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DENNIS OZER FAN CLUB
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Updates
February 19, 2006
Ozer Monitors-
Although these updates are fewer and far between, it impresses me how many
of you still make an effort to stay in the Ozer know – I’m deeply
appreciative of this. All in all, our lives remain consistent, joyful and
happily uneventful. We had a check-up with Dr. Antin on February 8th (every
2 months now), and everything is rock solid. His counts are terrific, and
his hematocrit hit 40 for the first time since his illness, indicating full
recovery and normal counts across the board. Another round of baby shots
left him wiped (now I know why we get them as infants), but otherwise, he
continues to do well. He is completely off any meds, including Prednisone,
so he has had some rash flare-ups and a slight uptick in nausea (remnants
of stomach GvH), but all is completely manageable. He continues to do yoga
daily and truly looks great; it’s hard to imagine he was ever as sick
as he was if someone is meeting him for the first time.
Physical fatigue still remains a factor, and I have to continuously fight
off my own feelings of nervousness whenever I see him tired, slightly out
of breath or falling asleep in front of the TV. His body has been through
a massive ordeal and, although the restriction time for the transplant may
be a year, the actual recovery time, both physically and mentally, is actually
far longer. Paranoia does none of us any good, but sometimes it’s
hard not be reactive despite my best efforts. As I’ve said before,
I don’t dwell on it, but it creeps up on me some days, despite my
best intentions.
My thanks to all of you who have so generously donated to Dana Farber and
Dr. Antin’s research fund in honor of Dennis; their work is ongoing,
crucial and greatly benefits us all. While our friends Evie, Tali and Melissa
all continue to recover strongly after their transplants, our friend Michael
has not been as fortunate; his experimental haplo graft has failed, and
he and his wife have returned home after almost 3 months away from their
children, to re-build his strength and figure out what the next step will
be. I ask all of those who read this who are near Memorial-Sloan Kettering
in New York to consider donating blood and platelets, as Michael is receiving
frequent transfusions. Most importantly, if anyone has not joined either
the NMDP registry, or the Gift of Life Bone Marrow Registry (Michael is
of Eastern-European Jewish descent like Dennis, and thus far has not found
a donor match), I urge you and ask you personally to do so; while finding
a donor match will definitely most directly affect Michael, please don’t
let a personal connection alone be the only impetus that compels you to
be part of a potential miracle. While quite a few of us tested with thoughts
of Dennis in our hearts, there were many who came forth, willing to donate,
knowing nothing more about him other than an urgent appeal from his wife
and words typed on a website. We are all a resource for hope, healing and
recovery – share with gratitude. Debra.
January 23, 2006
Celebrations
Those who bless our lives:
Happy New Year and welcome to 2006! Our family took quite the detour to
get to this particular new year, but we are enormously glad to see it, together
and in recovery. Several weeks ago, we had an amazing surprise celebration
for Dennis that I had been planning for several months. I fondly refer to
it as ‘Dennis First Birthday Party’, in honor of the 1 year
anniversary of his transplant, and the stem cells that gave him this miraculous
second chance. We had almost 120 friends and family for dinner at our Temple,
followed by a magnificent service where Dennis was Jewishly re-named in
honor of his new life. It is a little known, but incredibly beautiful, Jewish
tradition to bestow a new Hebrew name on an individual who survives a life-threatening
illness, or a transplant, to honor this second chance at life. Dennis’
new Hebrew name is Chaim, which means ‘life’. No further explanation
necessary. He was extremely surprised, tremendously moved and I can’t
even describe the feeling of watching him re-connect with the people he
loves after a year of so much confinement and isolation. While every person
in attendance meant the world to us, we were particularly blessed by the
company of Dr. Antin, Deborah Yolin (his PA at B&W) and Deborah Liney
(the Manager of Unrelated Transplants at DFCI who found our two cords);
our wonderful bud Toni Dubeau, Dr. Antin’s Transplant coordinator,
who has been an unbelievable rock throughout, was sick and unable to attend.
Profound gifts come from the most difficult circumstances. Thank you friends,
family, our Rabbi and congregation for celebrating this incredible man and
his new life with us.
Dennis continues to integrate into some of the more mundane processes of
life that we take for granted. Soon after our celebration, we spent the
afternoon over our friend’s Patti and Jonathan’s house, and
then went out to eat. Sounds pretty normal and run-of-the-mill, but it was
the first time in over a year and a half that we’ve been over someone
else’s home and out to dinner as a family of 4. Very nifty. We have
since been re-discovering the fine cuisine in and around our area, and Dennis
took in a Celtics game the other day, albeit a bit nervously. He has been
diligently going to daily Bikram hot yoga classes, and he looks strong and
limber. Besides the obvious physical benefits of yoga, I think the heat
helps him to further flush out a body that has been bombarded with all manner
of meds, drugs and toxic chemo. Part of the reasoning behind a heated yoga
practice is to sweat hard to get rid of toxins that get stored in the muscles;
I can’t even start to imagine what kind of residue the chemo alone
has left in his body, never mind the other more exotic drugs (rabbit ATG,
anyone?). I mean, bless the stuff, as we have a cancer-free Dennis standing
before us today, but this particular course of treatment is sure as hell
about as harsh as it gets. His eye issues continue to be an annoyance but
again, in the scheme of things, it is nothing that can’t be dealt
with. Basic fears of getting ill again remain, but that is understandable
and expected – I don’t think he will ever be able to go through
life without some paranoia always lurking in the back of his mind about
getting sick (cold, flu, sore throat, etc.) and how his body will react
if and when, and I stress the if because the man’s constitution never
ceases to amaze me, that occurs. He tires easily, and one particularly busy
day of yoga, errands, followed by dinner and the Celtics game, completely
wiped him out for the next few days. This was a lesson to learn to slowly
pace himself and make sure to allow for ample rest in any given day. Always,
although we try to keep it deeply buried in the back of our minds, there
exists the specter of the leukemia perhaps returning, but that is in no
way under our control. Rest assured, we DO NOT live in a place where these
fears rule our life, and we continue to appreciate and savor the blessing
of his wellness with every day that passes.
Our best wishes to all for a healthy, joyful 2006. Our continued love, strength
and survivor’s karma to our friends Tali, Evie and Melissa, who are
home and in recovery after their transplants, and to Susan and Michael,
who inspire and fill us with awe at their strength, determination and courage.
Stay strong and may the winds soon point you home in renewed health. Always
in love and and strong spirit. Debra
December 14, 2005
One Year Transplant Check Up
Family & Friends-
Today was Dennis’ one year transplant check up, and I found myself
sitting in the waiting area at DFCI with a very wide range of emotions running
‘round my brain. First and foremost, was the indescribable gratitude
of being able to sit there in recovery and wellness, one very long year
later. While I never allowed myself to doubt that this day would happen,
conversely, I also wouldn’t allow myself to overly visualize it either.
For the past year, I have only lived in the present and in the day, so “one
year from now” was not in my vocabulary, But I also sat there today
dealing with an overwhelming amount of sadness, for all the people in that
room who are just starting to deal with their own catastrophic illnesses,
for my friends Michael and Melissa, who are in the midst of extremely challenging
and difficult battles with their own transplants, and for the overall lack
of compassion I often see these days when it comes to those who remain cold
and clueless about anything out of their own lives and comfort zone. Strangely,
in the end, I welcome that sadness as a sign of a lesson well learned; may
I never allow myself to settle for anything ever remotely resembling complacency
ever again.
So, we were there, we are home and all is well. Dennis continues to cope
with the chronic issues of his stomach GvH, which still may eventually resolve
itself, and his ocular GvH, which is, more than likely, here to stay. He
is now completely off his anti-rejection meds, and has received the first
in what will be a two year series of his childhood immunizations, along
with both flu and pneumonia shots. A final (one can only hope) bone marrow
biopsy completed today’s theme of man as human pincushion. We will
be back in two months to receive the next few immunizations, and will probably
go to a schedule of check ups once every 3 months through 2006 (his second
year). Due to some ongoing focus and memory difficulties (which are actually
starting to be clinically referred to as chemo brain, if you can believe
it), and continued fatigue, Dr. Antin is recommending that Dennis wait another
6 months to a year before beginning to tackle the task of resuming a part-time
work schedule. He will also continue to see a psychosocial oncologist (nifty
title, eh?), who will work with him to address both the focus/memory and
emotional issues that are part and parcel of cancer survivorship. Learning
to move forward in life after any type, but particularly, this type of cancer
experience, is a task in and of itself. While the majority of his confinement
issues have been ‘officially’ lifted, he continues to be strongly
cautioned to remain vigilant about overly crowded situations, which translates
into eating out (when he’s ready) and seeing movies only during off
peak hours. Something tells me we are about to turn into Florida-type, early
bird dining alta cacas (old people in Yiddish, excuse the bad stab at spelling
to those in the Yiddish know). It has been so long since we have been able
to go out and about together, that I really don’t care where, when
and at what time; I’m thrilled at the simple thought of going to the
movies together again, even if it’s at 12:00 noon on a Tuesday!
Love. Support. Groceries. Dinner. Humor. Friendship. Advice. An Ear. A Shoulder.
Your Time. Your Presence. Our thanks for all of this and the so much more
that each of you are to each of us. As of Dennis continues to shine his
light for all the world to see, live in the moment and love as hard as you
can. Debra.
November 29, 2005 (less
than one month to go)
O Persuasion:
For the first time in a long time, I found myself approaching our monthly
appointment with a bit more trepidation than usual. Dennis had been markedly
more tired in the last few weeks than I had seen him in quite some time,
and I found myself counting the days to his appointment so we could check
his blood work and rule out any kind of setback. While I’ve intellectualized
never taking for granted that his disease could potentially reappear, this
was the first time that I felt that unsettled feeling re-inhabit my bones.
I have to continue to come to terms with the truth that complacency is not
ever going to be part of our lives in regards to Dennis’ health. But,
cutting to the chase, all was perfectly fine with his blood work and overall
condition 11 months out from transplant. I guess his tiredness is one of
those “hey, fatigue happens” kind of things, and is expected
and part of the process. Though recovering nicely, his immune system is
still not up to snuff, and it will probably be at least another 6 months
to a year and two years of receiving all of his childhood inoculations all
over again, before his immune system would be at a place that could be comfortably
deemed close to normal. His latest chimerism shows both cords still completely
active, with a slight edge to the Milanese one, and Dr. Antin does not expect
that to change at any point. Interestingly, Dennis will probably remain
forever unique among cord transplant patients in terms of retaining both
cords. DFCI has concluded that cords that are too closely matched to one
another run an unacceptable risk of both being potentially rejected, as
opposed to just one specifically, so DFCI will no longer perform cord transplants
with closely matched units. And so, our man has contributed to the betterment
of transplant science, and has made the world a safer place for cord transplantees
to be everywhere. Such a guy.
On another note, if I’ve learned anything from this past year, it
is that love and positive energy exists to be passed forward; there genuinely
is connectivity to all of this, and it is something worth making the effort
to embrace. Our friend Michael just received his stem cells last night for
a transplant that is even more experimental than Dennis’; our friend
Tali received her transplant just last Wednesday, and our friend Melissa
is about to re-enter the hospital to attempt yet another, more difficult
transplant after receiving one that has failed to engraft. A circle is an
unending and powerful thing, so I ask you to take just a quick moment and
send some of the same love and healing energy their way that you called
forth for Dennis. It will be felt and you do make a difference.
Our next appointment, on December 14th, marks the one year anniversary of
Dennis’ transplant (the actual transplant date is the next day, December
15th). I am amazed and thankful (though never quite speechless), that this
milestone is here. In many ways, I feel as if we’re just beginning
to absorb and process all that has gone on in our lives this past year.
I heard that theme song from ‘Rent’ the other day with the line
‘how do you measure a year in the life?’, and that just about
sums up where I am at when I look back on this year. I truly don’t
yet know how to make measure of this year, other than the physical proof
that Dennis is alive and our family is together. But I do know what the
word grateful means, and I live it fully every day. Debra.
October 31, 2005
Dose Digitally Diggin’ Dennis:
It seems like it’s been quite the long stretch from the last update
to this one that’s unfolding before your very eyes. Much has happened,
and this planet of ours is experiencing a tremendous amount of pain and
suffering. Seemingly endless hurricanes, massive earthquakes, Harriet Miers
(sorry … I can only hold it back for so long) … those who refuse
to take responsibility spew endless talk of Armageddon and ‘the end
of all things’. After watching Dennis go through massive hell to be
here with us today, I can guarantee you that I ain’t gonna hear any
end of the world talk; we have much to be living for and I appreciate every
grimy, glorious moment of it. Grown-up people take care of their precious
belongings, be they our partner-in-life, our children, our mortal coil bling
or the planet that just happens to sustain our flawed ol’ selves.
Mother Earth is one badass bitch when pissed (and I say that with all due
respect, believe me – she’s my hero) and there are no do-overs
on this one. Then again, there I am SUV’n and gas guzzlin’ with
the best of ‘em ... Lord, it’s tough to be self righteously
liberal and a tribal princess at the same time!
But I digress as I used to in the tough days thankfully past. On to the
subject matter that never ceases to move and motivate, entertain and inspire…
Dennis’ appointments this week with Dr. Massaro (pulmonary) and Dr.
Antin both went well. His counts are remain strongly normal and his skin
GvH flare-up has cleared thanks to the steroid cream Dr. Antin prescribed.
He still continues to be unique among transplant patients in terms of retaining
both cords, and we will know the most up-to-date status of his girls (we
even have Dr. Antin referring to his two cords thusly) within a week or
two. His pulmonary issues continue to slowly improve with each visit, but
he still needs to remain on his inhaler medication, especially with flu
season approaching. He wears his contact lenses as much as he can tolerate
them, considering that fogging remains an issue, and I think we realize
that, for the time being, it’s about as good as it’s gonna get,
occularly speaking. Dr. Rosenthal continues to improve and tweak the lenses,
so Dennis will be the recipient of the latest and greatest technology as
advances become available.
One thing that has really struck me as December’s end of confinement
date draws near (hopefully), is the marked uptick I’ve been seeing
in Dennis’ level of stress and anxiety. He has had difficulty focusing
and concentrating probably for 7-8 months now, and while he has learned
to cope within the contained environment of our house, the thought of re-entering
the world at large is proving to be somewhat scary and overwhelming for
him. While I have no first-hand experience with anyone who has served during
wartime, it almost reminds me of what’s referred to as post-traumatic
stress syndrome. Lord knows this past year has changed me irrevocably, so
I can’t even begin to fathom the full brunt of what Dennis has been
through emotionally. It is enormously challenging indeed to find your footing
and a place in this world after a year like he’s had. Actually, I
would venture to guess that the emotional stuff may be just starting to
surface for him. When you are diagnosed with a form of cancer where the
cure is as extreme as a transplant, you go into an instinctual survival/crisis
mode that leaves little time for any emotional reaction or processing. All
efforts are focused on walking out of the hospital alive and engrafted.
He has been talking for several months now to a terrific social worker,
who gave him a head’s up that this type of reaction was both common
and expected, but that makes it no less difficult to deal with. At the recommendation
of Dr. Antin, he made an appointment with a psychiatrist at DFCI who specializes
in transplant patients, and will be working with her to begin to address
and tackle these issues in a way that’s proving difficult without
professional help. It’s all a reminder that although the most traumatic
part of the transplant and its complications may be safely over, there are
still many bends and twists that this road can and will take for years to
come.
All other members of the Goodman/Ozer clan, both two-legged and four, are
doing well and doing their thing, be it school, music, barkin’ at
butterflies (Pyrenees will bark at an ant crawling on the floor 4 houses
down, but get selectively deaf at ‘come!’ and ‘be quiet!’)
or practicing yoga. We have had new friends come into our life who are facing
transplants in the near future, and our love, prayers and good energy go
out daily to Tali, Melissa, Michael and their families and caregivers; we
are always holding you close in our hearts. A special shout-out to Sam B.
for bringing joy to my mother’s world, and thus mine as well by osmosis
(or oz-mosys, as Dennis and I used to spell it). Our Jewish New Year recently
past was beautiful, spiritual and a time to reflect with compassion on both
the year that was and the year yet to come. More significantly, it was a
deeply meaningful,
personal time for those in the Ozer know to celebrate, offer thanks and
meditate lovingly on he who remains the soul of our family and our lives.
Viva 5766 (that’s in Jewish years, y’all); party on Dennis O!
Debra.
“Sometimes things don’t go, after all, from bad to worse.
Some years, muscatel faces down frost, green thrives,
the crops don’t fail, sometimes a man aims high and all goes well.
A people sometimes will step back from war;
elect an honest man, decide they care enough,
that they can’t leave some stranger poor.
Some men become what they are born for.
Sometimes our best efforts do not go amiss;
sometimes we do as we meant to.
The sun will sometimes melt a field of sorrow
that seemed hard frozen: may it happen for you.”
Sometimes – Sheenagh Pugh (deepest thanks to Rabbi Keith Stern of
Temple Beth Avodah for the inspiration)
September 28, 2005
The Return of the Little Girl from Deutschland
Yo, Dennis Doters:
Dennis’ monthly appointment was terrific, uneventful and informative,
all at the same time and not necessarily in that order. His blood counts
were completely normal (normal equals perfection in our post-transplant
world), including his hematocrit, which is the last indicator to fully recover
after a transplant. Interestingly enough, his skin GvH has been flaring
up on and off over the last few months, and it would seem that it’s
directly attributable to the German cord making a very pronounced comeback.
His latest chimerism, (the study that defines the genetic composition of
his bone marrow), revealed that the two cords are now just about evenly
split at approximately 48% German to 51% Milanese, so the GvH flare-ups
make sense as the German cord has been markedly fluctuating and gaining
a far stronger hold in his bone marrow. So, if there was any remaining doubt
that only one cord would still come to dominate eventually, this latest
chimerism has convinced us, medical personnel and civilians alike, that
both cords are here to stay and will be equally vital to a healthy, long,
cancer-free life for Dennis. To that I say amen, and amen once again.
As a whole, his health-related issues remain mercifully few and minor. The
bronchiectasis cough has abated considerably, and I’m very thankful
that he never picked up the strep virus that hit both kids a few weeks back.
I suppose that speaks volumes about his new, improved immune system, courtesy
of his chick cords, and allows me a small sigh of relief, although we remain
ever vigilant to infection. The scleral contact lenses continue to provide
some measure of relief for the GvH-related dryness in his eyes, but they
are far from the ‘perfect’ solution. They fog up constantly,
since he can’t produce the natural tears that function as a ‘windshield
wiper’ to keep the fluid in the lenses’ reservoir clear and
fog-free. But, in the end, they are helpful, and he continues to see and
work with Dr. Rosenthal weekly in order to keep on top of the condition
of his GvH, and to make adjustments as necessary.
In summary, we all continue to thrive and jive here in the House of O. The
cool, fall days are magnificent, the Red Sox–Yankees thang has, inevitably,
karmically, rolled around again, down to the wire as it always does, my
mama has a new friend, and Tom Delay just got indicted, proving the existence
of what I like to call my version of ‘intelligent design’ (I
believe it’s called ‘justice’). We handle our stress here
with attempts at minimal yelling, stabs at maximum compassion and the always
persistent reminder, dwelling in our various gray matter, of this time last
year and just how desolate our existence could have been had another, colder
road, been placed in our path. L’shana tova to all our Jewish tribal
members. Om shanti, digital clan. Debra.
‘Now the moon is almost hidden, the stars are beginning to hide
The fortunetelling lady has even taken all her things inside
All except for Cain and Abel and the hunchback of Notre Dame
Everybody is making love or else expecting rain.
And the Good Samaritan, he’s dressing,
He’s getting ready for the show
He’s going to the carnival tonight on Desolation Row’
Desolation Row – Bob Dylan (yes, Dennis has seen the PBS special.
He had actually purchased it on dvd before the special even aired.)
September 10, 2005
Pulmonary Update
Ozerly Ours:
Dennis had a terrific appointment with Dr. Massaro at DFCI on Thursday.
He repeated the full battery of breathing tests that were initially administered
several months ago and, this time, they were vastly improved. Additionally,
Dr. Massaro repeated his chest cat scan, revealing that the signs of bronchiectasis
were measurably diminished. That is very good news as the return to school
has already produced its first ‘casuality’. Right on schedule
it almost seems, Jake came down with a pukey stomach/sore throat bug, and
was out of school for two days. But Dennis’ immune system seems fairly
strong and resilient by now, so I don’t expect him to catch anything
as a result.
Dennis also received his final pair of properly fitted lenses from Dr. Rosenthal,
and is in the process of getting used to them and breaking them in. They
are a world apart from conventional contact lenses, and the fact that his
eyes do not produce any lubricating tears poses an ongoing challenge in
terms of keeping them clear of foggy, protein build-ups. The things we take
for granted!! But I expect that, after this initial adjustment period, they
will provide a world of benefit by keeping his eyes moist, lubricated and
comfortable. I keep thinking that, if this is the ‘worst’ of
the aftereffects of the transplant, we can gladly deal with it!
On a completely different note, I need to rectify a faux pas I made
in my last update. As you may have probably noticed if you read all the
way through my missives, I love music and find it deeply comforting to find
words composed by far greater poets than I to summarize the gist of what
I write about in any given update (above and beyond Dylan as well). I’m
very sensitive to crediting the correct songwriter to the lyrics quoted
(no lawsuits for me), but I blew my perfect record last update with the
lyrics from Louisiana 1927. This song was written and originally performed
by the brilliant Randy Newman, not Aaron Neville. Aaron recently performed
it on CNN’s mini-telethon, and I had that performance in mind when
I later composed the update. I’ve quoted the second verse below, and
it’s both truly chilling and all too predictable how we human beings
consistently allow history to repeat itself, with ever more disastrous results.
And religious creationists actually seek to promote something called ‘intelligent
design’ in schools. Lordy be!
And, on that note, that is about all the medical update news from Goodman/Ozer
world these days. It never ceases to amaze me how quickly 9 months can pass,
and how much better our world looks at any given moment from this time last
year. A pure definition of happiness can be an elusive thing in lives that
are excessively crammed with over-achievement, over-work and the daily struggle
to stay on the dictated path of the so-called American Dream. But, when
you strip away all of the bullshit (and there is so much), surviving cancer
the way Dennis has, and being alive to stand healthy in a beautiful New
England fall, now there stands joy in its most intentional, authentic form.
