day. Maybe that's why today he slept to the hospital, in the waiting room, ON THE TREATMENT TABLE (!) , all the way home and until after lunch. By the afternoon he had perked up a bit.

FEB 5th 

Messing around with the doses obviously has side effects; Michael is really suffering with digestive upsets now and is starting for the first time to become less optimistic. Experimentation with anti-emetics and heartburn drugs has helped.

 

FEB 2nd

Not a good start. Michael had the first dose of radiotherapy, having stopped his steroids the day before. By 5pm, he had his ' tumour headache' back and was in such pain that his vomiting started and he was extremely distressed. As he was not responding to medication, we rang the hospital and, after nothing seemed to work, we gave him a dose of steroids late that night which helped to settle him down in the small hours. The following day we had to go back to the radiologist who put him back onto a high dose of steroids to settle things down. Noone seems to know whether it is the radiotherapy or the steroids or the brain swelling causing the problem.

 

Michael showed no symptoms at all until Dec 8th 1999, when he had what c an only be described as a 'funny turn' at school. He knew he felt ill and was barely conscious when the ambulance arrived; he woke up confused and with a headache in hospital, but basically after a few hours he seemed OK and was discharged with an appointment for the middle of January for an MRI scan. The feeling was that he was suffering from migraine, but as he has a very chequered medical history which we won't bore you with, but which includes R ear deafness following a perilymphic leak in '96, it was decided to be cautious.

By 28th of December, he started to get headaches in the morning which wore off by lunchtime; by Jan 3rd the headache was sufficient to have him admitted to hospital, where after 48 hours of being told he had a nasty headache he had a sufficiently major seizure to warrant an out-of-hours CT scan, which clearly showed a lesion in the R temporal lobe. The scans were faxed to the Atkinson Morley Hospital, who suggested transferring Michael immediately and we arrived there at 3.15 am on Jan 6th. The operation to remove the tumour took place the next day, and Michael made a very good recovery from the surgery. Everyone at the hospital was upset and surprised when the path. Reports showed Glioblastoma. We were very distressed to learn how aggressive and fast growing this type of tumour is; but were reassured to be referred to the Royal Marsden where the consultant pulled absolutely no punches in deference to Michael's request that he be honest. He told us that the ONLY treatment available is 6 and a half weeks of radiotherapy; if the tumour returns after that, there is no further treatment at all. The prognosis is not good but Michael is determined to beat it and I am sure he can do it if anyone can. The radiotherapy begins on Feb 2nd and you can follow the story with us below.


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