Breathtaking. Debra.
From Randy Newman’s lips to Dubya’s ears –
‘President Coolidge came down in a railroad train,
With a little fat man with a note pad in his hand.
The President say “Little fat man isn’t it a shame,
What the river has done to this poor crackers land?”
Louisiana, Louisiana,
They’re trying to wash us away, they’re trying to wash us away
…
‘Louisiana 1927’ – Randy Newman
Extra Added Bonus Lyrics –
When the wind blows down this hard,
Many a bond is broken.
See the water lie on the ground
From where the heavens opened
Lord, how will you get through this night
With your dreams departed?
And who alone will comfort you?
Only the broken hearted.
‘Broken Hearted’ – Eric Clapton and Greg Phillinganes
September 4, 2005
Marked by Hurricane Katrina
Friends in O:
Where does one start, linguistically speaking, when faced with a catastrophe
the level of which we all witnessed last week? People so often have said
to me that Dennis’ illness and subsequent fight for recovery helped
them put their own difficult times in perspective. Well, this past week
put our lives, despite all that we have gone through in the past year, well
into perspective, and again has driven home the tenuous quality of the word
‘fortunate’. For once, I will spare all of you the political
assignations of blame that I, perhaps too often, throw around. There are
many, far more qualified than I, who will assume that role in the days,
weeks and months to come, as this massive failure is ripped apart and dissected.
To do so would only belittle and demean a level of suffering that I can’t
even, thank God, begin to relate to and, like most, thought nearly impossible
to ever occur in the U.S. What an enormous betrayal of all that we have
strived so hard to achieve.
Dennis continues recovering remarkably. Although it will still be quite
some time before he is able to lead a normal ‘professional’
life, he has had his company, Depictives, moved to a Needham location literally
right around the corner from our house. After a year of reconnecting with
our children’s day-to-day in a manner in which our working lives never
previously allowed, we are determined to keep family front and center, and
will stay close as, for the first time ever, we will not be enlisting the
aid of a nanny or babysitter in their care. Of course, we are tremendously
fortunate (there’s that word again) to have an unparalleled support
system in my mother. I honestly don’t believe that I would have survived
this last year with my sanity and compassion intact if not for her. We are
never too old to need our mother’s love and nurturing! I will also
stay close at hand and continue to work out of the house, and do not anticipate
returning to an office environment on a full time basis. I am deeply blessed
to have phenomenal support in my Customer Service Coordinator, Kristen and
in my Production Manager, Glen, at DGI-Invisuals. They have allowed me to
make Dennis and the kids my guilt-free priority as I have endeavored to
function professionally from home.
On the Ozer medical front, Dennis continues to work with Dr. Perry Rosenthal
to fit his contact lenses so that they are comfortable and beneficial as
intended, and he will have a pulmonary check-up this Thursday to ascertain
the condition of the bronchiectasis. With cold and flu season fast approaching,
it becomes imperative to keep this well under control. The kids and I will
also do our part by getting flu shots as soon as they become available,
and continuing to make hand-washing THE cool, extreme sport here in our
neighborhood.
At this point, with the end of the month marking Dennis’ ninth month
post-transplant, we don’t anticipate any momentous medical happenings
as we approach that December 15th one year anniversary. I honestly take
absolutely nothing for granted, and never will, but I can just as sincerely
admit that we in Goodman/Ozer world do breathe ever so slightly easier these
days, and it ain’t just from our yoga!! Breathing and bowing. Debra.
‘What has happened down here, is the winds have changed,
Clouds roll in from the north and it started to rain.
It rained real hard, and it rained for a real long time,
Six feet of water in the streets of Evangeline.
The river rose all day, the river rose all night
Some people got lost in the flood, some people got away all right
The river had busted through, clear down to Placker Mine
Six feet of water in the streets of Evangeline.
Louisiana, Louisiana, they’re trying to wash us away,
They’re trying to wash us away ……
‘Louisiana 1927’ – Aaron Neville
August 23, 2005
8 Month Well Dennis Check Up
Opportunistically Ozer:
We can sum up today’s appointment at DFCI in one short, yet very sweet
sentence: rock solid blood counts. Our appointments are becoming so blissfully
uneventful that Dennis is going into Jewish kvetch mode in an attempt to
fill up the time and bask longer in the medicinal presence of Dr. Antin
and Toni Dubeau, magnificent Empress of Transplant Coordinators. To that
happy end, I have nothing really new to report. They did draw enough blood
today for another chimerism study (which determines what percentage of the
two cords comprise his immune system), so we should know in about 2 weeks
whether Germany continues her squatter status in his bone marrow, which
I suspect will be the case. They will not perform another bone marrow biopsy
(unless some unforeseen medical change requires it), until Dennis’
one year post-transplant anniversary, sometime after December 15th. So,
all indicators continue to point to a flourishing, growing, recovering immune
system, which makes for a very happy Ozer Nation indeed.
Since we had time left after our appointment, we decided to stop by Brigham
and Women’s Hospital to visit floors 5B, the oncology floor during
Dennis’ induction chemo treatment and 4C, his transplant floor, whose
blueprint and layout will remain forever embossed on my brain. I still feel
as if I could do that ‘long walk’ from DFCI to B&WH in my
sleep, but was oh so nicely surprised when we began the trot down the remembered
drab beige halls, only to see the walls covered in a gorgeous sky blue,
with life-size birds of every imaginable species carrying herbs and medicinal
plants in their beaks, being brilliantly hand-painted on the long wall surfaces.
The flooring had been colorfully changed out to match the mural work, and
curved, pale gray lighting fixture panels on the ceiling, threw soft, muted
light onto those passing through. It was truly outstanding, and I had to
stop to let the artists, still diligently at work finishing the remaining
hallways, know how much their efforts will impact the people who will walk
those hallways, several times a day for weeks, and, sometimes, months, in
every conceivable emotional state. Trust me, those hallways were fairly
depressing and somewhat spooky, especially in the evening, when you’re
heading back to the DFCI parking garage after a draining day of watching
your loved one go through all sorts of transplant-related hell. Way to go,
B&W; we are just all about renovations here at Ozer Fan Club Central!
Meanwhile, I of course realize that our digital-graphics-employed readership
is cringing at the mere mention of old school paint and brush versus genuine
3M vinyl/wallpaper product. Therefore, graphics girls and boys, you will
be happy and proud to know that our hero did indeed point out to these poor,
young artists, there for hours on end with paint palette and bird photographs
in hand, copying ornithological minutia under harsh staging lights, that
it would have been far more economical to produce the birds avec Illustrator,
Photoshop and digitally-produced wall covering. Yes, the King o’Vinyl
has your back!
Once at our ultimate destination, we had a chance to see Colm on 5B and
Soheir on 4C, both of whom kvelled mightily over and ran their fingers through
the dark, Spielberg-esque curly locks. I think they were both blown away
by how incredible Dennis looked, especially Soheir who only ever saw him
thin, gaunt and bald. Though Dennis was far from his most healthy and radiant
self when he started induction chemo, he still entered the hospital at a
normal weight and with some semblance of hair, albeit shaved. I have to
say, there was something especially meaningful about having Soheir see him
strong and in recovery, and it was a blessing, in and of itself, to just
see and hug her again. She will always be my own personal angel whenever
my mind drifts back to the experience of the transplant and Studio 54. Her
beautiful, calm countenance and loving spirit was my oasis of calm during
the most frightening moments of the transplant protocol. Best of all, after
our welcoming visit, we got to turn around, leave, and go home to our life,
in health and in contentment. My heart, my spirit, my prayers go out to
the patients and families that were behind those closed doors with the caution
signs today on floor 4C. We are part of a fraternity of extraordinary miracles,
in the human beings and medicine that comprises this place of vulnerability,
sometimes pain but, ultimately, recovery and healing. Our love, also, to
the staff at B&WH and DFCI that we missed at today’s visit, but
are, forevermore, in our Ozer Nation Hall of Fame – Kathleen and Lisa
on 5B and Deborah Yolin, Kendra Church, Daria and Robin on 4C.
In other medical news, Dennis continues the fitting process for his contact
lenses, although his eyes continue to feel mightily improved ever since
the puncta plugs came out; I do believe that our Mass Eye & Ear days
are officially over. The bronchial cough is still hanging in stubbornly,
but we have an appointment with Dr. Massaro on September 8 and will keep
on top of it until it’s under control. Boys are great, school beckons
on the 30th (another summer gone), fall is soon upon us (my favorite season),
finally, someone is protesting the war (had to say it), the Red Sox are
in 1st place and Bronte is on the mend, so, as those T shirts with the stick
figures so aptly put it, life is good. Rejoicing in life’s average
joe rhythms. Debra.
August 20, 2005
Anniversary Shout Out
Ozer-ly Attuned:
Dennis received a package today with a letter and some CDs from one of the
many terrific people who worked for us when our company, Invisuals, was
still operating. She started the letter by saying ‘What a difference
a year makes’ (thanks Kathie O. and congratulations on your beautiful
baby boy!). Yes it has indeed been a year to the day when we walked into
Dr. Stone’s office at Dana Farber and received the news that Dennis
had leukemia. When I check the site, my ‘Letter From Debra’
is dated August 20, 2004, marking the first time that this digital scribe
hit the internet T1-waves. As I sat outside today watching Dennis and the
boys play basketball, LaBronte by my side (her leg is doing just fine, thanks
to all who have asked), I realized how profoundly fortunate we are, were
and continue to be, and how genuinely sacred each day is that passes our
American nuclear family unit’s way. I find tremendous joy and laughter
in the moments we all spend together and in every second we‘re granted
in the Dennis zone (and this after 8 months of extreme togetherness!). The
time will always remain in my mind when I actually had to deal with the
possibility of our life without his endlessly inspiring, frantic, fun, fabulous
presence, so we all work extra hard to hold him near, safe and hopefully
very distant from any place other than close to those who love him. All
is well; stay tuned for more after Tuesday’s appointment. Having an
Ozer Moment. Debra
August 10, 2005
Eye Appointment, The Sequel
Followers of O:
And so our hero went to see Dr. Rosenthal for his follow-up appointment
to get fitted for his contact lenses. As those of you who wear contact lenses
probably know, the first time someone sticks those little pieces of plastic
into your eyes, it feels strange and far from comfortable. Even if you’ve
been chained to coke bottle glasses your whole life (like yours truly),
it’s still difficult to really enjoy the freedom of seeing your eyes
unencumbered for the first time. You’re too busy tearing up like crazy
and feeling like something is stuck in your eye; it takes awhile to get
adjusted to the point of not noticing that they’re there at all. Throughout
the transplant and its accompanying miseries, Dennis has always been beyond
stoic; in comparison with the worst of the nausea and the gastro issues,
his ocular GvH has been low on the totem pole of pain and discomfort. Thus,
the normal person may have been squealing their ass silly complaining about
the dryness and pain in their eyes, but at least in my assessment, he puts
it all into perspective and perceives it as a fairly minor irritation in
the overall scheme of things. Meanwhile, I think Dr. Rosenthal and his assistant
(who does most of the fitting), are used to patients with severe, searing
ocular pain, who instantly raise their hands in praise and shout hosannahs
to the sky when the lenses are placed in for the first time, because the
relief can actually be that immediate for them (I mean absolutely no disrespect
to any of these patients when I say this, by the way. When you are in that
much pain, that kind of reaction to the lenses is completely understandable
and warranted). However, with Dennis, he found that the weird, highly uncomfortable
feeling of having a foreign body in his eye seemed to be grabbing his attention
more so than the let up of the severe dryness that accompanied the insertion
of the lenses, a factoid that he kept mentioning to Dr. Rosenthal when asked
about his level of relief. Unfortunately, this served to annoy Dr. Rosenthal,
as did the problems his assistant was having fitting a lens to Dennis’
left eye, prompting much harumphing and a proclamation of “Maybe your
suffering is not enough to warrant my contact lens device”. Now, our
ever-tolerant hero would say to me “Aw, don’t make a big thing
of it; they’re nice people and they didn’t mean it like it sounded”,
but, one of these days, I am going to slap the shit out of one of these
doctors so they have a clue about just how obnoxious and inappropriate they
can sound. Excuse the venting ala bad language, but Lordy, it sure gets
difficult sometimes not to get a bit self righteously outraged. Amazing
how ones’ opinion can change in a week; either that, or I’m
getting schizophrenic in my old age. The warts and all truth, folks –
that’s what you get when you visit dennisozer.com - LOL! But, the
moral of the story is, Dennis was ultimately fitted for the lenses (turns
out his left eye is not symmetrical to his right, thus the fitting problem)
and, hopefully, they will provide the proper measure of relief to ease his
exact amount of personal ocular sufferage (yes, I know this word is somewhat
‘made up’ but, believe me, it makes sense right now).
All else in Ozer/Goodman world is as it should be. Dog is healing, man is
on the mend, boys are healthy, my mother is good. Therefore, all is right
with the world in our house (I can’t say all is right with the world
in general, as war, terrorism, right wing conservatives and George W. Bush
still stalk the corridors and haunt my dreams). But, good health and my
family is my simple but beautiful formula for happiness these days and I
fully delight in sharing it all with you. Digitally diligent. Debra.
August 2, 2005
Ocular GvH Update
One Nation Under O:
After a Monday that included Bronte tearing her anterior cruciate ligament
(doggy ACL), requiring major restorative surgery, and Jakob getting whacked
in the head with a stick during Lacrosse camp (he’s just fine, but
notice the order in which I reported these events), I found myself approaching
Dennis’ eye doctor appointment with a mixture of anticipation and
trepidation. What a total pleasure it was meeting Dr. Perry Rosenthal, founder
of the Boston Foundation for Sight and the Scleral Contact Lens that will,
more than likely, become the answer to Dennis’ ocular GvH woes. Wonderful
staff, terrific bedside manner, quiet, private practice, and a two minute
ride from our house to his office which just can’t be beat. Interestingly
enough, his first suggestion was to remove the four puncta plugs since,
despite the sound theory behind their insertion, it was his experience that
they often end up creating an entirely new set of problems. Upon some detailed
questioning by him, we realized that Dennis’ eyes were far more uncomfortable-feeling
with the plugs in place, so, out they all came. Dennis’ eyes instantly
felt markedly better, and Dr. Rosenthal suggested allowing them to rest
for a week on the outside chance that they might not require further intervention.
But despite this small step in the right direction, he was of the opinion
that, in the long run, Dennis would still end up needing his Scleral Lenses
in order to avert further difficulties. With no lubricating tear production
at all, and extreme surface dryness that is visibly noticeable upon examination,
it’s only a matter of time before the ocular GvH results in major
problems for him. We’re scheduled to go back next Tuesday for a re-check
and for what I feel will probably end up being the initial fitting for the
lenses (a time-consuming, multi-visit process). Meanwhile, being the information
hound that I am, our visit motivated me to do some further research on Dr.
Rosenthal, and he truly is both a brilliant researcher and a remarkable,
giving human being. His foundation is doing invaluable, cutting edge work
and his achievements are numerous and the very definition of innovative.
As a non-profit organization, he provides the Foundation’s services
at no cost to patients who are in financial need; no one is ever turned
away due to lack of funds. To put this in perspective, Blue Cross, Blue
Shield is THE only provider who has agreed to provide full fee coverage
for the lenses and their associated fitting services, and this just since
the spring of 2005. I strongly encourage you to visit his website, www.bostonsight.org,
to learn more about the foundation and this extraordinary man. We so often
debate what particular qualities best embody the ideal of the words ‘hero’
and ‘role model’; I would venture to say that Dr. Rosenthal
humbly conducts his life and his work exemplifying the epitome of both.
Other than our eye update, all continues onward and upward. Dennis is feeling
well overall, looks great and continues to gain healthy weight and muscle
mass through yoga, strength training, speed walking and his long walks with
LaBronte Arroyo, which will now, unfortunately, have to be curtailed as
she heals and does her own physical therapy for the next 3-4 months (you
may be thinking “like she really needed this?”, but I love my
dog and would move mountains for her!). Our next appointment with Dr. Antin
is at the end of the month, so I’m sure more fascinating bone marrow
news will be forthcoming at that time. Meanwhile, I continue to take care
of Dennis, his two girls, our two boys and Bronte, the Gimpy Girl, so boredom
and lack of stimulation never rears its’ ugly head in my world! The
scenery shifts and is ever changing, but as long as it continues to bring
a healthy Dennis (and Bronte’s leg heals well), I can deal. Always
Debra, defender of man/girl, boy, and canine.
‘Let's go raise a toast to the days ahead
You can't take it with you when you're dead
You might as well enjoy it now instead
So, live it up, we can go crazy
Live it up, you and me baby
Live it up, live it up, live it up
We're flying high, don't wanna come down
We'll let 'em know, all over town and
Live it up, live it up, live it up’
John Legend – (you guessed it) ‘Live it Up’
July 25, 2005
Monthly Appointment(s)
O-Zoners:
We had our 7 month visit with Dr. Antin on Wednesday, and all continues
remarkably well. Dennis blood counts remain on pointe and we truly could
not ask for better progress. The whole process will never lose its sheen
of the miraculous for me, and I send a prayer up to whatever supreme power
makes our brains capable of discovering and implementing such way strong
good medicine. Dennis still continues to present both cords and it looks
like he may be the first double-cord transplant patient to remain that way
permanently. Dr. Antin has been doing his researchin’ thang since
our last appointment, and has figured out that the two cords are so closely
matched to one another (they are a 4 out of 6 match to Dennis, but a 5 out
of 6 match to each other), that neither cord is capable of completely dominating
and eradicating the other. According to Dr. Antin, they are the two most
closely matched pair of cords that they have ever transplanted with, as
most cords are a 4 out of 6 match to each other, and the result seems to
be an immune system comprised of the best of both cords. So, while the Milan
cord continues to be the stronger of the two, the German cord will continue
to play its part in keeping Dennis healthy and disease-free. I welcome both
of his girls with open arms, lots of fun bling and a Neiman Marcus credit
card.
Although his ocular GvH hasn’t become notably worse, it still remains
a continuing problem. The majority of the puncta plugs that were inserted
last time for tear retention have dropped out (which is common for a transplant
patient), and his eyes continue to be extremely dry, leaving him open to
greater risk of infection and vision complications. The puncta plugs were
replaced yet again, but they may have to step up treatment to something
more aggressive (cauterization of the puncta tubes) if the majority of the
plugs don’t remain in place between now and our next appointment in
3 months. Since the word ‘cauterization’ never evokes warm,
happy feelings, we may seek a second opinion with another ophthalmologist
who specializes in ocular GvH, and has created a custom contact lens of
sorts that works by keeping the surface of the eye lubricated. Bonus brownie
points: this doctor happens to be located locally in Needham, and is in
private, versus clinic, practice. Whether we will be able to skip to the
contact lens stage without first following the progression of the cauterization
step will remain to be seen when we have our appointment.
The bronchiectasis has started to improve slightly. With a few more strategic
tweaks of his medications, Dr. Massaro hopes to control it to a point where
it is no longer an issue and Dennis’ persistent cough subsides completely.
Although the condition is often chronic, unlike the ocular GvH, it can resolve
itself over time and, hopefully, with closely monitored treatment, it will
do just that.
On a personal note, we picked up the offspring from camp on Sunday, so we
anticipate our days of slug-like laziness will become fast and furious once
again until school time rolls back around. We tried to offload them at their
overnight camp for the rest of the summer, but they just weren’t havin’
it (such good parents, huh?!). In keeping with the cyclical nature of these
things, the days keep coming and roll away to the next one; and we here,
in the Ozer/Goodman household that often feels as if it houses a newborn,
cherish each one that does its thing without incident or trauma. As I type
this, my friend Evie is just about to receive her donor stem cells on floor
4C at Brigham and Women’s; I wish her Godspeed on her journey to wellness
and swift wings for those stem cells to speedily find their way to her bone
marrow. Thanks and blessings to our family, friends, doctors, healers and
community for our 7 months past and each sacred tick of the clock to come.
This world of ours often brings me to the depths (we shoot to kill, then
say “oops, my bad” when we get the wrong guy), but I look at
Dennis, get very humbled, and know it’s always worth opening your
heart with passion and caring enough to engage in the moment and the fight
when you are called. Live with honor y’all. Debra
July 9, 2005
Summer Minions:
And, so the offspring have made the pilgrimage to overnight camp and are
no longer, at least temporarily, in our midst. We have received our first
communiqués from both of our heir apparents; Adam’s in particular
feels like it’s straight out of ‘Things to Say to Parents While
Away at Camp 101’. Thus follows the text of his first ‘letter’:
“Having fun at camp. Hope to see you soon (like he won’t?).
See you later.” I grieve that out of my florid, verbose, overly descriptive,
yet highly imaginative loins, came this. I have much work to do.
Dennis continues to flourish although the week since the kids have departed
the Needham coil has left us both low on energy and in need of sleep. Of
course, not understanding psychiatry like Tom Cruise, I can only postulate
that the past year has had a major cumulative effect on us, both physically
and emotionally, and it’s all hitting us now that we have the downtime
to let it. So, since the time presents itself to be able to fully relax
without deadlines and destinations, we are taking full advantage, resting
mightily, doing little and giving in to our inner-coach potato slugs. All
of Dennis’ GvH remains well under control and we haven’t had
any flare-ups of the existing conditions or anything that might be categorized
as new. Meanwhile, the hair keeps growing, his strength keeps returning
and progress is steady and apparent to all. I think, in some ways, the next
6 months will be the most difficult for him. With his increased strength
and energy, has come the temptation to break out of his suburban purgatory
and venture to exotic locations that are still, for all intents and purposes,
verboten. It has become all the more challenging to remind him that, although
he feels well, it’s still not okay to visit places indoors at any
length. He still needs to remain limited to our house and fast jaunts to
pick up meds or emergency items (ex: cream for coffee) only when necessary
(as in when Debra’s not around). Luckily, along with summer, comes
that grand old tradition of the outdoor barbecue, so we have been able to
get him out and amongst humans at several ‘cues that we’ve been
invited to recently (my thanks to the Solomonts’ and the Coblenzs’).
I’m venturing out on work appointments and to dinner/lunch/brunch/concerts
with friends with greater frequency but, as much as I love my posse, I miss
going out with Dennis and it’s strange to go to a party/social engagement
and not have him at my side. He is, after all, the life of any party, and
I always feel like the poor substitute off the bench who knows he can never
equal the reception that LeBron James or Shaq would have received. Sometimes
only a sports analogy can express the pain as it’s felt at the moment!
Our next appointments with Team Dennis, (Dr. Antin and our beloved Transplant
Coordinator Toni Dubeau; Dr. Massaro in Pulmonary and Dr. He-Who-Shall-Remain-Nameless
at ME&E), takes place on July 20th and 21st, so no real medical news
until then. We just groove on the offspring-less dog days of summer, lavish
all of our attention on Bronte, watch much baseball, gnash our teeth and
bite our nails at the news politique each night (Sandra Day O’Connor
– how could you?) and hope against hope that someday, George W. might
get a clue (one might call that living in a fantasy world). Lastly, for
those of you who turn blue (or should I say red?) from my political espousements,
lighten up. I always save ‘em for the end and I don’t post nearly
as frequently! So chiz-ill (as Snoop would say), soak up the sun in all
your SPF 30 glory and set your summer sails. Debra.
**** Remembering my father, Herbert, who passed away 6 years ago today,
we celebrate his life and honor his memory by living each day with joy,
integrity, humor and love. You will always be my main man, Dad.****
June 21, 2005
June’s Monthly Appointment
Those in the Ozer Way:
All news is good news in your place for all things O. Today’s appointment
was uneventful which, in the world of cancer and transplants, translates
to very good indeed. All of his blood work continues to hold steady and
present normally, and the GvH-related issues, while annoying, are under
control and considered minor in the scheme of things. Defying all odds,
our German cord continues to burrow in and exhibit that good ol’ German
obstinacy, and has actually gained a percentage point or two in the ratio
battle with Milan. It’s starting to look like Dennis may permanently
become one of a kind in the world of double-cord stem cell transplants (only
about 200 strong worldwide) by having the only immune system comprised of
two different cords. Dennis, Milan and Germany all living in harmony doing
the bone-marrow tango – can you say schizophrenia? I mean was always
hoping to find a male who had the manly-man testosterone thing going on,
but could also offer nurturing and support just like my grrrlllfriends.
The lengths we women will go to fulfill our selfish needs! Additionally,
in cellular analysis news, it seems that our lone male cell has fled the
scene or been forced to evict the premises so, in summary, our man is all
woman 24/7. Almost gives you the shivers, doesn’t it?
In the world of proselytizing, have I mentioned recently that Dennis would
be in a very bad place right now if not for the resolute brilliance of the
great minds and researchers at Dana Farber? Without launching into one of
my famous, fearful lectures, I would just like to let our Digital Illuminati
know that the annual Pan-Mass Challenge ride is coming up in August. Our
friends Jack Ford and Amy MacDougall will be riding and raising money for
Dana Farber to fund the research that helped Dennis and will continue to
help thousands in their battles with cancer. For those of you who are not
familiar with the PMC, the following will give you a brief synopsis of the
ride and it’s goals:
‘The PMC, presented by the Boston Red Sox, is the nations first fundraising
bike-a-thon and today raises more money than any other athletic fundraising
event in the country. It is also the most cost efficient. With nearly 97
cents of each dollar raised going directly to the Jimmy Fund, the PMC has
contributed more than $122 million to lifesaving cancer care and research
at Dana Farber Cancer Institute since its 1960 inception. On August 6 and
7, 2005, nearly 4,000 cyclists will travel six different routes, logging
between 89 and 192 miles over one or two days, through 46 scenic Massachusetts
towns from Sturbridge and Wellesley to Bourne and Provincetown. Their goal
will be to raise $21 million. For more information about the PMC, call 800-WE-CYCLE
or visit www.PMC.org.’
Although both Jack and Amy ride each year in tribute to many loved ones
and to find a cure for all, they will be riding this year in particular
in tribute to Dennis. As I have said to both of them personally, deep blessings
often come from a place of tremendous pain. Their love, support and friendship
during our most difficult and lonely times was immeasurable and they are
both a precious blessing in our lives. As you read these updates and appreciate
all that Dennis has meant in your lives, please consider a donation in his
honor to either Amy or Jack, and be a part of the miracle that is the Dana
Farber Cancer Institute. To donate –
1. Go to the PMC website, www.PMC.org
2. Click on the ‘eGifts’ button in the top left corner
3. Type in either ‘Amy MacDougall’ or ‘John Ford’
(please note that Jack’s profile is listed under ‘John Ford’
NOT ‘Jack Ford’) to bring up their profiles.
4. Click ‘Add Rider’ to add their name to your donation list.
5. Follow directions from there to donate by credit card.
6. Should you wish to make your donation in tribute to Dennis (or anyone
for that matter), please feel free to do so in the section provided in the
online form. If you would also like to let us know that you made a donation,
our address is: 34 William Street, Needham MA 02494. The PMC will send us
a letter acknowledging your donation and we will love and appreciate you
even more than we do already!
In other Goodman/Ozer news, Adam and Jakob are through with school for the
year and are headed off to overnight camp at the end of the month. It’s
been a hell of a year for all of us and I’m glad they’ll have
the chance to run wild and do the camp thing. Dennis and I will also appreciate
the ‘alone time’ and I will definitely groove on the feeling
of having a break from the after school activities shuffle. Yes, summertime
is a beautiful thing. And so we roll into the next season, life is good
and0, as a friend of mine so eloquently put it just recently, despite it
all, I still can’t wait to see what’s thrown at me when I round
the next bend. L’Chaim, baby. Debra.
June 13, 2005
Those in the Ozer Know:
All continues on the onward and upward path for he of the curly black hair
and sensitive temperament. We have rashes, eye issues and coughs, but it
is all minor, manageable and still feels like a miracle as each day passes
relatively uneventful and with continued good health. We had a follow-up
appointment with Dr. Massaro in pulmonary last week, and the bronchiectasis
remains present, but definitely more stable. His breathing tests, while
still not quite back to normal levels, has improved since our last visit,
and the follow-up CAT scans revealed no evidence of pneumonia or serious
infection. Dr. Massaro upped the amount of steroid in the inhaler a bit,
prescribed Claritin for some post nasal drip and expects that the bronchiectasis
will be fully under control by our next visit in 6 weeks. Next up is Dr.
Antin on the 21st.
Our friend Jay Feinberg from the Gift of Life came to Boston with Barby
Sloven (GOL’s Associate Director and dog lover supreme) to oversee
work for his umbilical cord storage facility in Worcester and to pay a visit
to both Evie and Dennis. Evie, Sari and I joined them for dinner and then,
since Dennis was obviously unable to join us, Jay and Barby traveled to
the lovely suburbs of Needham to meet him at the house. Jay had met Dennis
in his hospital room while he was undergoing the initial round of induction
chemo, but Dennis was extremely sick and drugged-up on that day and could
barely recall the meeting. Barby’s only exposure to Dennis was from
a tape we made for the GOL gala that I attended, where I did all the talking
and he sat there staring into the camera, blinking blankly (got quite the
laugh from those at the Gala who saw it, he did). So, somewhere along the
way, they got the misconception that our O was a ‘quiet, shy kinda
guy’ and I realized these poor, unsuspecting people had really never
been, and were about to get, exceedingly, utterly Ozer-ized (an experience
so many of us will recall with the warm fuzzies). I did warn them of the
true nature of the Ozer during the ride to the house, but it is something
that can only be fully understood when viewed and experienced in all its
3-D, live-in-the-flesh glory. Beyond their Ozer-expozure, I was so pleased
that Jay and Dennis had the opportunity to sit down, talk and compare, 6
months post-transplant. Jay is one of the most remarkable human beings I
know and the impact of his work is immeasurable, but even more than that,
he is a huge inspiration to us and, as a 10 year transplant survivor, represents
Dennis’ future (God willing) more than anyone else we have met throughout
this experience. The post transplant complications and GvH of an umbilical
cord transplant is comparable to those of the 5 out of 6 antigen, mismatched
transplant that Jay underwent. When they compared notes, there were indeed
a lot of similarities (stomach GvH, skin rashes, etc). It gave us hope for
what Dennis could expect several years down the road in regards to both
the obvious – survivial – and the possibility of eventual resolution
of the chronic GvH issues. While both of us tend to live very much in the
moment and refuse to obsess about any major life projections (no 5 year
business plans here), our life is still brought to you by the power of hope
and Jay represents 10 years of it made real. And that, my friends and family,
is what it’s all about and about all we can ask for on any given day.
So, until you next stroll in our digital direction …. keep it real
and show your love to those who make it real for you. Debra.
****** Welcome to the world Emma Alana*******
June 3, 2005
Greetings O Municipality:
All is well here in the land of Ozer/Goodman a few days after celebrating
Dennis’ 57th. As it’s difficult to go out and party with a transplant
patient, we just had a mellow good time at home as a deliriously happy,
nuclear-type suburban family unit. If you ask me, biased though I may be,
he is one amazing, splendiferous 57 year old and is looking mighty damn
fine in all his curly-headed glory! Click here
(ain’t technology marvelous?) to view the latest, greatest pics of
our wonder man; I slaved long and hard applying cutting edge lighting effects
to get them curls to really pop off the screen and into your house; be sure
to ooh and aah accordingly and let your hair envy all hang out!
We ended up making an unplanned visit to DFCI this morning to investigate
a strange rash that I first noticed last Thursday and is stubbornly refusing
to go away. It looks like it is, once again, GvH related but nothing to
be overly concerned about, and might actually be representing the last stand
of Germany, as they often see a GvH rash flare-up when one cord is ready
to follow its domination destiny (how very Star Wars), take over 100% and
kick the other cord to the curb. We should know for sure if he is pure Milano
at our next appointment on June 21st, when they will have the chimerism
labs back that provide that particular information. Meanwhile, we did get
the results of the latest bone marrow biopsy as long as we were there, and
his bone marrow is clean, in remission and totally clear of any evidence
of leukemia or myelodysplasia. As much as I expect that each biopsy will
yield happy results, each time we receive positive news it’s like
New Year’s, Chanukah and Easter (we embrace all denominations here
at Ozer Nation) all over again. But my favorite new Dennis and The New Immune
System factoid learned today is the revelation, via biopsy, that his bone
marrow is currently populated by 199 female cells and 1 stubborn little
male cell, that we are assuming is from Brooklyn, who’s hanging on
the stoop, listening to the Mets game on his transistor radio, and is generally
bringing down the value of the neighborhood. But the girls ruIe, and I observe
the woman in him coming out daily in many unique and fulfilling ways as
he postulates on his new and different hair (he has noticed, and I quote,
“that the natural oils of his hair enhances the definition of his
curls”), asks me, sometimes obsessively, if he’s getting fat,
and gets pissy and withdrawn when he feels we are not sensitive to his needs
and moods. Yes folks, Bronte and I are no longer the only bitches in town;
can PMS be far behind? In other GvH news, the new eye drops have brought
the ocular GvH under control and the bronchiectasis has its days, but also
seems better overall. We will see Dr. Massaro (our pulmonary pal) next Thursday
to confirm that all is well, bronchially speaking, and will see snippy eye
doctor man at ME&E on the 20th to follow up on his eyes. We are just
too, too booked.
And some good news from those in our direct Ozer/Goodman orbit. Dana Farber
and Gift of Life have found a spot-on, 12 antigen adult match for my friend
Evie. She was so very fortunate to have a tremendous pool of healthy potentials
from which to choose, and the very first person contacted not only fit the
bill perfectly, but was honored and eager to be a donor. It would seem that
Evie’s predecessors somehow boarded the right DNA boat when they left
the old country and, although she herself is special and unique beyond description,
her tissue type turned out to be Jewishly common and easy to match. Wherefore
our Dennis that he stands so unique among the populace of his tribe? Someday
I am determined to do a genealogical study of both sides of his clan and
find out who hooked up with whom that was big, bad and verboten in those
long ago days, or if the Holocaust, one of the world’s greatest tragedies,
severed bloodlines that were crucial to Dennis, centuries later, finding
a lifesaving match among his people. This project, of course, will be added
to the to-do list along with the book so many of you suggested I write from
this experience, the guitar lessons I’ve been meaning to take so I
can learn to play slide guitar like Lowell George and Bonnie Raitt, the
jewelry making classes I need to take so Sari and I can save some major
bucks by developing our own line of fabulous bling, and the sky diving lessons
I want to sign up for so, just once in my life, I can fly in reality and
not only in my mind and in my dreams. But alas, time is a slippery little
mofo so, for now, I will settle for getting some laundry done and leave
you, the Dennis municipality, free of political sturm and drang, and always
fully loved and appreciated by yours truly and those that are, forever and
always, truly mine. Seize your dreams and fly above it all. Debra.
May 24, 2005
6 Month Post-Transplant Anniversary
DTO Delegates:
If I were you, I would be thanking the 14 very valiant Senate souls who
worked long and hard (at least for them) to come up with a compromise to
Bill Frist’s fillibuster vote. They have thus avoided a devastating
chapter in American history and, even more importantly, spared you, the
Ozer-loving minions, much painful misuse of your Dennis minutes by yours
truly, wailing, moaning and generally opining on this sorry almost-turn-of-events.
You have been spared… for now.
Today’s 6 month appointment at DFCI was filled with laughter and continuing
good news. Boys and girls, I cannot even begin to tell you how good it feels
to be at DFCI and to be laughing – the memory of tears and disbelief
will always remain all too fresh in my mind. Dennis’ counts continue
to climb and to elicit ‘oooh’s’ and ‘ahhh’s’
from Dr. Antin. Both cords continue to express themselves, though our Milanese
one is clearly dominating. The man looks simply fab and his curly black
locks and multitudinous facial hair draws comments from those at DFCI who
know what the before picture looked like – follicularly speaking,
that is. The bone marrow biopsy that was performed today should detail some
further information regarding his new immune system as well as confirm that
the Leukemia and Myelodysplasia are completely eradicated. As good as the
blood work is, the times when we have to wait for biopsy results are always
nerve- wracking. If I have one mantra these days (other than that tired
old chestnut ‘one day at a time’) it’s that I take nothing,
nada, zero, zilch, gornisht (nothing in Yiddish), for granted. Mmm, mmm,
mmm, cancer can sho’ turn you into one big, walking cliché!
All of that positive news being said, there are continuing GvH issues which
appear to be chronic in nature, since they are occurring more than 100 days
post transplant. Acute GvH usually occurs within the first 100 days post
transplant, and is infinitely more dangerous than anything that we are seeing
almost 6 months out. But, in particular, the GvH in his eyes is proving
to be a challenge to bring under control. His follow-up appointment last
week at Mass Eye and Ear (hereafter referred to as ME&E) found the GvH
a bit worse (eyes drier, scratchier, etc. and more susceptible to infection)
necessitating another set of punctual plugs and enough eye drops to flood
the Sahara. Unfortunately, this seemed to result in mucho tear overproduction,
resulting in inflamed, puffy eyes and a crusty kinda thing going on in his
right eye that brought me right back to my childhood conjunctivitis days.
Dr. Antin took one look and, as opthomology is not his specialty, sent us
back to ME&E that very same day. So, off D & D went, back to ME&E
that self same afternoon, where the doctor (he shall remain nameless), seemed
all peeved and highly agitated to see Dennis back so soon. He was very snappy,
condescending and short, giving us a repeat performance of the snooty MD
attitude that we encountered at our first ME&E visit (I doth detect
a pattern here), when all we were seeking was, A) a happy medium between
extreme dry eye and endless moisture flow and B) confirmation that his eye
was not infected (it was not, thankfully). Geez, the nerve of us. To the
doctors in the audience tonight, I ask you - what’s the deal with
this? I know you are busy, in demand, highly educated people, but we too
are busy in our own way and are deserving of respect and a sympathetic ear
when we come to you for guidance and a cure for our ills. It’s your
job and you are paid to do it. I’m sure clinic environments are stressful,
but it was your choice of profession and position, so get over yourself,
dammit!
Meanwhile, on the pulmonary front, the brochiectasis seems to have calmed
down somewhat since we saw Dr. Massaro, the pulmonary specialist at DFCI,
who prescribed an inhaler with a mild steroid that seems to be doing the
trick. Dr. Massaro, by way of comparison, was a total sweetheart, enormously
helpful and equally informative with zero, nada, zilch, gornisht DT (Doctor
Tude). Since the brochiectasis is also chronic, it’s highly comforting
to know that the medical professional who you may have to interact with
for many, many years to come, is professional, knowledgeable and a mensch
to boot. It also seems that the stomach GvH (remember that?) may also be
chronic, as any attempt to completely wean Dennis off the Prednisone results
in an uptick of the nausea. He’s on extremely low doses, so for the
time being, he will hold steady where he is with the Prednisone to keep
the nausea at bay. GvH, even in its mildest forms, is quite the balancing
act, as we are finding out. Sometimes it’s better to continue taking
a drug like Prednisone, although it ain’t great for the body and its
organs in the long term, than to have relentless, debilitating nausea. It’s
making the Nurse Ratchett in me squirm somewhat, but I’m cool, I’m
good, I’m on it. Monitor and manage. Stay on your game. It’s
all about the vigilance baby, and vigilance is my middle name (actually,
it’s Lynne …). Wow, I’m scaring myself.
You knew it was coming, it’s inevitable and unavoidable, so it’s
once again time for….
****Some old school social commentary****
(skip to the final paragraph if these give you nightmares).
With the filibuster question off the table for the time being, much attention
is now being paid to a bill to lift the restrictions placed on embryonic
stem cell research by Dubya. Our current administration and their conservative
brethren, are informing us that our money is better spent supporting umbilical
cord and adult stem cell research, which, they say, shows as much promise
in treating degenerative diseases as embryonic stem cells. BIG NOT! When
I posed this question to certain doctors-in-the know at DFCI (while watching
Dennis’ bone marrow biopsy, nonetheless), I was told that, while the
stem cells in umbilical cord blood are obviously tremendously beneficial
in the world of bone marrow transplants, they differ markedly in make-up
and basic nature from embryonic stem cells and DO NOT have the same properties
or hold the same potential to someday do the regenerative work required
for diseases such as Parkinson’s, Alzheimer’s and the like.
In fact, studies have shown that they are indeed not effective when utilized
in this manner. This, my friends, is straight from the mouth of those doing
the research, professionals who are appropriately ‘schooled’
to make those determinations, as opposed to the propaganda we are hearing
from those whose only schooling seems to be in Political Pandering 101.
It’s our money, it’s our lives, be informed. This message brought
to you by A Red Haired Person for an Honest America.
*******End of commentary. It’s safe to come out again.******
And so, I leave you in peace with a final request. Please send your very
best birthday wishes to our hero, Dennis Ozer, who turns 57 on this Sunday,
May 29th. He battled fiercely to be here for this one and I know God’s
eyes will be on him with much pride and love for having fought the good
fight.. He Da Man. Debra.
May16, 2005
Ozer Celebrants:
“Back so soon?” you ask, “We’re still recovering
from your last lengthy missive!” Never one to give in to the tendency
to procrastinate, I come bearing news about today’s pulmonary appointments.
After about 3-1/2 hours of testing and assessments, it’s been determined
that Dennis does have a very, very mild case of bronchiectasis. Very, very
mild makes us truly, truly grateful; after going through a transplant, the
severity of anything else medical all becomes relative to that. The word
for today seems to be sputum (no definition provided; use your imagination),
as Dennis needs to collect his over the next few days so it can be cultured
for any infections present. The very good news though, is that there is
no evidence of any pneumonia, which would show up on the CAT scan; the sputum
collection is necessary to check for bronchitis and other respiratory infections
that would not be visually apparent on the scan. In addition, he’s
going back to DFCI on Friday for a fresh chest CAT scan (the one we looked
at today is now 3 weeks old) and a sinus CAT scan just to make sure that
nothing is brewing in his sinuses that’s further affecting the bronchiectasis.
Meanwhile, have I told you that his hair has come in nearly black and wavy-curly?
Perhaps that prediction of a Jewfro may come true after all. This demands
new pictures, don’t you think? I will get working on it (bless the
new digital technology) and will post Dennis ‘Do pics pronto. In addition
to these new, compelling glimpses into our hero’s life and hair follicles,
stay tuned for a wonderful picture from the Gift
of Life Gala featuring Jay Feinberg from GOL, my main woman Sari and
Deborah Liney. Deborah works at DFCI, where she in charge of unrelated donor
searches. It was the most wonderful Ms. Liney who was responsible for finding
Dennis’ two life-saving cords and is currently working diligently
on finding a match for my friend Evie. The 3 people in this picture were
essential to our transplant journey and are an integral reason why we reached
safe passage to the other side. We send thanks and good energy their way
every day and, in Deborah and Jay’s case, support the vital work of
DFCI and GOL in whatever way we can. Feel free to be part of their miracles.
On another note, I realize I was mistaken about tomorrow’s DFCI appointment.
That 6 month appointment is actually scheduled for next Tuesday, so more
medical news, other than today’s pulmonary update, will follow next
week. Until then, it’s off to bone up on today’s right-wing
conservative conspiracies and save the world one person and canine at a
time. Thanks for coming, thanks for coping, thanks for caring. Debra.
‘So take the photographs, and still frames in your mind.
Hang it on a shelf of good health and good time.
Tattoos of memories and dead skin on trial.
For what it’s worth, it was worth all the while.
It’s something unpredictable, but in the end is right.
I hope you had the time of your life.’
Good Riddance – Verse 2 (Time of Your Life) – Green Day
May14, 2005
Dedicated Dennis Dominion:
Dennis continues to do remarkably well overall and grows stronger as the
days pass. I often watch him in his training sessions with our magnificent
friend Aviva, and it’s remarkable to see how far he’s come in
re-attaining strength, coordination and balance. I would venture to say
that he’s building an even stronger body than before, as he’s
actively integrating yoga into his life, which provides agility and flexibility
in both the physical and mental realms. His mind was fairly formidable before,
which we witnessed as he went through the most difficult moments of his
cancer/transplant journey, but when you can open your mind to flow with
what life brings with grace and dignity, you absolutely work magic. Dennis
works magic everyday; he thrives and strives and we all remain thrilled
and hopeful beyond description.
That being said, it does seem that we may have a small bump in his post
transplant road, as the coughing and congestion problems have continued
and he’s been very tired in the last few weeks. After contacting Dr.
Antin, we came to find out that the chest CAT scan revealed evidence of
a condition called bronchiectasis, a condition of the lungs where the airways
(windpipes) become widened and enlarged so that lung secretions and mucus
do not pass out of the airways normally and instead can pool in the lungs
leading to infection. This can lead to cough, recurrent bronchitis and recurrent
pneumonia **( **the previous definition courtesy of everyone’s favorite
friend, the internet). Why we are just finding out the results of a CAT
scan that was taken 2 or more weeks ago perturbs me a mite and, once we
get a handle on it, will require further investigation. But meanwhile, we
have appointments both for in depth pulmonary function testing and a meeting
with a pulmonary specialist this Monday and will know much more at that
time. The internet can obviously be helpful, but it also throws reams of
information at you that can be both overwhelming and misleading; I prefer
to get my bits and pieces straight from the ol’ pulmonary horse’s
mouth (at least in this case - insert appropriate doctor’s specialty
as it applies). One thing I DO know is that the condition is not life threatening
other than we must be ultra vigilant regarding pneumonia, flu and anything
bronchial in nature. Of course, if we get any more vigilant, we will be
classified as terminally anal-compulsive and not much fun to be around.
While I’m not pleased that this has happened, I knew better than to
get complacent and think nothing negative would ever pop up because he’s
Dennis, he’s the King o’the World and he’s done so astoundingly
well thus far. He’s indeed miraculous, but, my peeps and homies, we
still have a long way to go and can never get lax or take anything for granted.
This is sort of a rock and rollin’ week for us in terms of doctor’s
appointments for Dennis. Along with Monday’s pulmonary work-up, we
are back at DFCI on Tuesday morning for our 6 month appointment which includes
another bone marrow biopsy and further protocol-related blood work. Then
it’s back to Mass Eye and Ear on Wednesday for his eye check follow-up.
We now have someone to contact before the Mass Eye and Ear appointment,
so we can get in and out with minimal waiting (complaining stridently can
get you somewhere after all). Considering the bronchial situation, I do
not want him in there a moment longer than is necessary and will kick up
some dust if it turns out to be otherwise (you think I’m a bit antagonistic
of late?). So, in summary, Debra, your digital scribe, should have much
to report, including new and happenin’ fascinating cord facts, by
the end of the week and I promise to update the dominion expeditiously (I
figure that as long as I can use and spell big words, I’m not getting
senile).
**Warning – I feel a Debra advocacy update comin’ on. Here’s
your chance to read about how, Debra Style, advocacy can make the world
continue to go ‘round, or to skip to the bottom and get out fast (no
one will ever know!). The choice is yours and there’s always a choice.**
As I regain my own emotional footing, I have started to have an opportunity
to direct some thought and effort towards advocacy – that fine liberal,
leftist, femi-Nazi need to make the world a better place after one has been
through their own personal hell. When you go through cancer, there is the
possibility of coming out on the other side feeling the need to be cloistered,
mentally and emotionally, and to hunker down with your family and turn inward.
I’ve found myself in a place where my heart has opened up in ways
that are often pretty close to painful in terms of containing and controlling
the degree of emotion engendered. I chalk that one up to my incredible father,
who was one of the most loving, generous, affectionate human beings I’ve
ever known. His capacity to give was limitless and I’m proud to have
inherited even a small part of that precious legacy. It ends up that my
friend, Evie, who I mentioned a few updates ago, will have to undergo a
transplant after finishing the chemo regimen she’s presently on to
put her lymphoma into remission. I have been of spending much time with
her and her family, accompanying her to appointments at DFCI (she will be
under Dr. Antin’s care), and trying my best to support, inform and
translate as her family deals with sorting through all that comes with the
reality of stem cell transplantation. At the risk of sounding new age-y
and mighty weird (what’s new about that huh?), it seems like my karma
to be able to be present for Evie and it feels very right and very good.
My friend Sari and I also went to NY last week for the Gift of Life’s
10th Anniversary Gala celebration. The Gift of Life, and Jay Feinberg, is
the amazing bone marrow foundation that funded all of our drives when we
were searching for a match for Dennis. Sari and I hope to begin to work
with GOL in their efforts to begin an umbilical cord storage facility since
cord blood transplantation, as we have seen with Dennis, is most definitely
the best hope for the future. Without those cords, Dennis’ outlook
would have been bleak indeed. GOL has partnered with a facility here in
Worcester and, as karma would have it, Evie’s son and daughter-in-law,
Amy and Josh, are due in 4 weeks with their first child. I put them in touch
with Jay so GOL can collect their baby’s cord and the life-saving
stem cells that reside within it, and their cord will officially become
GOL’s inaugural donated cord upon their baby’s birth. It’s
the next, best thing to having a baby of my own (female, of course) and
being able to donate her cord. To bring the circle of coincidence (or the
belief that nothing ever is coincidence) even closer, Amy and Josh bought
a house right across the street from us, and I am now blessed with terrific
new neighbors and a beautiful baby-to-be that I can lavish with attention
and get my mommy ya-ya’s out on. Additionally, when Evie is safely
post transplant, she will have the choice of not just one ‘safe house’
(her own), not two (Josh and Amy’s cleaned to spec) but THREE since
my house is now and will forever remain up to post transplant code. We build
advocates one by one, and we must teach, preach and pass it on when we have
reached safe harbour from our own dance with the demon. So stay tuned for
information as Sari and I figure how to best spread GOL’s cord blood
donation gospel to our little part of the world. And keep the glory that
is Dennis in your heart when an opportunity to give mightily of your own
blessings, be they your stem cells, your blood and platelets or your financial
successes, is presented to you. End of advocacy update.
And so I leave you for that famous springtime ritual called Little League,
as I wear many chapeaus, soccer and baseball Mom being proudly amongst them.
The name will always be Goodman, but my man and my clan is Ozer. Debra.
‘Another turning point, a fork stuck in the road,
Time grabs you by the wrist, directs you where to go.
So make the best of this test, and don’t ask why.
It’s not a question, but a lesson learned in time.
It’s something unpredictable, but in the end is right.
I hope you had the time of your life.’
Good Riddance (Time of Your Life) – Green Day
April 26, 2005
5 Month Transplant Anniversary
Beloved, Burgeoning Nation of O:
Rather than count the days since our hero’s transplant, we will start
to mark the milestones by months, as an incredible 5 of them have now passed.
Today’s appointment at DFCI continued our trend of good news and spot
on progress. By all standards, Dennis’ blood work is deemed completely
normal and recovered. His hematocrit still has not hit 42, but it’s
up to 39 and we expect it to follow suit by our next appointment, one month
from today. We were both a bit concerned over the last few days, as Dennis
has been feeling winded and short of breath, but his blood work remains
far too strong to indicate anything problematic other than perhaps a cold
or springtime allergies. I spent most of last week with a pretty nasty cold
myself, so I wouldn’t be surprised if Dennis picked it up despite
my best attempts to keep my distance. He is having a chest CAT scan tomorrow
just to be sure that nothing is brewing, but again, there is no expectation
of anything troublesome.
It would also seem that our man is unique among double-cord stem cell transplant
patients (all 18 of ‘em performed at DFCI to date,that is) as the
little girl from Dusseldorf refuses to entirely go away. Usually, by Day
+100, one cord has come to dominate completely but, although our Milanese
baby is still directing the show at about a 76% to 24% ratio, it would seem
that we’ve got a little European Union thing going on, with the two
cords co-existing peacefully in Dennis’ bone marrow. According to
Dr. Antin, this is a total first and, since it‘s nothing to be concerned
about in the overall scheme of things, it seemed to be an endless source
of amusement for Dr. A. as did the thought of these two little girls running
around in some playground, laughingly oblivious to the life they have saved.
Being that our doctor is not usually one prone to spontaneous expressions
of humour, it was kind of exhilarating to see him so amused and chuckling,
obviously enormously pleased by Dennis’ progress. Let me tell you
folks, it is ALLL good indeed when one’s transplant doctor is happy
and chatting gleefully with you about little girls playing in European schoolyards.
I, of course, am not surprised to hear that Dennis’ marrow is unique
among patients. I would expect nothing less as he stands unique among most
humans in just about any comparisons in which he is measured. The Lord up
above, she done broke the mold after making that one!
***Political Commentary Alert! Skip to the end if these kind of things make
your skin crawl (Hey, I’ve been so good!)*****
I have been very tempted these days to comment on recent news events pertaining
to certain Frists and Delays making noise about ‘persons of faith’,
a phrase they bandy about so recklessly and one that is fraught with some
pretty scary connotations . I invite them to have observed our lives this
past year as we have learned the true meaning of faith and how deeply personal
that word is to each of us. They might have a concept that faith is born
of the family that holds you up, of the doctors who discover miracles and
bring a second chance and of the community of many who, each immersed in
their own personal interpretation of God and the infinite, embraced this
family with spirit. love and prayer that needed no definition from the Pope,
Chief Rabbi or Allah to have the power to support, inspire and heal. It
wasn’t ‘one true faith’ only, but the power of the many
and the diverse that brought us through our version of hell, enlightened
and humbled. I fear deeply for this country when God and faith becomes a
bludgeon to be used to force submission to any one ideal; there was once
a man in Germany who exterminated 11 million people in the name of that
kind of ‘faith’. Open your heart and set your own journey. Debra.
‘Everything begins in faith and ends in politics’ – Charles
Peguy
April 20, 2005
Day +122
Those who Follow All Things Ozer:
All continues on the upward path for Dennis. Our last appointment at DFCI
revealed that the bone marrow biopsy found Dennis’ marrow “clean
as a whistle”, in the words of Dr. Antin. Never did such a cliché
term sound so very beautiful and happening. He has been feeling stuffed
up and seems to have a cough, but both a chest x-ray and nasal swab came
back normal. Normal – that is also one truly mah-velous word when
it applies to his health. His hematocrit, which is traditionally the last
indicator to come up to full strength or, more factually, back within an
acceptable range (in this case 42 and above), is up to 37.7 from 35.5 at
the last appointment. So, once again, that word ‘thankful’ seems
inadequate but one that I wake up with on my mind and in my heart every
day. Nothing can be taken for granted, as I was just painfully reminded
today when I found out that a good friend’s Lymphoma has relapsed
after 3+ years of clean scans. We must keep focused on living in the day,
in the hour, in the moment. I embrace every day and every test and clinic
appointment that greets us with continuing good news as our world can be,
once again, rocked to its core in a given instance. Our love, deepest prayers
and total support to my friend Evie as she faces the demon once again. Evie’s
situation also served to remind Dennis that Dennis still faces an element
of the unknown due to the dearth of long term data available on umbilical
cord transplants. But, as I have learned in yoga, one can’t live their
life in fear of the next moment, of the future, of the next pose and if
it’s attainable. There is only the mat and the moment, only what is
currently in front of us and I, at least, have chosen to live in that particular
place. I feel that, in many ways, that is a far more difficult task for
Dennis as he possesses a personality, (despite his little Milanese girl),
that makes it difficult to live with that element of surrender. His mind
just doesn’t work in that manner; it’s always moving light years
ahead, inventing and evolving in ways that this slower paced girl can barely
even start to contemplate!
While he still faces 7-8 more months of relative isolation in the house,
the advent of spring has allowed him to get out and be a bit more participative
in the sporting lives of the kids. Although he is not able to do the coaching
he would so love to do, or get down and dirty with the kids on the fields,
I think it does us all a world of good to have him out of the house and
helping the kids to hone their hoops, polish their pitches and garnish their
goals. Spring is definitely fast paced around here with each kid running
between 2 sports and other varied activities (Green Day concert, Bat/Bar
Mitzvahs galore, etc.), so the days and weeks pass more quickly as we count
down our one year of Dennis confinement (it’s almost 5 months into
it if you can believe it). Viva la spring and all the renewal and rebirth
that comes with it. That is the theme of our lives these days and it’s
reflected back to us daily in our environment. Oyyy, the cyclical nature
of it all! So, before I devolve into further gag worthy, new age spewage
(makes you miss the fiery, endearingly obnoxious liberal spoutations, huh),
we wish all of our Jewish kin ‘round the world a Happy Passover and
send back to our Nation of Ozer all the love and energy with which you have
sustained us these many long months. Shalom, Namaste, Peace out, Amen y’all.
Debra.
March 31, 2005
Day +109
Those Who Knowzer Ozer:
Our first Tuesday without a DFCI appointment – a beautiful thing indeed.
In this post-transplant world of recovery and reconnection, small things
like this, indicating tremendous, hard-fought-for progress, end up being
very profound. As I type this, Dennis and I are working, side-by-side, in
the home office I set up for just this purpose, and it’s truly delightful
to be here with him. He continues to do superbly well, and, as I have had
the pleasure of watching my yoga teacher Aviva train him, I’m amazed
by the strength and power he’s reclaiming so quickly. I know that
he feels frustrated not to be at the same place he was prior to the transplant,
or should I say prior to the symptoms of his illness, but he was never one
to surrender gently and give in to the ebb and flow of life, the good days
and not so great ones. The man chews life like a piece of leather (kind
of a sweet pitbull analogy as it were) and lives a life that moves to a
very fast rhythm- that’s part of what makes him the Dennis that entertains
and inspires us so. The advent of the beautiful spring-like weather has
also allowed him to get out and play hoops and catch with the boys. It cracks
me up to watch people in our neighborhood drive or walk by and pay their
respects to the reappearance of the reinvigorated Godfather. Funny, funny.
And, of course the Great White Bronte Beast continues to be kept slim and
girlish with her Dennis-paced daily walks.
I forgot to mention in my last update that some of the food restrictions
were lifted last week on the Day +100 milestone appointment. We can bring
in take-out food and, more importantly, It is salad and raw fruits and veggie
time again for the O. Being a man who has eaten about as close to nature
as a human can get, the loss of greens was a heavy one indeed for him. It
was nigh near glorious to observe his face when he bit into the first apple
he has had in about 6 or more months. Who knew romaine lettuce and radishes
could be as good as sex? The things we take for granted. This also serves
to take some of the cooking pressure off of me, as I can now serve salads
with shrimp, salads with chicken, salads with crunchy sprouts and tofu etc.
to O and the offspring and still feel that they are eating decently without
my having daily meal preparation trauma. You laugh, but this is some stressful
shit when the fine art of cooking is not firmly and comfortably part of
one’s skill set! The whiny Princess in me has been loosed upon you.
Excuse the use of such extreme language, but it only serves to reinforce
the depth of the culinary distress I experience as dinner rolls around!
By the way, since many of you have asked how your man looks, stay tuned
for some brand new, happenin’ pictures of Peanut and the family O
(including political maven Adam, Hurricane Jake and Bronte, the chocolate-lovin’
canine, of course). No new pictures of yours truly, as I don’t change
much other than another wrinkle and more gray hair. Oy!
So each day proceeds with joy, and each week seems to pass with increased
health that we never take for granted. Our journey continues (doesn’t
all of ours?) but it has moved from a survival mode to one of rebuilding
and reestablishing. I know only too well that everyone has a different definition
of God and what God means to them, but, in my own personal world, I see
God as a spark of divine potential that lies within each of us that guides,
that inspires and lifts us on the lifelong quest to connect to something
higher and better. Dennis’ spark was always a thing of tremendous
power and strength, but I marvel that he now has the dual little baby spark
of a glorious little girl from Milan intertwining with his own. Blessings
on your journeys, my friends. In the moment, in the glow. Debra.
*** Peace, comfort and namaste at the close of your journey, Terri Schiavo***
March 24, 2005
3 Month Milestone
Day +100 Appointment Update
O Minions:
Never being one who likes to repeat past mistakes, I bring you this week’s
latest Ozer news in a more timely and expeditious manner (I am so glad to
have these updates in which to test my old person’s memory of the
English language). Our Day +100 appointment was wonderfully uneventful,
as all news was good news. Dennis’ latest blood work was termed ‘magnificent’
by he-in-the-know, Dr. Antin, and we were tremendously pleased to see that
his hematocrit has risen more than 2 points to 35, without the need for
any supplementary blood infusions. It looks like there is one happy baby
dwelling in the O’s marrow and we are grateful indeed for our little
Milanese wonder woman. Dennis’ lung function test results were actually
stronger than those results gathered before his transplant, which speaks
volumes on the effects the leukemia/myelodysplasia had on our ever-so-strong
and hardy hero. Although Dr. Antin performed a bone marrow biopsy, we won’t
receive the results of the various tests and chemistries run from the biopsy
for 1-2 weeks. Again I stress that we are not expecting to hear that there
are any blasts in his bone marrow; Dr. Antin feels that his counts are far
too strong and would be responding adversely to any cancer cells if they
were present. While a bone marrow biopsy is never what you would call a
‘pleasant’ procedure, it did afford an opportunity for Dr. Antin
to access the strength of Dennis’ bones, which, despite several rounds
of chemo and other potentially body traumatic drugs, seemed to have retained
all of their previous integrity. In other words, he’s remained tight,
right, light and outta sight throughout the fight!
Wednesday’s Day +100 appointment was at Mass Eye and Ear and took
a loooooong damn time in a very busy, jammed clinic environment. Mucho waiting,
getting ushered in one room and back out to wait for the next doctor, into
another room and back out again to wait for doctor #3, etc. All in all,
we were there for close to 3 hours and I found myself getting rather cranky
and aggravated watching him get exhausted and exposed to numerous coughing,
sneezing, hacking-type people as we waited. Mama ain’t no doctor,
but it would seem to me that this was one extremely unhealthy environment
for a 3-month out stem cell transplant patient with a baby immune system.
Of course, me being the ultra-advocatin’ stand-up kinda woman that
I like to think I am and he bein’ my man, I did try to sweetly, yet
firmly verbalize my displeasure to one of the techs and the more junior
opthomologist to see if we could speed up the between-procedures wait time,
but, alas, to no avail. I got a “you should have known this would
be a long appointment” line from junior opthowoman there, which, although
she was right and we should have been told, only served to piss me off even
further, partially due to her snitty doctor ‘tude. And so, me being
the combative, ultra-advocatin’, stand up for her fabulous, happenin’
man, can’t sit on it and let things pass kinda woman that I KNOW I
am, I have decided to inform DFCI of this and try to make a difference for
our future appointments and the F.A.’s of all other transplant patients
to come (so noble, ain’t I?). While my own personal self would wait
as long as needed like all the other folks for this type of appointment,
I truly feel there needs to be some sort of intelligent intervention made
on the part of DFCI and some special dispensation made at Mass Eye and Ear
for a dramatically immune-compromised individual. In the end, it does appear
that Dennis has some mild GvHD in his eyes that results in a dramatic decrease
in adequate tear production to keep his eyes moist. Fortunately, it is extremely
mild and the structural integrity of his eyes also remains very much intact.
It’s treated simply with eye wash 8-10 times per day, and these little
teeny-tiny, microscopic things called punctal plugs that were inserted into
the corners of his eyes (painless, I can assure you because I watched the
whole 2 second procedure), which block the tubes (or Puncta, our new Sesame
Street word for today) that drain extra tears and moisture from our eyes.
Who woulda known such a thing existed?
*** I know -- you are probably thinking as you read this, ‘Wow, that
was a long diatribe to wade through to get to the punctal plugs bit!’
Man, she’s contentious and wordy sometimes! ***
There are so many times these days, when I look at Dennis and find it almost
incomprehensible that his body and spirit has been through so much. He truly
looks amazing and his presence is as powerful, inspiring and, perhaps, even
more impactful, than it was before. Although the rhythm of our lives is
most definitely changed (Dennis home 24/7! Debra cooking meals for 4!),
it has resumed a flow and has a new warmth to it that is truly sustaining
to us all. I mark time very differently though, and, as cliché as
it might sound, feel every moment and each day that passes with health and
vigor, in a far deeper and more profound way than I thought possible. The
journey that cancer takes you on, one that, something tells me, will remain
with us lifelong, can either close you off and have you questioning God,
faith and yourself, or opens your heart and soul to the possibilities of
forgiveness, personal strength, connectiveness and love. My world reverberates
very differently now and I feel altered in many ways, but it’s a good
and very powerful place we are all in, indeed. I give thanks and remain
open and attuned every day to the beauty of having possibilities that include
Dennis and a life together.
*** LECTURE ALERT *** (non-political in nature, though)
While I will spare you my personal opinions on the Terri Schiavo tragedy
(and it is, in every possible way a tragedy), the whole issue of living
wills, insurance and disability is one that resonates with both Dennis and
myself. A cancer diagnosis has a very efficient way of making these issues
into priority #1 for any family facing the battle. While I would never,
consciously at least, tell anyone what they have to do, I will say that
Dennis took care of his family in many very significant ways that could
easily be overlooked until an emergency necessitates addressing them (and,
by then, it is often too late). From just about day #1 of our marriage,
Dennis had taken out sufficient life insurance and disability on both of
us to provide for the family in the unfortunate possible occurrence of just
this kind of circumstance. He always made it a priority in our domestic
affairs, thanks entirely to his own efforts and, quite honestly, often against
my objections because of the financial commitment required. Trust me, I
was wrong to ever object and bless him every day for his foresight and uniquely
Dennis persistence in this matter! Additionally, both of us have living
wills, which we reviewed and updated immediately upon his leukemia diagnosis,
and a copy of which followed him and his chart wherever he went during his
2 hospitalizations. We are both extremely clear where we stand on the issue
of life support and have the document to back those wishes up to, prayfully,
ever prevent the kind of horrendous conflict and litigation that has torn
apart the Schindler and Schiavo families. You need this whether you are
married or single and you are never, ever too young to attend to this crucial
document. As we have all seen with the Schiavo litigation, the stakes are
tremendously high and enormously catastrophic if ignored. Appoint a trusted
guardian and make your wishes known in writing as soon as possible if you
have not already done so. Illness and calamity can enter your life UNEXPECTEDLY
at any time, as it did with Dennis, and procrastination can bring with it
momentous consequences and unfathomable heartache to your family and loved
ones.
*** LECTURE OVER, BUT THE LOVE GOES ON AND ON ***
Yours in the day – Debra.
March 15, 2005
Day +90 (can you believe it?)
Patently Patient Nation of O:
Bad Debra, bad Debra! Yes, Debra has been a bad girl, a bad dog. You have
called, you have written, you have admonished and pleaded and, still, you
didn’t get your update. I offer no excuses. I am riddled with guilt
(as every Jewish girl should be). I accept responsibility. I beg forgiveness.
Of course, being the fine, intelligent community of digital intelligencia
that you are, and living in a world where every bad word is instantly blasted
and broadcast near and far, you figured that all is well and there was nothing
troublesome to report (‘no news is good news’ as the cliché
goes). And, in this instance, you are right and then some. Yes, life is
good here in New England. No rain, no sleet, no endless pounding snowstorms,
seemingly one after the other, can dull the spirit, energy and progress
of he who we call The Godfather. Our Tuesday meetings are getting to be
quick, down and dirty; a little blood work, a kvetch or two and we’re
out of there until next week. Yes, it might be considered medically boring,
but we like boring. Boring is beautiful, Boring is goooood, goooood (as
George Bush Senior used to say by way of Dana Carvey). After the end of
this month, we will probably start on a schedule of every other week (or
twice monthly as it’s more commonly said) appointments at DFCI. His
counts continue to climb (as in the case of his hematocrit) or remain consistent
and strong (platelets and WBC’s), all good signs of a healthy, new
immune system happily taking root and flourishing. The prednisone continues
to do its job in regards to the gastro GvHD, he is being gently weaned weekly
off of his various meds and there have been no further worrisome signs of
any kind. Despite my best predictions and secret desire for Dennis to grow
a fine, curly Jewfro worthy of Bob Dylan, his beard and hair has come in
the same color and consistency. He has started working twice weekly with
both a PT and my magnificent yoga teacher Aviva, and continues training
on the Needham Heights Bronte Dog Walking Workout on a daily basis. If one
didn’t know Dennis (how inconceivable and sad it would seem NOT to
know Dennis) and met him for the first time, they would have no idea that
he had been so sick. He just so pretty!
And now, for your viewing pleasure, a few fun facts re: Dennis’ cords:
1) It would seem that baby Milanese is kicking Germany’s butt and
it looks like it will soon be completely dominant. As of our last appointment,
Maria Milano comprised 66% of his immune system and Debbie Deutschland only
34%. In the words of Dr. Antin “Brooklyn is completely gone”(meaning
Dennis’ none too healthy immune system has left the building in exactly
the way it was meant to). But you know and I know that the Brooklyn is in
our boys’ DNA – it just be hibernating for now and will soon
be sneaking its’ butt out after curfew to check the box scores and
toss back an espresso or two.
2) Now, the truly astute among you may have noticed that I have placed female
monikors on our baby cords. As roaringly queer as that may seem, there is
a reason. Yep, they’re girls. Both of ‘em. One was born in 2000,
the other in 2001. Girl power, baby. The ultimate in getting in touch with
your feminine side. The girls I never had. A new palette of soft, wearable
colors that the more sensitive man is not afraid to wear. Shopping in the
mall, decorating the house, Pilates class… Wow, it’s easy to
trip on this one, huh?
And so we re-weave our life from a changed, but exceedingly joyful, point
of view. A few of you have asked what his prognosis is for the future. Technically
speaking, from a DFCI standpoint, the long-term data on double-cord transplants
simply does not exist to adequately answer that question. Dennis was double-cord
transplant #15 for DFCI; double-cord transplant #2 was exactly one year
out when we met him about 3 weeks’ ago. So, in a few words, we don’t
know. The only prognosis that matters to us is that each day we wake up
is one more day we might not have had this option not been available to
us. And he is Dennis Ozer – that’s the best prognosis in and
of itself. Next Tuesday’s appointment is Day +100, considered the
first of what we hope to be many post-transplant milestones. We will be
at DFCI for a good part of the day while Dennis undergoes numerous protocol-related
tests (lung function, eye tests since GvHD can affect the eyes, etc.) including
a bone marrow biopsy that will confirm that he is in continued remission
from the leukemia and should provide very detailed information on the composition
of his new immune system and the cord that comprises it. Dr. Antin is in
no way concerned that there are still any leuko-blast cells present, as
his blood work continues to be so strong, but it always gives one a marvelous
sense of peace to hear it confirmed as such. So, raise your glasses (and
I don’t mean the reading ones) to Day +100 and all the days to come,
fill out your March Madness College Basketball sheets and know that He of
the Hoops is available for consultation and advice as you agonize over your
picks.
‘Yo, his pants they may be baggy
His ass it might be small
But he still one feisty mofo
And one clean lookin’ Jewish-Milanese-German-Brooklyn bad boy, y’all!’
Ode to A Man from Brooklyn – Debra Goodman 2005
***** Rest in peace Aunt Lillian. We love you*****
February 18, 2005
Day +65
Celebrating the Pats Superbowl Win
Obviously Ozer Observers:
The planets continue to align in our direction as the sun shines brightly
and the moon lights the nighttime path. And no, I’m not talking about
the Pats, but about Dennis O, our own favorite dynasty. The Tuesday news
out of DFCI continues to be uplifting. His platelets are now at 211,000.
his hematocrit is at 32 and his WBC counts are at a high of 10,500. The
prednisone continues to do its job in regards to the gastro GvHD and there
have been no further troublesome signs of any kind. His goatee is just about
at full power and, if you stare long enough, it feels as if you can actually
watch his hair grow. He’s got his strength up and Bronte’s weight
down with his twice daily 2 mile dog walks and, all in all, he’s one
amazing and inspiring’ kinda guy to be around. We’ve started
to have a few (very few) visitors over and Dennis has had several walk-the-dog
play dates with our friend Joel, but we are still limiting lengthy indoor
contact and friends of the kids will remain strictly verboten. My fairly
close to inexpressible gratitude to the parents of Adam and Jakob’s
friends who have opened their homes and hearts to my boys. It is not the
easiest thing, by any stretch, to call for play dates knowing you will be
unable to reciprocate and have any of these children in your own home for
many months to come.
I feel as if we are finally starting to settle back into a routine of sorts
that has allowed me to learn how to juggle Dennis’ needs, the kid’s
schedules while allowing me to, slowly, phase back in to both work and a
Pilates and Yoga workout schedule that works wonders in keeping my sanity
intact and my soul and body healthy. As some of you already know, I was
also working part time as a Pilates instructor, work that I found both stimulating
and fulfilling, and I hope to be able to pick up some of my hours again
and work with a few clients. I have also, as normalcy, or at least our version
thereof, returns to our world, been able to finally answer the many, supportive
e-mails that were so crucial in getting me through the days while Dennis
was in the hospital. I also hope to begin working on my ‘Cancer 101’
tome; I will spare you all by not posting it in update form, but will have
a separate section on the website where it will be available should you
wish to read what will probably, knowing me, be a very honest and a little
raw take on surviving this kind of experience. It may not make me new friends
in the end, as I have a few things to relay that might make a few people
blink at their own behavior (or lack thereof), but if it ends up assisting
someone else in their navigation of the process of cancer both from a point
of view of dealing with the medical establishment and their own day-to-day
community, than I will have accomplished something of worth and that’s
about all anyone can ask for these days.
Enough proselytizing; you may miss hearing about Dennis frequently, but
I will just about bet you sure ain’t missing Preacher Debra. And so
it goes and on to the next day (every single one is more precious than I
can ever describe). Liberal, laughing, loving and living. Debra.
P.S. I know there are those of you who have offered condolences or criticism
to Dennis regarding his wife’s choice of political direction. To those
of you I offer the following definition:
LIBERAL (lbr-l, lbrl)
adj.
1.
a. Not limited to or by established, traditional, orthodox, or authoritarian
attitudes, views, or dogmas; free from bigotry.
b. Favoring proposals for reform, open to new ideas for progress, and tolerant
of the ideas and behavior of others; broad-minded.
Now I ask you, is that all bad? Peace out America.
February 5, 2005
Day +52
Saturday before Superbowl
Those Seeking Ozer:
I know – I can hear it now. What up with our Dennis Watch? Girl is
losing her edge; she’s left us hanging, totally bereft, in suspense,
plotzing in anticipation, jonesin’ like a junkie, eager to elucidate,
keen to keep up, fervent for the Fanclub, diligent for Dennis, pinin’
for the Peanut and bothersomely besotted for the boy! As I said before,
how much can you honestly take of hearing the daily trials and tribs of
the O in question? I must save up the news and meter it out sparingly and
efficiently these days at home or these updates will turn into something
nasty that will come perilously close to resembling a really bad diary of
one’s first baby (“Ooow, he took his first walk around the block!”;
‘Uh-oh, couldn’t hold those pills down today!”; “Baby
boy gained one whole pound today!”; “Oh, look, his hair is coming
in!”). I respect you too much for that. So, on to the medical…
Our little stem cells are absolutely lovin’ life in the Godfather’s
bone marrow. Our Tuesday appointment with Dr. Antin was phenomenal; his
platelets almost tripled from 67,000 the previous week to 157,000. His crit
was up to 34 from 28 (40-42 is normal for an adult male) and his WBC counts
are up to 9,200 (well into the normal range). Fantastic progress especially
considering that he has had no supplementary blood products to boost those
counts. It turns out that the nausea problem, which was getting inexplicably
worse, is actually a form of GvHD, which affects the gastro tract and responds
quickly and successfully to treatment with Prednisone (a steroid used to
treat gastro diseases such as Crohn’s and Colitis). Two days of treatment
yielded a completely revitalized Dennis; he is completely back on track
with his meds and has seen the return of a healthy appetite (I will fatten
his ass up if it kills me!). An extra, added bonus at our outpatient appointments
has been the opportunity to speak with other transplant patients who are
farther along in the process than we are at just 52 days post transplant.
We met a fabulous man, who was exactly one year post-transplant on the day
of our Tuesday appointment (February 1st) and was doing fantastically well.
He remains quite the trailblazer, as he was only DFCI’s 2nd double-cord
transplant at the time, and it was truly illuminating and inspirational
to meet him and be able to compare notes on symptoms when he was at the
same point that Dennis is currently, and regarding what we might expect
in the future. As you might imagine, support groups for vulnerable transplant
patients is not something that is encouraged, so encountering like souls
in the outpatient setting is the next best thing.
In terms of overall progress, Dennis is absolutely amazing and seems to
be setting the standard, just as we have all come to expect of him. He is
out walking the dog daily, sometimes, twice a day, and has built up his
strength to his first 2 mile walk, much to the delight of La-Bronte Jones,
who had to get used to the fast backyard or ‘round the block jaunt
in her Daddy’s absence. Thanks to the Prednisone, he is eating heartily
and has re-gained his healthy, ruddy, olive oil complexion. And, yes, his
hair and goatee is indeed coming back in (soon we’ll be corn rowin’),
and he is lookin’ like the mean, lean, broodin’ Brooklyn machine
we know and love. Fabulous, fabulous. While we remain realistic to the possibility
of setbacks along the way, this has never been the way we prefer to operate
throughout this experience – we walk the cautiously optimistic walk
and deal with what’s thrown in the ‘happy place’ path
only as it comes. Dwelling on what could be, especially when it’s
negatively related, expends far too much yucky psychic energy that should
be saved for enjoying and appreciating what’s being presented at our
threshold in the moment. It’s probably almost needless to say how
much this ordeal has bitch-slapped us all from a ‘setting-of-priorities’
point of view. I have been easing myself back into a slightly more active
work mindset in the last week, and my reaction to a project that encountered
some onsite difficulties was far more levelheaded than it’s EVER been
in the past. After seeing the person I love go through hell and back with
cancer and shake a fist at it, a crease in a graphic, although unnecessary
and regrettable, is something I can deal with without acting out like it’s
rocked my world and destroyed my life. Funny how that works. So we accept,
with deep gratitude and thanks, the wonderful progress we are seeing, and
I enjoy every moment home with my family, doing what I once so stupidly
and selfishly thought was mundane and a stone chore (like picking my kids
up, chauffeuring them around, doing dinner, shoring up the homefront). How’s
that for a confession and revelation (personal growth – it’s
a beautiful thing!)? Always come to dennisozer.com for the warts n’
all truth! Reveling and relevating; ecstatically existing and elevating.
Always. Debra.
‘Now maybe later we can go up to the moon
Or sail among the stars before the night is through
And, when morning comes, we’ll see the sun is not so far
And we can’t get much closer to God then where we are’
So High – John Legend (from John Legend – Get Lifted. If you
need some major new music, buy this CD friends; it is magnificent.)
-------- GO PATS!!!! ----------
January 27 & 28, 2005
Day +43 & +44
Great White New England
Minions of O:
Don’t those of us who live here in New England sometimes wonder why
we stay when it snows like this? Cause we is tough New Englanders who dig
skiing in freezing conditions and subscribe to the delusion that the snow
is postcard pretty and builds character. At least it allows Dennis and I
one day of hunkering down and relaxing guilt-free!
We had another great appointment with Dr. Antin at DFCI on Tuesday. He positively
clapped his hands with glee and got about as close to excited as I’ve
seen the man when we got Dennis’ blood chemistry back and his platelets
had jumped from 19,000 to 67,000 (my platelets are your platelets). This
is yet another transplant milestone, as once his platelets reached 50,000,
it would be medically safe to begin an exercise program. His WBC counts
and hematocrit also continue to hold steady without any supplementary blood
products, which speaks volumes about how well his stem cells are making
themselves at home in his bone marrow. From an investigative standpoint,
Dennis’ transplant is a about as close to picture-perfect as I think
they would hope the procedure could be. From our end, the nausea continues
to be a problem, and we are experimenting with a variety of approaches,
from spreading the meds out throughout the day to frequent, small meals
in an attempt to alleviate the problem and keep the pills down. In the end,
there are really only two meds which are a must as they are related to graft
rejection and GvHD suppression (Cellcept and Cyclosporine), but they are,
of course, the most ‘heavy duty’ of all the prescriptions and
are probably the culprits which are triggering the nausea, along with a
med called Mepron, that comes only as a neon yellow suspension liquid. The
visual aspect of consuming that bad boy alone is enough to trigger a gag
reflex. The primary goal of most of our days is to keep those two meds where
they belong and to try to get him to gain some weight, closely followed
by simply enjoying this time we have together as it’s far too easy
to allow your mind to wander to what could have been. But my mind remains
in the here and now and we are liking all that we are seeing’! Debra
***Political commentary alert*** Read no further if these things drive you
crazy. Ain’t Condoleeza Rice’s confirmation the ultimate feminist
conundrum? On one hand, we sister-supportin’ women should be completely
diggin’ the fact that a woman, and a woman of color nonetheless, has
reached a position that carries with it such a high level of power and coljones.
But, girlfriend is a major part of the Evil Empire there, so that seems
to negate all the accomplishment in my book, doncha think? What to do ……
January 24, 2005
Day +40
Day After Mondo Snowstorm
House of O:
Sometimes snowstorms are timed very conveniently. What better way to while
away the hours whilst getting pounded with 30” of snow than two awesome
NFL playoff match-ups? I don’t think that Dennis could possibly have
been happier – home with his family watching the Patriots do some
spanking on their way to Jacksonville (not that Dennis is necessarily a
Patriots fan, but he does appreciate a tight organization when he sees one).
Dennis continues to approve daily. He eats well, is sleeping soundly and
I can see the furtive brain moving, grooving and starting to get bored sitting
around. We’ve wanted to get him out for a walk in the last few days,
but it was just too damn cold to take any chances. But he did go for a walk
around the block today all by his lonesome (with cell phone in hand in case
anything happened). The nausea continues to be an issue, but we have our
appointment with Dr. Antin at DFCI tomorrow and, hopefully, we can get to
the bottom of the problem and resolve it. Other than that, all is progressing
well and we are thrilled and hopeful.
As you may have noticed, I probably will not be updating the site on a daily
basis anymore as our life has, thankfully, settled into a rhythm and routine
(never did I think I would so appreciate both of these things). Although
I know how much you all dig on Dennis, love has its limits in the face of
life’s day-to-day minutiae (Today, Dennis ate mac and cheese for lunch!!
Yesterday, Dennis watched TV and took a long walk! Tomorrow, Dennis will
take a lot of pills, then shower and shave just like the rest of you regular
folks!) No, my friends, this I will not put you through. I’ll save
up all the good Ozer/Goodman bits and pieces for every couple of days, and
dole it out sparingly so as to strike the fine balance between keeping you
necessarily informed and unnecessarily writing filler and left wing political
ramblings just to put keyboard to digital notepad. I respect you too much
for that! Until the next …. Debra.
January 21, 2005
Day +37
Nation of O:
Very wonderful days for our elated Ozer Nation, bummer-ful days for America
as George Dubbya and his Texas Homeboy Posse are inaugurated once again
(just think what good that 40 million could have done elsewhere!). There
still remains 49% of our country who need to fight the good fight and let
the 51% percent know that a just about evenly divided, divisive country
does not a mandate make. I know, I know. Enough of that please, liberal
evildoer.
Dennis O, our reason for reading, is doing exceedingly well, with small
gains each and every day. While I have fallen fairly quickly into the hang
of keeping the house and its occupants germ-aware and sanitary (oyyy –
my dishpan hands!), keeping him fed and on his meds schedule proves more
challenging. There is still lingering nausea and it affects both appetite
and pill-consuming ability. Additionally, chemotherapy is, in and of itself,
a taste bud buster, and many foods that were once pleasing to him end up
completely unappetizing or metallic tasting. As with his hair cells, his
taste buds will eventually rejuvenate and, someday soon, his lustrous locks
will flow and his food will burst with fine, fab flavors once again. It’s
all about time and patience, just as it has been since the inception of
this experience. So, until that time, each meal often requires a few passes
before we hit on foods that will work for him. I have decided that the 11-13
servings goal is quite unrealistic and find myself feeling a sense of pride
and accomplishment if I manage to get 3 squares and a munchy or two down
his ever lovin’ throat. Just let the Nazi dieticians from DFCI give
me tsoris (Yiddish for ‘a hard time’) when I next see them;
I will slap their ass down fairly quickly, as will Dennis if they start
on him about forcing the eating issue. My pediatrician used to say that
there are 3 things you can’t force a baby to do (!!bad language alert!!
Skip to the next sentence if you are easily offended) – sleep, shit
and eat, not necessarily in that order. A man of zen-like wisdom and damn-the-torpedos
candor is our Dr. Goldston. These are words I still live by today and feel
mighty appropo to my bright and shiny new patient. The baby may be 56 and
well aware of what he needs to do, but it’s his body and he’s
gonna do his bizniz and eat his vittles when he is good and ready, no matter
how hard I Nurse Ratchett him otherwise. So, we will continue to take small
steps regarding his progress; each day that he feels well, that he smiles,
that his temperature stays normal and his spirits stay high is to be taken
as a little triumph and a brightly wrapped gift. Our days are full, our
minutes are treasured. Debra.
January 18, 2005
Day +34
Ozer Commission:
Welcome back to the happiest website this side of the Pecos! Please excuse
yesterday’s lack of an update as we were all busy and consumed with
adjusting to life at home with Peanut. There is much for me to do throughout
the day and Dennis has affectionately taken to calling me Nurse Ratchett
due to my propensity to hover, shove meds down his throat at the appointed
hour (not a moment later), and generally set limits so as not to disturb
the delicate constitution and hard work of his baby immune system and graft.
He looks wonderful considering all he’s been through, albeit skinny
(we are wondering where his ass went, a problem I know many a woman would
love to complain about), and, being the man of fine Jewish European stock
that he is, grows markedly stronger each day. His appetite is fairly good
but it’s still going to be a challenge getting him to eat the 11-13
servings of acceptable foods that the DFCI dieticians would like to see
him consume. After sleeping quite a bit on both Sunday and Monday, he saw
a much more active day today as we had our first outpatient appointment
at DFCI. As of 8:07p.m., he has not had a nap. Dr. Antin continues to be
thrilled with what he sees and labeled his progress ‘superb’.
Interestingly, he felt that Dennis had, overall, a fairly smooth and uncomplicated
transplant and hospital stay, which makes one realize, without any further
explanation, just how wrong things could have gone and probably do go for
some less fortunate families. Additionally, his white and red blood cells
and platelet counts continue to climb without any supportive blood products,
which is a fabulous sign of the success of the procedure thus far and, I
would like to think, the strength and spirit of he-who-got-the-stem-cells.
Best of all, and this happens so infrequently that the tale must be told,
Dennis was griping a bit about my riding him to take his meds at the designated
times and not to stray too far from protocol. When he asked Antin about
this he was told, and I quote, “She is right, you are wrong. End of
story”. Do I love this? Do I relish this rare exchange between two
connubial humans? Or do I delude myself in thinking this atypical and extraordinary
banter when, in fact, all the men reading this missive are thinking “Ain’t
it always that way with women, at least in their minds?” Another of
life’s mysteries to ponder while walking Bronte.
So we are joyfully, gleefully awash in paper towels, Purell and pre-packaged
food products and lovin’ every moment of it (at least for now; revisit
me in a month when the princess in me starts bitchin’ ‘and moanin’).
The one and only mission on William Street is to keep him healthy, physically
and mentally, envelope him in a nauseating amount of familial love and affection
and to, slowly but surely, put some meat back on his skinny but beautiful
bones and help him reclaim his long, lost hiney. Washing and Woking. Debra.
January 16, 2005
Day +32
Hereafter Known as Homecoming Day
Dearest Fabulous, Faithful Family & Friends of O:
The Eagle has Landed. Sleeping downstairs, staying warm in front of a roaring
fire, is the one and only Dennis Ozer, he who has brought us to this digital
neck-of-the-woods day in, day out. How to describe? For once, lucky you,
words escape me. I can only say that, other than a general cloud of paranoia
regarding germs and all things bacteria-esque in nature, I have a deep impression
and remarkable sense of peace, contentment and all things being in feng
shui balance in La Casa Goodman/Ozer. And, just as an add-on to your DTO
trivia if ever asked, the first meal of choice was a deli sandwich with
mustard (pre packaged deli, of course!). So, all is quiet in my mind and
our house - the kids are outside playing football (biding their time until
the Patriots game comes on), Bronte snuffles and snoozes, Dennis sleeps
and snuffles and I breathlessly type so as to expeditiously update all of
those who are watching and waiting. All was uneventful in the retrieval,
all of his counts are holding steady, what more to say for now? We are a
grateful, righteously thankful family, with a renewed sense of wholeness
and infinite possibilities for joy and blissfulness. More to come, for years
to come. All blessings. Debra
January 15, 2005
Day +31
Groovy State of O:
We’ve got the completed renovations; we’ve got the dazzling
clean abode. We have the sundry food items in which to start the fattening
up process, we have the clean, bathed, soft dog, all disinfected and germ-free
for her dad’s patting pleasure and we have the meds organized, lined
up appropriately and ready for use. And, as of tomorrow (Sunday) at around
12:00 or so, we will have the Return of the King, in all his glory, and
Studio 54 will shut down and turn off the disco ball, at least as far as
this family is concerned. I know another family will follow, and my heart
and blessings will be with every family that crosses the threshold on 4C
for the fight of their lives.
Dennis is feeling spectacularly better and getting back his feisty Peanut
personality. Both his ANC (@ 4,578) and WBC counts (@ 5,450 - that would
be in the normal range just like you and me, brothas and sistahs), have
soared, and it’s apparent in his mood, his overall coloring and appearance
and, most importantly, his appetite. He was eating his meals and noshing
in between with relish, and it was a joy to behold (see, somewhere within
me there does indeed reside a Jewish mother who gets all jazzed to see her
loved ones eat). I look forward to sharing out first meal together; a playful
yet romantic dinner of hot dogs and french fries can be a wonderful reaffirmation
of a couple’s love and commitment to one another and the pleasure
of all things family. His long dormant and abused taste buds will be fairly
zinging with the flavours of America’s finest comfort foods! I brought
Adam in with me and we took home a load of his stuff along with all the
myriad meds, so there is very little to transport tomorrow and we can focus
on Dennis and not the technical challenges of schlepping stuff down to the
car (we did that today). I’m sure that tomorrow will be emotional,
overwhelming and many, many other things that I could not even possibly
be qualified to describe were I in his skin, and he will need all the attention,
love and both physical and emotional support we stand ready and waiting
to lavish upon him. I certainly could describe how I feel about him coming
home, but that would only make me teary and verklempt and send you running
and screaming as the waves of drama, DDM’s, sticky icky sentiment
and overly florid, descriptive language splattered this update like a bad
Jackson Pollack painting (see what I mean?) Suffice it to say that I is
one happy-ass woman! Firin’ up the George Foreman grill. Debra.
**** No quote tonight; Bob D. went to sleep early.*****
January 14, 2005
Day +30
Ozer Universe:
Although we had our little infection scare, all remains well in Studio 54
and the launch is proceeding, as planned, for Sunday. His ANC jumped to
2,954 and his WBC’s moved up to around 3,650. His WBC’s seem
to be edging up slowly, probably due in part to the second infection diversion.
But all cultures have returned negative and he sounds markedly better, although
he remains tired. The rash on his body continues to wax and wane and has
essentially been confirmed as GvHD. Dr. Antin was in to see him and said
that they would manage this and any other GvHD symptoms during his outpatient
visits (outpatient – ain’t that a beautiful word?), but sees
no cause for concern. So we are on for our Sunday date and we Goodman/Ozers
are ecstatic and immeasurably thankful. I, meanwhile, am in a stone neurotic
frenzy regarding home cleanliness and can’t seem to stop wiping, dusting
and displaying early signs of obsessive-compulsive disorder. Must keep the
environmental issue in perspective and shoot to do the best I can (I am
talking to myself via my own updates – scary). I have to admit that
I am a bit nervous about managing the home and keeping the cleanliness level
up to snuff, but I am a Goodman/Kessler and come from a long line of eat-off-the-floor
neat freaks, so I just know I’m up to this – DNA tells me so.
Amazing how the earlier tone of cheer and general frivolity has returned
to these updates, now that I know my man is coming home. Tomorrow (Saturday)
I am ‘off loading’ Mr. Jake with his bud Max (bless you Stephanie)
and Adam and I are going food shopping for Dennis, followed by a last chance
home clean-a-thon (dusting, wipe down, etc.). We will end our oh-so productive
day with a visit to the the hospital to start taking Dennis’ personal
belongings and copious meds back home to make Sunday as easy as possible.
**** For those who cringe at my DDM’s (Deep Debra Moments), please
skip the following and proceed right to the sign-off and Dylan quote ****
How many people can claim to have two New Year’s days in one year
(that’s what it feels like!)? The true beauty of the human condition
is the ability, no matter how devastating the circumstance or act, to find
a place where there exists a new beginning and a 2nd opportunity to reclaim
the righteous path. Thanks to DFCI, the B&W inpatient staff, 2 glorious
baby cords and Dennis’ magnificent spirit, that moment is upon us
and the new path is both defined and illuminated.
Feeling abundantly blessed this evening. Debra.
‘Won’t you come with me baby
I’ll take you where you wanna go
And if it don’t work out
You’ll be the first to know
I’m pledging my time to you
Hopin’ you’ll come through too’
Bob Dylan – Pledging My Time
January 13, 2005
Day +29
Ozer Adherents:
Although his counts continue to climb (ANC=2,733; WBC counts of 3,553),
it looks like we may indeed have another infection brewing. He spiked a
temp of 101.7 during the night, was running a low-grade fever during much
of the day and was feeling pretty poorly overall. Cultures were taken at
around 5:00a.m, but it will probably be 24 to 48 hours before we know if
anything definitive grows out. Due to his history with the central lines
and the tendency for bacteria to stick to foreign matter, the transplant
team decided to be pro-active and they pulled his PICC line this early this
afternoon. They will biopsy the tip of the PICC and I would not be too surprised
if it came back positive for some type of infection. He’s scheduled
for an ultrasound tomorrow morning to also ascertain whether there is an
abscess or spot of infection in his arm from the line itself (he was complaining
that it was extremely sore). In terms of discharge, if all the cultures
come back negative and his fever stays down, he will still be discharged
on Sunday as planned. If any of the cultures come back positive, if his
fever spikes again or if there is a problem in the PICC line arm, he will
need to stay an additional day or two and be thoroughly treated with infection-specific
antibiotics. Luckily, his spirits remained fairly positive despite hearing
this news, as I think he realizes that he doesn’t want to return home
to the kids feeling as fatigued and sick as he has the last few days. I
know it would freak all of us out if he came home only to land back in the
hospital a few days later. The end is most definitely in sight, and he needs
to hang tight and do what’s necessary to come home in the healthiest
possible condition.
On a different note, many of you have, very generously, been offering to
make tempting meals for our man O once he’s home. After reviewing
the dietary guidelines with the staff at B&W, it would seem that they
prefer that all meals be cooked and served in our home (big bummer). It
doesn’t seem to be the meals themselves that are potentially problematic,
but the food preparation and all that is involved in keeping the environment
safe and bacteria-free. The guidelines are pretty stringent and it would
be difficult to communicate them to everyone ad expect them to be followed
to the letter. Even the transportation of a fresh, warm meal, normally not
an issue, presents a possible environment for contamination that could pose
a danger to him, as food temperature conditions are crucial. So, in the
end, as much as it hurts me to say it considering my ‘formidable’
culinary skills, I must ask that people NOT make meals to bring over to
him (this is very painful …). Same thing applies to fresh baked goods
or bakery items; only pre-packaged cakes, cookies, etc. are allowed, so
please, no yummy, freshly baked stuff. Basically, the rule of thumb is that
he is only allowed pre-packaged items for at least 3 months, possibly longer,
due to the fact that we cannot control food preparation. If you live very
close by us here in Needham and would be willing to learn all of the ins
and outs of transplant meal preparation, let me know and I would, most gratefully,
educate you on the ins and outs of transplant meal preparation and will
help you, most willingly, get the meal over to us in the most expeditious
manner!!! Debra’s prediction for 2005--- Purell and paper towels will
be very big and all the rage with the people-in-the-know! Keepin’
your world clean and dust-free. Debra.
‘She said, “Where ya been?” I said, “No place special”
She said, “You look different.” I said, “Well, not quite”
She said, “You been gone.” I said, “That’s only
natural”
She said, “You gonna stay?” I said, “Yeah, I just might”’
Bob Dylan - Isis
January 12, 2005
Day +28
Those who Jive in the Ozer Realm:
The counts continue to climb (ANC = 1,954; WBC counts of 3,100 or so with
4,000 being the lower end of normal) and Sunday feels imminent and potent.
He did spike a low fever of 100.6 late in the afternoon, which was treated
with Tylenol and is, hopefully, nothing to be concerned about. It would
definitely be a hit to his morale if his discharge was delayed, but it is
the way of things after a transplant; all will be well one day and a complication
can set in the next morning. There seems to be no crystal ball or accounting
for a guaranteed smooth ride just because all seems to be heading on protocol.
He continues to feel extremely tired and weak, which frustrates him enormously.
I can’t even imagine how difficult it is to cope with physical weakness
when you’ve been the quintessence of physical ability and strength
your entire life. Watching him lie in bed, feeling drained and discouraged,
did kind of get me to wondering why no one from physical therapy was working
with him in advance of discharge to give him a head start, since his platelets
are up and it’s safer to do physical work. I came to find out that
the PT department does one assessment only to make sure that the patient
is mobile and able to get around when home, and that is about the extent
of it. I realize that I’m not a medical professional, but I just don’t
understand why there is no one who can see the wisdom, both mentally and
physically, in a more pro-active PT approach (insurance issues perhaps?).
Feeling perturbed and bitchy about it (actually I’m bitchy about many
things these days-LOL!), I put in a call to Deb Yolin and sorta, kinda demanded,
in my sweet, inimitable way, that she put in an order for PT for the duration
of his stay. Mission accomplished and I will be checking tomorrow to make
sure that he has been visited and placed on a workable PT program. Meanwhile,
I continue my homecare education, and will be reviewing his litany of medications
tomorrow afternoon, after an initial consult today with Deb Yolin. We finally
also have an area in which Dennis and I can claim total commonality during
this experience. When I came in to visit in the afternoon, Mr. Healthy Eatin’
Close-to-Nature Man was jonesin’, big time, for a hot dog, of all
things. Those who know me well (that would be you Sari) will recall that’s
the delicacy I endlessly craved when pregnant the 2nd time. I first got
a clue that I was pregnant with Jake when I wolfed down 6 of them in a row
at a Celtics game we attended, much to Sari and Dennis’ disgust and
disbelief. Dennis forbade me to eat them after that, fearing that his kid
would come out as a giant nitrate. Next game we went to, I kept saying that
I had to go to the bathroom, and would buy 2 hot dogs at a time and hide
in a phone booth to chow them down. Yo Dennis, hot dogs are the world’s
most basic comfort food; nitrates build character!
And, on that regressive note, I go to attend to Bronte’s most basic
needs. Continuing the countdown. Debra.
‘Trust yourself
Trust yourself to know the way that will prove true in the end
Trust yourself
Trust yourself to find the path where there is no if and when
Don’t trust me to show you the truth
When the truth may only be ashes and dust
If you want somebody you cam trust, trust yourself
Well, you’re on your own, you always were
In a land of wolves and thieves
Don’t put your hope in ungodly men
Or be a slave to what somebody else believes’
Bob Dylan – Trust Yourself
January 11, 2005
Day +27
Obviously Ozer Believers (Dylan song reference):
There’s nothing this woman loves more than a strongly engraftin’,
graphics lovin’, Dylan quotin’ kinda man. Dennis’ ANC
keeps climbing and is now at 1,581; lots of action will take place in this
final week (it feels sooooo good to say ‘final’) in terms of
weaning him off his IV meds, getting everything in pill form and just generally
ascertaining every microscopic detail of his health and progress before
he is discharged, so we have a firm baseline from which to observe him at
home. He continues to have a light rash, which was biopsied today, and will
more than likely end up being diagnosed as mild GvHD. Again, this is not
a bad thing and is just indicative of the engraftment activity that is very
obviously taking place. Considering that GvHD can be quite severe, I feel
we’ll be getting off easy if this is the extent of it for him. Of
course, I have all but memorized the Big Book of Stem Cell Transplantation,
as I have come to call the handy-dandy reference book that was bequeathed
to us when we first realized that a transplant was in our future, but now
I am in heavy education mode in terms of his ongoing care when discharged.
There is much to know and manage and it will take us time to fall into a
secure, confident routine. I think we all, Dennis included, will feel a
mite paranoid and over protective for the first 2 weeks to a month of his
being home, concerned that every speck of dirt and dust may affect him adversely.
It is truly a bit of a struggle to even attempt to keep a spotless, germ-free
home when you have kids and a canine (though I would venture that Bronte
is the cleaner one in a showdown between dog and human children), but this
is one challenge, among many, that I will gladly take on as long as it goes
hand-in-hand with his return to our unassuming suburban abode. My new mantra?
Clean is good, clean is good, clean is good …… Renovatin’
mama here is just about done with the most involved projects and the heavy
cleaning; there are only a few quick replacements that are hanging out there
awaiting completion. Thursday will be dedicated to stocking up on safe,
yet palate tempting food items that will hopefully spark Dennis’ appetite
(I see much stir fry and pre-packaged deli in my future), Friday, the big
white wonder dog will get bathed and groomed to remove all those annoying
germs, mold, fungi and the like which snow rollin’ dogs tend attract,
and Saturday will be a final wash and dust off of the entire house in anticipation
of the best Sunday of this humble little family’s life. Coming home
to the Patriots playoff opener and watching it with his boys – does
it get much better? Stirring the wok, priming the Purell pump. Debra.
‘Something there is about you that moves with style and grace
I was in a whirlwind, now I’m in some better place
My hand’s on the sabre and you’ve picked up the baton
Something there is about you that I can’t quite put my finger on’
Bob Dylan – Something There is About You
The small things count so much – thank you Dana and Jill for letting
me know that you are donating platelets and blood. Thank you Carol and David
for having the kids and me over for a spontaneous dinner when I was exhausted
from cleaning. Thank you, Amy M., for talking, listening and sharing with
me the other day at the hospital. Thank you Jack for your eloquent, consistent
e-mails and the concern that shines through each one. Thank you Jay and
the entire GOL staff for Dennis’ Umbilical Bear, birth date 12/15/04
(will explain this one to all in another update). Truly so many to thank,
but these particular gestures just hit home at simply the right moments.
Namaste and love.
January 10, 2005
Day +26
Ozer Optimistic:
What is our world coming to when Michael Moore and Mel Gibson make nice
and Mel publicly criticizes Bush on Iraq (see People’s Choice Awards)?
What to do when the ideologies get mixed up – LOL!
Had to say that – forgive me, bear with me. Our man in Studio 54 officially
hit the mark today with an ANC of 1,177 and WBC of 2,200. He is no longer
considered neutropenic (neutropenia is an abnormally small number of neutrophil
cells; a type of white blood cells that help fight infection) and, as long
as his ANC is over 1,000 tomorrow, they will begin to peel back his antibiotics
and convert all his meds to pill form. His appetite is picking up, but it
will be slow going for several months when he gets home in terms of building
strength to eat 3 squares. Although his ANC as it the marks and will, hopefully,
do the same tomorrow, it will still be several more days before he can officially
be discharged as there are other milestones that need to be reached before
he can safely return home. We are anticipating a release date of this Sunday,
January 16th. I will give more detail regarding visitation and all of that
in subsequent updates this week but, suffice it to say, that we will probably
have no one over in the first two weeks as his system needs to adjust to
the home environment and the people (and canine) in it, and we need to become
accustomed to what his needs will be and the routine of taking care of him.
No homecoming parties allowed I’m afraid – you will have to
raise a glass to his health at home and party with him psychically for now!
Tune the third eye in to the Ozer realm! ! Stay tuned to the good news as
we wind down to Sunday! She who lives to sanitize and renovate. Debra.
‘Then the sands will roll out a carpet of gold
For your weary toes to be a-touchin’
And the ship’s wise men will remind you once again
That the whole wide world is watchin’
Oh the foes will rise with the sleep still in their eyes
And they’ll jerk from their beds and think they’re dreamin’
But they’ll pinch themselves and squeal and know that it’s for
real
The hour when the ship comes in’
Bob Dylan – When the Ship Comes In
January 8 & 9, 2005
Day +24 and Day +25
Those in the Ozer Bandwidth:
It’s truly my pleasure to begin to keep these updates short and simple
as we are nearing our goal and home is becoming only a click away for Dennis.
Saturday brought his WBC counts up to 1,300 and his ANC, after dropping
the previous day, up to 555 (play that number). It’s a sweet thing
indeed to pass the first post=transplant milestone – the 500 ANC count.
Sunday’s counts bounced further to 1,460 for his WBC and a whopping
890 for his ANC. He continues to receive platelets and whole blood and will
probably need to from some time. But, more than anything else, he is beyond
ready to go and I just want the week to go quickly for him and for that
ANC to stay over 1,00 for two days running. Onward to homecoming day. Debra.
January 7, 2005
Day +23
Ozer Acolytes:
Some counts go up and some go down but, overall, the picture is a thing
of beauty. Dennis WBC counts were 800, up from 680, but his ANC was 312,
down from 421. The ANC is a rather complex formula comprised of certain
elements of the WBC network that are added together, multiplied by the WBC
count and then divided by 100 to get the final ANC. So, in rough summary,
if those particular WBC elements are down, it’s still possible for
the WBC count overall to be up, but the ANC to be down. Weird science perhaps,
but nothing of concern when it comes to Dennis’ recovery. The DFCI
staff remains thrilled by his progress and they know of whence they speak.
If they’re pleased, you sho’ know I is! He is eating quite well
by now, closing in on 3 decent meals a day and, fortunately, has not lost
more than about 8-10 lbs. total during this protracted stay. Compare this
to the 20 or more lbs. he lost during induction chemo and we have much to
be thankful for indeed. His platelets and crit counts are still low, so
he will need more of both, probably tomorrow (oh, and have I mentioned the
crucial need for blood donation recently?). But his daily progress remains
substantial and there is a chance, according to Deb Yolin, if all proceeds
as it has the last few days, that he will be returning home mid-next week,
substantially upping my renovations stress. And, on that selfish, me-me-me
note, you luck out tonight and get a short one. The bald man in Studio 54
sleeps and all remains quiet on the ever-so suburban home front. Weekday,
weekend William Street Warrior. Debra.
January 6, 2005
Day +22
Ozer Faithful:
We climb,we climb! This is what we have all been waiting for and, at the
risk of giving it a Jewish whammy, it feels so good to report. WBC counts
went from 570 to 680. Even better, the magical, mystical ANC went from 230
to 421 and is fast approaching that first goal of 500. Please be aware,
as I remind myself daily, that it is not unusual for these counts to dip
back down before leaping forward again the next day, so do not be concerned
if they do drop on a given day. Confirmed engrafting is definitely taking
place and there is no going back now. His appetite continues to charge back
and he ate more frequently and solidly today; an appetitie and ability to
hold down food is as key to discharge as the appropriate blood counts..
More platelets today, more red blood tomorrow to keep his body strong and
supported while he does the hard work of building a brand new immune system.
He was extremely tired today, more from the work of his body rebuilding
this crucial system than anything else and it reminded me of when I was
pregnant with Adam and Jake. I was incredibly, ceaselessly exhausted during
those first 3 months, when a woman’s body is doing the most urgent
work in nurturing and growing this new life within it. In some ways, I think
that Dennis’ new immune system, sponsored by his baby stem cells,
is performing a very similar function in building something uniquely precious
and life sustaining. My 9 months (x 2) of having carried babies is perhaps
one commonality that will allow me to feel that I can relate to what he’s
going through in this year to come.
A few of you have heeded the call of Amy MacDougal and have requested how
to contact DFCI to give platelets and/or blood. You can either visit the
Blood Donation webpage for the Kraft Family Blood Donor Centre at DFCI at
www.DFCI.org/how/donateblood/ or call 617/632-3660 to set up an appointment.
For those of you who are considering donating, my deepest gratitude and
blessings. You are truly giving the gift of life. Counting the days and
the little WBCs. Debra.
‘You might see me on your crossroads
When I’m a-passin’ through
Remember me how you wish to
As I’m a-driftin’ from your view
I ain’t got the time to think about it
I got too much to get done
Well, I’m a long time comin’
And I’ll be a long time gone’
Bob Dylan – Long Time Gone
January 5, 2005
Day +21
Ozer-rites and Ozer-rellas:
What a difference a day makes (24 little hours … as the song goes)!
We got our long awaited bounce today when his WBC count went from 380 to
570. It would seem that the magic formula for discharge lies in his ANC
or Absolute Neutrophil Count. Without going into major doctor-speak, suffice
it to say that neutrophils are a major component of the white blood cell
network that makes for a happy, thriving immune system. Dennis’ ANC
is currently at 230; at 500, he will receive the Sacred Seal of Whew! from
his doctors (meaning he’s in somewhat of a ‘safety’ zone
in terms of any setbacks)and will start to be weaned off meds . He needs
to be at 1,000 for two consecutive days in order for him to achieve the
Great Escape. While that may seem like a giant way to go, once the counts
start to move as they have, they will pick up momentum and reach that point
fairly rapidly. By staying ahead of the game and on schedule with his meds,
and the effects of the gallbladder ‘sludge’ pill, his nausea
seems to, finally, be in check. As a result, his appetite is starting to
return and he had himself a whole frappe today, which, in the land of transplant,
is a very big thing indeed. Dr. Antin stopped by and declared Dennis his
‘favorite’ patient due to his remarkable progress and, unfortunately,
the number of other patients experiencing far greater complications. Talk
about making this woman’s day! All in all, he was much more like the
Dennis of yore, more energetic and chatty, commentating about the news in
his unique Ozer fashion and riding me about my multitudinous renovations
of our abode (my favorite query? “Are the paint colors masculine?”
Makes me think of The Godfather line “May your first child be a masculine
child”). And so the Engraftment Express is gaining steam and I am
gratified beyond words to know that the tracks are looking clear of derailment
(I just know y’all thinking ‘Now she’s coming with train
analogies. Our boy D had better be sprung soon so we can put her out of
her literary misery’). When I make myself wince I know it’s
time to hit the sidewalks (with Bronte, that is). Advice, analogies and,
always, affection. Debra.
January 4, 2005
Day +20
O to the Z to the E to the R:
Time continues to do its thing in a very slow manner down in Studio 54.
Blood counts did move, but minimally so, from 340 to 380. I am still anticipating
that tomorrow or Thursday will provide the major jump in numbers that will
provide Dennis with a much needed morale boost. The Pic line was placed
in his arm mid-morning and the peripheral IV lines were removed soon after.
The Pic line provides 3 port access and, since one additional port will
be needed, they will be replacing one of the peripheral IV’s to support
all the meds which continue to be infused into him. His spirits remain on
the low side and it’s frustrating to not be able to ‘make it
better’ as those who love him want desperately to do. After 28 days
in the hospital, there are few words that will serve to lift his spirits
other than ‘those counts are jumping’ followed by a finite day
for discharge. Nothing that I, or anyone else, can really say or try to
do will replace hearing those marvelous, magic words. It remains a time
to just be there in whatever capacity is needed and to listen, with respect,
when anger and frustration needs to be vented and sadness rules the moment.
On another note, I realize that my tendency to lecture can become tiresome,
but living through an experience such as this will turn you into an advocate
forevermore. Often, the only way to bring about consistent change is to
talk about it ad nauseum (I hesitate to use that word these days!) and to
hit people over the head with it. One of the very wonderful phenomenon that
has come out of the sorrow and struggles of Dennis’ illness, is the
opportunity to meet incredible people who may not have walked into your
life otherwise. One such person is today’s ‘Guest Speaker’
Amy MacDougal. Dennis and I originally met Amy through our friend and colleague
Jack Ford, generous host of some truly lovely parties that we have attended.
Amy has reached out to me tremendously throughout Dennis’ illness
and it soon became apparent that t I had found a terrific new woman friend
and a kindred soul. Amy has both been an advocate and platelet donor for
many years, and her commitment is truly inspiring. She is religiously dedicated
to her platelet donations and has made it a priority in her very busy life.
The following, written by the ever magnificent Ms. MacDougal, recounts her
experience with platelet donation, her reasons for doing so, as well as
the process itself in great detail. I respectfully and humbly ask each of
you who have been touched by Dennis to strongly consider honoring him as
Amy continues to honor those who have been through cancer and have touched
her life. With that, I turn the podium over to Ms. Mac ----
Dennis and other cancer patients like him need platelets (which help blood
clot). Fortunately, people like you and me have lots of them to give. Due
to a childhood blood illness (which ironically deprived me of platelets
at the time), I am not able to give blood--but I am able to donate platelets.
After being rejected as a blood donor at alocal blood drive, I called Dana-Farber
and set up an appt. to inquire about platelet donation.
Speaking from personal experience after over 50 donations, I can say that
the process has many plusses and very few negatives. The
Kraft Family Blood Center gives me free parking at the nearby Smith garage.
I fill out a one-page questionnaire (ever used drugs? had hepatitis? shared
needles lately?), then have my blood tested for low-iron (ladies: the nurses
swear that if you drink a glass or two of red wine the night before, you
won't have an anemia problem. yet another plus!), blood pressure and temp
taken, my weight is asked (honor system--no scale needed!) and after I pass
all those tests, I enter the donation room and am asked to select a movie.
Not an old black-and-white movie either--a current movie that I'd find at
Blockbuster, all courtesy of local video stores and generous donors.
Sometimes I will bring my own if I've seen the newer ones, but their selection
is great. I lay down on a comfortable bed with elevated head and feet, put
some headphones on, look up at my personal viewing screen and watch my movie.
While I am having my every need attended to--being covered with a warm blanket,
my nose scratched if I need it--the nurse is swabbing my left arm (the "return"
arm) and drawing several tubes of blood. These will be tested for AIDS,
hepatitis, and various other blood-borne illnesses. The other arm is then
swabbed (the "pump" arm) and a similar needle inserted. The blood
goes out of my right arm (I am given a foam pad to squeeze to keep the blood
moving, thus the name "pump" arm), into a machine where the blood
is spun in a centrifuge, the platelets are removed (by magic--I'm sure there
is actually a scientific name for it, but it seems miraculous to me!) and
then returned into my body (sans platelets) via the return arm. If you want
to read while you are donating, you can have the blood come out of your
arm and have it returned into one of the veins in that arm's hand, leaving
the other hand free to turn pages. I hate having needles in my hand, so
I never use this option, but I have seen others do it quite often. The arm(s)
where the needles are can't be moved during donation, so you have to keep
your arms still--but you can move your legs and head and neck if you want
to. DOES IT HURT? The only part that "hurts" is when I am stuck
with a needle in each arm, after that the needles are taped down and I honestly
don't feel it until they are removed. I can't feel the blood coming out
or going in. Sometimes I feel a tickling on the bridge of my nose or a tingling
in my gums; this is caused by whatever they put into the blood when it is
returned, but a nurse will give me Tums (calcium) which for some magical
reason (lots of magic involved here, you can tell I'm not a clinician!)
makes the tingling go away. Another interesting fact I've learned is that
platelets are yellowish-white, not red, and they only have a shelf-life
of 3 days (unlike blood, which can be stored).
OTHER PLUSSES: Besides the free movie, warm bed and pampering, not to mention
TWO UNINTERRUPTED HOURS OF A DAY--I get a snack and drink afterwards (BBQ
potato chips are especially good), a pound weight loss, and (as the nurses
will "warn" you) one glass of alcohol has the equal effect of
two the night of your donation. I feel fine afterwards and have
gone running, taken a yoga class, and in general gone on with things right
after donation--I never feel weak or lightheaded. The best part, however,
is knowing that my platelets will be used in the next few days for Dennis
or others who need them in their fight. Two hours seems like nothing compared
to what they are going through 24/7.YOU CAN DONATE EVERY 2 WEEKS. Because
you lose so little blood and manufacture platelets so quickly, you can donate
platelets every other week. If you donate 20 times in one year, your name
will be listed in the DFCI year-end pamphlet. Mostly, you'll have the satisfaction
of knowing how much you've helped someone else with little cost to yourself.
Please consider platelet donation--it is easy, not painful, and even one
donation can mean someone a world of difference to someone.
Speaking loud, speaking proud. Debra.
‘What good am I if I know and don’t do
If I see and don’t say, if I look right through you
If I turn a deaf ear to the thunderin’ sky
What good am I?
What good am I then to others and me
If I’ve had every chance and yet fail to see
If my hands are tied must I not wonder within
Who tied them and why and where I must have been?
Bob Dylan – What Good Am
January 3, 2005
Day +19
Ozer Humans:
The blood counts continue to climb, from 270 to 340 this time, albeit not
quick enough for Dennis. The next two weeks will definitely be difficult
for him until he sees a tangible large jump from day to day. More platelets
and more red blood products so, although his numbers climb, they’re
not quite there yet and still require support. The nausea continues to be
a problem, but seems to be more a by-product of a sluggish gallbladder that
has built up what they call ‘sludge’, and an elevation in his
bilirubin level, than an actual chemo-related nausea. And, yes, there is
a little white pill to treat sludge (industrial strength Drano, I guess).
Unfortunately, he has been unable to eat much for the last few days and
has dropped a few pounds. How scary that he will have to rely on my cooking
to fatten him back up once he gets home. Fortunately, he has my mother,
who has carried on the grand Kessler/Shriberg tradition of fine Jewish cooking.
That particular gene seems to have passed me by. Hi cultures have remained
negative for the past 3 days, indicating that the infection has indeed cleared
up. Best of all, this allows the staff to place a more permanent Pic Line
in his arm for infusions and blood draws. Again, I felt a bit of a need
to intervene to make this happen yesterday, as his nurses were saying he
had to remain temperature free before the line could be placed, and he had
been spiking low grade fevers. That was the first that I heard of that qualification
and, after seeing his arms swollen and black and blue from the various IV
points, I wasn’t accepting it without speaking to his transplant team.
Our main PA, Deborah Yolin, was on vacation, but her back-up team member
was called in and, after some discussion, she agreed to place the line tomorrow
as long as the ID people (Infectious Disease) gave her their okay. When
I write my ‘Cancer 101’ guide, there will be a very key chapter
dedicated to advocating for your patient and pushing for decisions to be
made and made rapidly. It borders on ludicrous to see how much pain he is
in anytime anything is infused into the IV lines in his hands. While I understand
their necessity and the protocol that needs to be adhered to before the
Pick can be placed, it seems grossly unfair for him to suffer from these
with all else that he has had to deal with. These are very long days for
him and for those of us here at home; time becomes a substantive, significant
thing.
Ah, but I feel a DDM (Deep Debra Moment) coming on and will spare you that
on this day so early in our new year. Wine, a walk, weighty words from Bob.
Feeling the sweep of the second hand. Debra.
‘Oh, the leaves began to fallin’
And the seas began to part
And the people that confronted him were many
And he was told but these few words
Which opened up his heart
“If ye cannot bring good news, then don’t bring any”
Bob Dylan – The Wicked Messenger
January 1st & 2nd 2005
Day +17 & +18
Ozer Minions:
Welcome to 2005. Our New Year’s day gift was seeing Dennis’
WBC counts go from 140 the previous day, to 290 on Saturday. Hopefully,
by mid-next week, we’ll see his counts double and triple each day
until we hit the magic number (I’m still finding out exactly what
that is) for 2 consecutive days, and our man can then be officially sprung
from Studio 54. Although his cultures have been coming back clean and negative,
he still continues to spike small fevers, which knock him down a bit, but
they fortunately, seem to resolve themselves without Tylenol or other intervention.
I spent a good part of New Year’s day with him, but he was exhausted
and nauseous for most of the day today (Sunday, January 2), so I ended up
running errands and staying home with the kids while he slept the day away.
Again, he has received both whole blood and platelets to support his baby
immune system as it does its engraftment thing. Hopefully, he will have
a better day tomorrow and we’ll see his counts jump upward again and
begin to do so more reliably (they held steady today but did not increase).
As I’ve mentioned before, Dennis is feeling the mental strain of being
in the hospital this long and gets anxious to see his counts improve more
continuously, signaling that discharge day is near. As with much else in
this ordeal, the ability to impact the rise of his counts is something completely
beyond his control, and that in itself, is enormously frustrating. Despite
this, his mind remains strong and focused and his spirit resolute, in keeping
the good mental karma flowing as those stem cells dig in and gain hold.
I am hoping that the next few days will see both a precipitous decline in
the chemo-related nausea, as I think it has peaked over the last few days,
and solid confirmation of the rapidly increasing blood count patterns that
will lead to ‘official’ engraftment.
I’m still dealing with getting the house physically ready for him
on this end. I’ve done a tremendous amount of painting and systems
renovation knowing that, once he’s home, I won’t be able to
do any kind of construction, painting or anything potentially chemically
caustic for a year or two. We’ve had to put in a completely new, cleaner
burning heating and air conditioning system, along with cleaning out all
the ductwork (it was like a cat and dog hair farm in there), and placing
an ultra violet light system inside the ducts to retard the growth of germs.
Our wood butcherblock style kitchen table had to go (wood surfaces are more
prone to bacteria and germs than are granite or glass), as did our baffled
blinds that had too many nooks and crannies that could trap dust and dirt.
We pulled up any carpeting we had left from when we moved in (carpeting,
all in all, is tremendously unhealthy, especially if you have allergies),
put down hardwood flooring and had to rebuild our staircases, which were
originally built with the idea that they would be covered with carpet. We
also pulled down any old wallpaper that, again, was in the house when we
moved in, and re-painted the majority of the walls in the house to make
them easy to keep clean and sanitary. This week we’ll concentrate
on pulling out everything from the kitchen cabinets and drawers in order
to wash them down and disinfect them. The same must be done for the refrigerator.
That will be followed, at the beginning of the week when he comes home (if
he comes home as scheduled), with a thorough cleaning and disinfecting of
the entire house (quite the challenge with two boys, let me tell you). Lysol
Sanitary Wipes and Purell Hand Disinfectant have become my new best friends.
I have started to wipe down everything, thousands of times per day, in a
really obsessive-compulsive manner, and make the kids wash and Purell their
hands if they even look at me the wrong way. I never thought I would become
a sanitary freak, but I have recently learned to never say never ‘bout
anything. So, if you do ever come over to La Casa Goodman/Ozer once Dennis
is back, expect my homestead to be as clean as the board of health and do
not be offended when I liberally and frequently douse you with Purell. There
will not be one live germ left anywhere alive on yo’ butt once you’ve
stepped out of my door! In the end, the kids will have the toughest adjustment
as, once Dennis is home, their friends will be officially banished in the
name of keeping germs out of the house and to the greatest minimum possible.
I will be dependent on the good graces of my children’s friends to
welcome Adam and Jakob into their homes, without recpirocation, for the
next 6 months to a year. We have had many a sleep-over and a very open door,
come-to-our-house-for-that-playdate policy these last few months, in anticipation
of the unavoidable changes to come. But I’ll tell you, boys and girls,
I would sanitize and Purell the very Gates of Hades to bring the homeboy
home healthy and keep him that way. Sanitizin’ your hands, but never
your mind. Debra.
‘Wait until your memory clears, then welcome her to Rome.
The desert of your misspent years that led you to her home.
Don't hold her up to sunlight, she'll melt into the blue.
Don't make her shout through static if you want to hear the truth,
'Cause she's got 44 stories; She's got 44 stories;
She's got 44 stories: she wants to tell them all to you’
Roseanne Cash – 44 Stories
December 31, 2004 (New Year's
Eve)
Day +16
Friends and Family:
A more in control day at Studio 54. Dennis is back on his round-the-clock
anti-nausea meds, including a new drug, which is administered by patch.
I was enormously relieved to see that Soheir was his nurse today. While
I understand that, like all of us, nurses have to start somewhere and grow
into veteran nurses through experience, somehow it just doesn’t feel
good for them to gain that experience on his watch and at his expense. I
know this is not nice, over-reaction on my part and pretty unfair to boot,
but hey, such is what happens to ones thought processes when dealing with
a catastrophic illness. Superwoman left the building a long time ago. You
get the good and you get the ugly in these updates; such is the human condition.
But I digress …. The magnificent Betsy Cohen, Dennis’ other
wife, came with me to visit today and I think he enjoyed the song, dance
and soft shoe shuffle we rolled out for his entertainment and edification
(Betz and I can be very funny when on a roll). He was extremely tired and
was dozing a bit while we were there, but sleep is preferable by far to
yesterday’s unremitting nausea and vomiting. His WBC dropped a bit
(from 170 to 140), but this can be attributed to their need (his WBCs, that
is) to take a detour from the Engraftment Express to concentrate on fighting
the infection that was present in his body. What’s extremely heartening
is the fact that his body is doing just what it’s supposed to do by
engaging in battle with an invading infection. All systems are functioning
properly, and that in itself is a grand victory. He continues to receive
platelets and whole blood on a daily alternating basis; so again, if you
find yourself asking what to do to help, DONATE, DONATE, DONATE! The need
is tremendous and my lectures are unmerciful and incessant. Blessings to
those of you have e-mailed to let me know you have started donating. Give
with a humble, generous heart …. for truly, there but for the grace
of God, as the saying goes.
And so 2004 closes out tonight. I look forward to 2005 bringing Dennis home
engrafted and ready to re-embrace his health, his family and friends who
love him and all the lessons learned for the second part of his journey
on this planet. Love, health, faith and happiness in 2005 to all the magnificent
souls who have touched our lives. You have kept us fed, functioning, fighting
fitfully and with great faith as we stand together, ready to face the gates
of hell, to bring our glorious man back home – and home he shall come.
Bet on it. Our love for you is immeasurable, our gratitude indescribable.
Namaste. Debra.
December 30, 2004
Day +15
Those in Ozer:
Dennis felt a bit better today as it seems that the infection is growing
weaker and should clear his system altogether by the end of the weekend.
Since the lines were pulled on the 28th, all subsequent cultures have remained
negative, so, although IV lines are not as comfortable to work with, it
was a wise and necessary decision to remove the Hickmans. His crit was down
to 24 today, necessitating 2 units of blood and an additional IV line in
his right hand (there are already 2 set up in his left) to accommodate all
the meds that are being dispensed. When Betty, the IV technician, came in
to place the additional IV line, it was discovered that tape palced too
tightly to hold the left-hand IV’s in place, was the source of the
majority of the pain he was having from the lines. Too tight tape; how old
school. Once she adjusted and re-taped the IVs, it seemed to ease most of
his discomfort. His nausea was extremely bad while I was visiting today,
and we came to find out that, for some reason which remains completely unknown
to me, he was removed from some of his scheduled anti-nausea meds (Adivan
in particular). It was placed on a PRN only basis (as needed and requested
by the patient) instead of being automatically hung and administered. Dennis
didn’t realize that he wasn’t getting it around the clock, his
two younger, less experienced nurses didn’t realize it, so no one
thought to ask about it until I got in, saw how badly nauseous he was, and
questioned why his drug mix was no longer working. In addition, they ran
out of Marinol on the floor and, 2 hours after requesting it from the pharmacy,
were still waiting while his nausea got uncontrollable to the point of being
unable to keep anything down orally. We finally called Deborah Yolin in
to straighten it all out and get him back on course with his scheduled nausea
meds. A little yelling and screaming from Deborah also produced the desired
Marinol. When I left for the evening, he was receiving his 1st unit of blood
and was drifting off to sleep with the help of the Benedryl administered
to safeguard against any reactions during the transfusion. Deborah Y. felt
that he might be in for a few more days of feeling punky, but that he is,
overall, still keeping positively to protocol. His WBC counts are slowly
rising and, most importantly, the crucial monocyte and neutrophil components
of his WBCs are multiplying daily. As long as this infection stays in check
and no new infections appear, Deborah is hoping to see his counts jump considerably
by mid next week indicating that complete engraftment is taking place. If
all continues smoothly after that point, he could be back home in less than
two weeks. So, may the waters stay calm and glassy so the boat can steer
a clear course and dock as scheduled. I have no idea where that seafaring
analogy came from, but it just seem to aptly capture the gist of it. Scary
things can happen when you’re tired!
On a different note … when my friend Evie was sick with Lymphoma (she
is now in remission), and started a website similar to this one, she posted
a ‘how to’ manual of sorts called Cancer 101. I have decided,
when Dennis is safely home, that I will humbly attempt one of my own born
out of all that we have experienced and learned during this most challenging
time in our lives. While I fervently hope and pray that none of you who
gaze upon this EVER have to live through anything remotely like this, I
also realize the odds are that someone, unfortunately, will encounter cancer
or some other catastrophic illness and will have their world and their lives
forever rocked and altered as ours have been. For those who will go through
it, for family and friends who will take the journey with you, for neighbors
who may live next door to you, for teachers and educators, for your children’s
friends and parents, for those who know you from temple, church and mosque
and for everyone who truly wants to know how to help, what to do and what
needs are most urgent and necessary, it will, hopefully, provide guidance,
help and comfort. And, at a time when you will be most unable to articulate
your needs and ask for help, it should provide those who care to know firm
direction on backing up that “how can I help” question, or “call
me if you need anything” reply to your difficult news, with practical,
hands-on action. I am no expert and everyone’s experience will be
different, but there are certain commonalities and plain ol’ common
sense and compassion that, when practiced and applied with an open heart
and hand, can make all the difference between just getting by and getting
by with strength, resolution and a feeling of caring and community. It ain’t
all about just the medicine, folks!
Since I’ve gotten all lengthy on y’all, I’ll wrap it up
quickly with one final thought and then go do my Dawg Walk Thang. As I watched
continuing coverage of the Tsunami Crisis today, I heard that the earthquake
event was strong enough to actually wobble the Earth on its axis and permanently
alter its course of rotation. If I ever searched for the perfect analogy
to sum up the impact cancer has when it enters your life, I do believe I
might have found it. But the planet continues to spin, altered but enduring,
and thus so shall we. Debra.
December 29, 2004
Day +14 (the 2 week mark)
Place of all things Ozer:
Not much change today. The infection has definitely tired him out somewhat
and he’s been sleeping quite a bit. The nausea has been persistent
and it seems like it will require some patience to find the correct mix
of drugs at exactly the right time to keep it in check. The IV’s in
his hands are painful and uncomfortable as there are quite a lot of drugs
going through them, but there isn’t much to be done until the infection
clears (probably another day or two) and a more permanent line can be set
up in his arm. No matter how prepared the staff tried to make us for the
eventuality of a downswing from the ‘smoother course’, when
it hits, it hits hard. Intellectual reasoning cannot always overcome emotional
response and the last two days have definitely left Dennis feeling more
down than he has been throughout this second admittance. When I suggested
today that he talk about it with his social worker, I found out that the
piece of the protocol calling for a social worker assigned specifically
to him seems to have slipped through the cracks somehow. I have been assuming
that he has had ongoing visitations with the very wonderful social worker
from his induction chemo stay, but it would seem that no one has been to
see him in over two weeks. I’m sort of kicking myself for not catching
on to this sooner as assumptions are usually the Anti Christ in my book
of everyday conduct. I made some phone calls this afternoon and should have
this odd administrative oversight rectified tomorrow morning. While he can
talk to me, to other family members and to friends who hold him near and
dear, I strongly feel that he needs to share what he is going through with
a clinician who is familiar with the experiences of a cancer/transplant
patient. I love this man with everything I have, but it would be both arrogant
and ignorant of me to even start to imagine that I can understand what he
is going or has been through. Only those who have walked that path or work
daily alongside those who do can make that claim and reach out in that capacity.
My contributions to this journey come in many other ways. Although I stay
pretty damned humbled about it all from this vantage point, I can also readily
acknowledge the crucial role that I play and won’t start to act the
martyr (that’s just plain silliness) about it’s worth in the
big picture of Dennis’ treatment. But I also know what my limitations
are and would no more attempt to act the clinical social worker specializing
in transplant patients than I would endeavor to be Dr. Antin or Dr. Stone.
Everyone’s got their something.
But, verily, I feel me, once again, veering towards the slippery slope of
overtly emotional, barely intelligible mutterings and pontifications. Must
stop before it is too late and the digital minions run screaming. We will
get through these rough patches as Dennis’ spirit and Brooklyn constitution
is not one to be kicked down for very long. He is still very much heading
in a positive direction from a protocol point-of-view, and both you know
and I know that the Peanut man was born to inspire and endure! Hand on the
wheel, heart in Studio 54. Debra.
‘You’re a man of the mountains, you can walk on the clouds
Manipulator of crowds, you’re a dream twister
You’re going to Sodom and Gomorrah, but what do you care?
Ain’t nobody there would want to marry your sister
Friend to the martyr, a friend to the woman of shame
You look into othe fiery furnace, see the rich man without any shame’
Bob Dylan – Jokerman (Debra’s all time favorite Dylan jam)
December 28, 2004
Day +13
OzerNation:
While all signs remain on course, some of the concerns that were predicted
have started to appear. I took Adam in today for a visit and, although we
stayed for several hours and truly enjoyed our time with him, he was receiving
another round of platelets (and Benedryl to counteract any reactions during
the platelet transfusion) and was very tired and trying valiantly to stay
awake for us. His beard started to come out this morning while he was washing
up, so he was shaved and will soon be buzzed back down before he loses the
rest of his hair (I feel like I cursed him by mentioning his hair in my
last update!). One of the newer antibiotics seems to have caused a strange
rash that was manifesting itself with large spots and, by the end of the
day, an infectious disease team had come in to biopsy a few of the affected
areas to make sure that it was indeed only a drug rash. There is a possibility
that the rash could also be the first indication of Graft versus Host Disease,
not a bad sign necessarily, as GvHD lets us know that engraftment is taking
place rapidly. Results of the biopsy should be available tomorrow (Wednesday)
and I will update everyone as soon as I know more. A bit more troublesome
is the infection itself. After receiving back the previous night’s
round of cultures, it was discovered that the organism which was caused
the infection was actually sticking to the lines placed in his chest for
the Hickman catheter, further exacerbating the infection and necessitating
the permanent removal of both lines (with his platelets as low as they are,
replacing the lines when the infection has cleared is not an option). He
will now receive all his transfusions through IV lines placed in both arms.
Because he was already being treated with antibiotics when the IV lines
were freshly placed, there are no concerns that the new lines will become
similarly affected by the infection. Besides being potentially dangerous
(although it has been caught early enough), the infection can also delay
final engraftment which, considering the speed of his progress, is the last
thing anyone wants to see happen. But, as I mentioned before, the infection
was detected and treated early and rapidly, so it should clear up within
the next few days. I last spoke to him at around 8:00p.m., and he was waiting
for an intern to come to his room to pull the lines (a far easier procedure
than placing them). While I don’t like to see complications of any
sort, I am being reassured by the ever wonderful Deborah Yolin that these
are just ‘bumps in the road’ and not major setbacks. The staff
has been sterling in terms of disseminating information to me quickly and
candidly, so I truly believe that Deborah tells it like it is, be it great
news or otherwise, shall we say. While I remain strong, resolute and sure
in my faith of the ultimate outcome of all this, the grays hairs sure be
poppin’ up baby! This is when make-up and hair color comes in supremely
handy! So, before I further divulge all of my beauty secrets in a moment
of weakness, I am off for a walk on the Bronte side of life (my 98 lb. comic
relief). Hunkered down in the trenches. Debra.
‘We banged the drum slowly
And played the fife lowly
You know the song in my heart
In the turning of twilight
In the shadows of moonlight
You can show me a new place to start’
Bob Dylan – Where Teardrops Fall
December 27, 2004
Day +12
People of the Ozer Persuasion:
And back up go the blood counts today. Both Dr Antin and Deborah Yolin remain
thrilled and encouraged by his progress, but with that progress has come
days of not feeling so well and the inevitable higher fever (101.8 and above)
that I was told to expect. After reviewing his most recent blood cultures,
there does seem to be a minor systemic infection, which they are treating
by changing out his current program of antibiotics with newer medications
to more particularly address the current infection. But his chest x-rays
were essentially negative and small, non-specific infections are almost
par for the course with this protocol. Although his white blood counts are
moving onward and upward, his platelets remain extremely low and he will
require several platelet transfusions over the next few days, perhaps longer
to bridge the gap. As tired and rundown as he feels, he always manages to
move, get in a morning walk and, just generally, stay sitting up and alert
for as long as possible. His nausea has been kicking up a notch, but he
has found that if he takes a Marinol at around 5a.m., it seems to work to
keep things settled until lunchtime or the next dose, whichever comes first.
So the news is good and I get another restful night. Time to go and watch
Bronte play in the snow. The pure joy and delight she exhibits when plowing
and making doggy angels in the fresh, white snow, always feels like a miracle
to watch. Miracles of a scientific, medical nature and miracles born out
of the natural order of the earth. They all feel like blessings and it’s
an honor to bear witness. Maudlin sometimes, but motorin’ ahead. Debra.
December 26, 2004
Day +11
One Nation Under the O:
As predicted, Dennis’ blood counts fell from the previous day. All
is all, he had a slightly rougher day, with some nausea during the night
and a late fever, which hit about 100.9 and necessitated cultures. In addition,
one of his interns noticed a mild amount of congestion in one lung, so he
also had a chest x-ray and they will be keeping a close watch on the condition
over the next few days. While an initial glance at the x-ray did not seem
to indicate anything problematic, we still have not received a final reading
from a radiologist to confirm as such (though we don’t expect to see
anything of major concern). All of this is the normal reaction that one
would expect to see in the pre-engraftment period, but it again illustrates
that we have a long way to go and many things that could potentially happen.
He also received platelets yesterday (plus two units of whole blood the
day before), and will continue to receive supportive blood products, on
a somewhat daily basis, as his immune system and his counts work towards
full recovery. So we watch, we wait, we do the blood-counts tango. Learning
the steps, ever vigilant. Debra
‘Times passes slowly up here in the mountains
We sit beside bridges and walk beside fountains
Catch the wild fishes that float through the stream
Time passes slowly when you’re lost in a dream.
Time passes slowly up here in the daylight
We stare straight ahead and try so hard to stay right
Like the red rose of summer that blooms in the day
Time passes slowly and fades away’
Bob Dylan – Time Passes Slowly
December 25, 2004
Day +10 – The Start of Engraftment
Friends and Family:
It would seem that we received a most wonderful gift this particular Christmas
day. Dennis’ white blood cell counts have started to rise, indicating
the beginning of the engraftment process. But, like all great things in
life, we still have to throw out a few caveats, ‘disclaimers’
and words of caution such as the following –A) his counts will probably
fluctuate down and back up before starting to climb consistently; B) we
need 2 consecutive days of counts at a particular level before officially
calling it an engraftment; C) this is the point where Graft versus Host
Disease can start to make it’s presence felt; and D) infection is
still a major issue. That all said, we are still undeniably thrilled and
grateful that it would seem that these well traveled baby stem cells have
decided to settle in for what we hope to be a veddy, veddy long while. Taking
all these caveats into account, I expect nothing but good things as the
days and weeks progress (and we are still looking at probably at least 2
weeks or more before the word ‘discharge’ starts to enter the
vocabulary). Dennis continues to look simply mah-velous, grow multitudinous
head and facial hair, and show more energy and vitality than any transplant
patient that has come before him, choosing to perambulate around his pod
as much as possible over lying in bed and letting his stem cells simmer
in relative inactivity (this last bit as confirmed by his PA and nurses).
Hmm, I see marathons and Tour De Frances in his future. One additional lovely
bit of providence that occurred today (other than the factoid that it’s
December 25th), was that his nurse de jour was, once again, Soheir, who
was there on transplant day, and now also on the first day that we saw the
beautiful first signs of engraftment. She is indeed our Studio 54 angel
and harbinger of sacred, celestial moments. Stepping cautiously, but letting
the good news flow. Debra.
‘I’m taking my own freedom
Putting it in my song
Singing loud and strong
Grooving all day long
I’m taking my freedom
Putting it in my stroll
I’ll be high steppin’ y’all
Letting the joy unfold
I’m livin’ my life like it’s Golden’
Jill Scott - Golden
December 24, 2004
Day +9
Nation United:
All continues on course and in the right direction. It was a very quiet
day in Studio 54 as it seems the majority of the staff is off for the Christmas
holiday break. Nothing new, other than the normal rounds of doctors and
hourly vitals. Dennis’ spirits remain up despite a bit of boredom
setting in and his temperature remains within normal range minus a slight
fluctuation now and then. I am consistently told by his PA that it’s
not a matter of if he will get a fever but when, but I would not be surprised
if Dennis defied normal expectations of protocol and didn’t present
with any major fevers when al is said and done. But at least I know that,
if he does, they are on it, it’s normal and it’s controllable.
And so it goes. Merriest Christmas to those who celebrate. Continued love
and gratitude to all the internet faithful who bless our lives. Scratchin’
and spinnin’ at Studio 54. Debra
December 23, 2004
Day +8
Ozerees and Ozerettes:
All continues as expected and as it should in Studio 54. Dennis had multi-doctor
visitations (as opposed to hallucinations) and is consistently assured that
all goes per protocol and that he looks particularly strong and healthy.
Although Dennis worries about rejection, Dr. Antin says that there is a
10%, or even less, risk of rejection, especially in the cord protocol versus
an adult matched donor transplant. Those are the kinds of percentages we
like to hear. When cancer enters your life, everything becomes a tale and
a puzzle of numbers; blood counts, blast percentages, days to wait, mortality
rates, rejection rates, survival rates. Numbers that bring forth smiles
and exclamations, numbers that reduce you to tears. Meanwhile, yesterday’s
fever has not returned, and each day without an infection presenting itself
is a cause for celebration. While so many around the world will celebrate
a titanic holiday tomorrow night, each evening that passes peacefully at
Studio 54 is a miniature celebration of victory for Team Goodman/Ozer. So
we embody patience and hope for the roulette wheel with all the numbered
slots to drop the little ball on the winning digit and spin eternally back
in his favor. Science, faith and luck – here’s to hitting the
trifecta. Debra.
‘Oh, where have you been my blue-eyed son?
Oh, where have you been my darling young one?
I’ve stumbled on the side of twelve misty mountains
I’ve walked and I’ve crawled on six crooked highways
I’ve stepped in the middle of seven sad forests
I’ve been out in front of a dozen dead oceans
I’ve been ten thousand miles in the mouth of a graveyard
And it’s a hard, and it’s a hard, it’s a hard, and it’s
a hard
And it’s a hard rain’s a-gonna fall’.
A Hard Rain’s A-Gonna Fall – Bob Dylan
December 22, 2004
Day +7 p.m.
Ever Ozer:
Short p.m. update. All remains peaceful and on course in Ozer realm. Dennis
continues to feel well overall and truly looks great. He’s keeping
his weight on, due to an appetitie that’s helped along by the mighty
Marinol, and has kept hair and beard in place throughout this course of
chemo. Add to all that a great ruddy complexion and, as I have said before,
my man outshines me and my freckled, deathly white European complected self,
even in illness. He’s also quite a bit more alert (he’s conducting
bizniz from his hospital bed), so we were able to pop a movie into the DVD
that is provided in the room and watch a DVD together (our choices were
Donnie Brasco; GoodFellas and Master and Commander – what, you were
expecting Whale Rider?). He received a unit of platelets today as he is
now officially at his nadir – the point where his blood counts are
as low as they can go before they will start to rise upon engraftment. This
is the most dangerous, opportunistic time for any infections to try to take
hold, and the nursing staff will be extremely vigilant as will Dennis in
terms of mouth care (the place most infections start in chemo patients)
and overall cleanliness. He did start to spike a low fever last night (about
100.1) but it resolved itself without going any higher and necessitating
cultures and medication. Hell yeah, my man gotsa a strong constitution!
And so the day goes into the night and resolves always to the next morning.
Bring on day +8. Seeing stem cells in the clouds above. Debra.
‘I guard the well to a century of tears.
I let them fall after hours and all through the years.
And all that I am as I stand here today,
Seems more than enough, so there's nothing more I will say.
You're the last stop before home,
An' I always go home,
You're the last stop and everything I know,
That I always go home’
Last Stop Before Home – Roseanne Cash
December 22, 2004
Day +7 a.m.
OzerNation:
Today is the one week anniversary of Dennis’ transplant. Please check
out the ‘Transplant Pix’ link that the ever magnificent Flo
and Alycia put up last night (in the tan bar, upper right on this Updates
page). I think the photos are truly special and hope a small part of the
spirituality and awesome beauty of that day communicates itself to you.
It was an experience that has become an indelible part of me, that’s
for sure.
On to the reason for such an early morning update. All is well in Studio
54 and I’ll be visiting in a few hours. Our intrepid updater, Flo,
will be leaving this afternoon for her holiday vacation with her family.
She will probably not have internet access while en route to her final destination,
so there may be a few day’s lag between updates. After this one, my
next one (Flo calls it the ‘Away in the Manger’ update) will
probably be posted on Christmas eve (that would be the 24th for the Yidlach
in the crowd). If you do not see a daily update, puh-leeeze do not worry;
it only means that Flo and family are doing their Jack Kerouac thing and
following the long white stripe to Illinois. We have both agreed that if
anything occurs that should be posted immediately, I will call her on her
cell and she will find a convenient Starbucks that can provide internet
access. We all know that Starbucks has taken over the universe, so I have
no doubts that she would be able to find one, even in the barrens of the
Mid-West! And please know that my only expectation of any kind of emergency
call to her would be to announce an engraftment in Studio 54; considering
that the DFCI staff has seen a patient engraft at 10 days, I would not be
at all surprised if our boy Peanut (that name cracks me up) sets a new engraftment
record and gives it up at 8 or 9 days!
In case I don’t get to post until Christmas eve or after, my deepest
blessings and wishes for a happy, healthy Christmas to those who celebrate
(to those who don’t – enjoy the Chinese food). Adam, Jakob,
Bronte and I love you and thank you for standing with us and showing your
love for the O. Be surrounded by joy and generations of family love, and
send a little extra X-mas prayer out to the man in Studio 54. Love minus
zero, no limits. Debra.
December 21, 2004
Day +6
Those in Ozer:
George W. Bush – Person of the Year? Oiyyy!
Forgive me; had to get that out of my system. Dennis continues to do well
and feel well, all things considered. His blood levels continue to drop
and he received 2 units of whole blood today, but all of this is fully within
the realm of expectation. Although he no longer receives any chemo drugs,
he continues on a litany of medications to collectively and individually
help to A) prevent Graft versus Host Disease (no signs yet); B) fight infection
(none present); C) help boost his white blood cell growth (GCSF/Neupogen)
and, D)continue to quell nausea/GI issues and keep him as comfortable as
possible. He sounds terrific, relatively speaking, and spoke today of feeling
a charge of energy running through his system. While my flaky conclusions
have no basis in scientific fact, I would like to think that one of those
beautiful cords is doing it’s thing and is sending smoke signals to
his brain that it’s there and settling in for a long ride.
Dennis had a ‘playdate’ today with his friend Joel who became
the first visitor in to see him other than our Rabbi. I am deeply certain,
though he would never admit it, that he was extremely happy to see a face
other than the one belonging to I, his beloved, and thank Joel for giving
him the inspiration and morale boost of his wonderful presence. All praise
and hosannas from the Goodman side of town. And on that I leave you to play
Tackle the Debra in the backyard tundra with the Great White Beast from
Down South. You haven’t lived until you’ve had a 98lb. dog throw
herself at you, in play of course, in the freezing snow. I live for this.
Cold, but keeping the home fires burnin’. Debra.
‘Then take me disappearin’ through the smoke rings of my mind
Down the foggy ruins of time, far past the frozen leaves
The haunted, frightened trees, out to the windy beach
Far from the twisted reach of crazy sorrow
Yes, to dance beneath the diamond sky with one hand waving free
Silhouetted by the sea, circled by the circus sands
With all memory and fate driven deep beneath the waves
Let me forget about today until tomorrow’
Mr. Tambourine Man – Bob Dylan
December 20, 2004
Day +5
Constituents of O:
Short but sweet today in the world of Studio 54. Dennis continues to do
extremely well although there is no new news on the blood count front and
probably won’t be for at least 10 more days. Then again, I can see
these poor little stem cells, heading towards his bone marrow, taking their
grand old time but, all the while, being screamed at and haranguing by Dennis
to “keep it movin’, keep it movin’, what’s going’
on? Come on, come on, COME ON!’ etc. etc. They’ll engraft faster
if only to stop him from hukin-a-chinak (Yiddish for bugging them constantly).
Nausea and other GI upsets are being kept at bay, so all is at it should
be, and embracing patience becomes the lesson apre transplant. So we wait
together and I am so glad that you are with me ringside.
For all of those who continue to ask ‘How can I help?’ and ‘What
can I do?’, I ask you again, to consider a very concrete gesture in
honor of Dennis during the holiday season and consider the gift of blood
and platelets. Pay the feeling forward; share the good fortune in your life
and acknowledge the good feelings that O brings to you. Lecture done, enuf’
said. (oh, the burden of being a PC liberal!) To the O to the E (that would
be engraftment, y’all). Debra.
December 19, 2004
Day +4
Those who Groove to the Ozer Beat:
As hoped, I brought Jake in today for a fairly extended visit, much to my
surprise. Sometimes little O (or little Hyper Man O as I call him) can do
the unexpected and be composed, calm and very cute. Thus was the case today.
Of course the sleepover last night with his friend where they probably finally
fell asleep at Lord knows what time may have helped matters, but one must
take the gimme when it is presented. Dennis was extremely happy to see him
and it really perked him up along with all of that great Sunday football
(multiple games at the same time; that’s why God, in her infinite
wisdom, made remotes and cable). Everything seemed to be under control today,
from a gastro point of view, so, all in all, a good day it was in Studio
54. We take it hour by hour, and are glad for each hour that passes well
and brings us closer to engraftment day, whenever that might be.
Jake and I also had the supreme pleasure and honor of meeting Dennis’
friend from Connecticut (and now mine too) Ronni and her kids Scott and
Emily. Ronni’s husband Mark had surgery at B&W a few days ago
and Ronni and I have been commiserating and passing like ships in the night
as they have stayed close to Mark at the hospital. It was wonderful to laugh
and pass time with them (albeit in the lobby of B&W) and I loved them
dearly despite the fact that they are rabid Yankees fans and had some harsh,
cold words for our World Champion Red Sox. Somehow, when you can follow
the words ‘Red Sox’ with the words ‘World Champions’,
rabid Yankees fans roll right off of your back (like water off a duck’s
as as my Dad always used to say! ! Sleep well tonight Ronni. Spinnin’
the sounds in Studio 54. Debra.
‘I’ll remember you
At the end of the trail
I had so much left to do
I had so little time to fail
There’s some people that
You don’t forget
Even though you’ve only seen ‘em one time or two
When the roses fade
And I’m in the shade
I’ll remember you’
Bob Dylan – I’ll Remember You
December 18, 2004
Day +3
Friends in Ozer:
I brought Adam into the hospital today to see Dennis and we spent several
hours there watching the Steelers-Giants game (bummer-we though Eli Manning
was going to pull it off and give the Patriots a break). It was a good visit,
but it’s so difficult to feel close when you are in mask and gloves,
unable to really sit on the bed or have any skin-to-skin contact. We brought
Dennis the very good news of Adam’s report card, which was A and B’s
with the lowest grade being a B-. I was tremendously relieved after the
problems that were cropping up a few weeks ago, and thank all of the teachers
in Cluster 1 at Pollard Middle School for the patience and understanding.
Adam was pretty patient, although he gave me fits and starts by constantly
fiddling with his mask, pulling it down, scratching, fidgeting, etc. Common
sense tells me nothing is going to happen in terms of him giving any germs
to Dennis, but common sense can often fly out of the window when fear takes
it place and you’re tired and stressed. I think Dennis may have been
a little disappointed that Adam wasn’t a bit more talkative and engaging
with him, but I honestly think Adam was overwhelmed and sad, and was making
s strong effort to hold it inside and hide it from his Dad. He was crying
when we left the hospital. It’s often hard for us to possibly imagine
where Dennis is at and what goes through his mind when he is lying in that
bed day after day. But, conversely, I think it may be equally difficult
for Dennis to put himself in the place of a 13 year old boy who is hormonal
as hell (I sure can relate to that!), needs his Dad, and sees him seriously
ill and very vulnerable. Dennis is such a force of nature that I’m
sure it was once completely inconceivable for both of the boys to ever have
imagined him where he is at now.
On a medical note, he felt fairly well throughout most of the day, but the
nausea and diarrhea picked up soon after we left and he sounded unfortunately
miserable when I called him at around 7:00p.m.. It seems like he will have
several more days of these cyclical GI issues and, like most things in this
protocol, they have no way of knowing exactly how many days that might be.
Without a doubt, this is more an hour-to-hour thing than even a day-to-day
one. As Tom Petty wrote, ‘The waiting is the hardest part’.
But, through good days and not so good, I’ll be back in Studio 54.
Hunkered down. Debra.
‘The waiting is the hardest part
Every day get one more yard
You take it on faith, you take it to the heart
The waiting is the hardest part’
Tom Petty – The Waiting
December 17, 2004
Day +2
Nation Under O:
Dennis had a somewhat better day thanks to drugs, drugs and more drugs.
For some reason, the previous stew of Adivan and Marinol did not seem to
be doing the trick this time around, leaving him feeling pretty miserable
yesterday. Lord knows what Carmela, today’s wonderful nurse, brewed
up, but he sure was on one mighty fine legal, monitored high and a much
happier boy as a result. He must have made 100 phone calls while deeply
in thrall of today’s drugs, as I’m sure many of you who received
phone calls can attest to, so something tells me that the Marinol was still
in the mix somewhere. What also continues to amaze through all this, is
his ability to remain obsessive compulsive with things that are happening
physically in the house, at work and with the kids and their schedule. No
matter how high, no matter how nauseous, he wants to know all in detail
and lets you forget nothing. Quite the incredible mind our man O is in possession
of (and no, it’s too early too chalk this up to the German cord; he
was like this prior to the transplant) – like a steel trap! So, all
signs point forward and we must wait and wait together for his blood counts
to rise and let us know that he has achieved engraftment. Light a candle,
breath in the night air, enjoy the weekend and what it brings. I go to walk
She-of-the-Chocolate-Jones and freeze my butt off.
‘I been walkin’ the road/I been livin’ on the edge/Now,
I’ve just got to go/Before I get to the ledge/So I’m going/I’m
just going/I’m gone.’ Bob Dylan – Going, Going, Gone.
December 16, 2004
Day +1
O Delegates:
We counted down to Day zero and now the count starts to go up from Day 1
until engraftment day. That will be the second day, along with December
15, 2004, that will always feel like Dennis’ second birthday to me.
My gratitude for your e-mails to both of us, and for your love and prayers.
Believe me, I felt their power and I felt the force and the energy that
were present in those little bags of life yesterday, especially the 1st
cord, which seemed to be fairly zinging with vitality as I held it (it’s
that Italian thing – I just know it!) But truly folks, some things
just are not definable within the ‘everyday’ explanation and
experience; the power of the mind and of our life force is equally as potent
as the greatest medicine, and is as necessary a part of the healing process
when surviving a traumatic illness. As a footnote to a completely indescribable
day, I came home to a message from my babysitter Susan, that she was on
her way to Beth Israel Hospital as she spoke for a kidney transplant. Susan
has been waiting for well over a year for a kidney and has been praying
very hard for Dennis. It would seem that when God (or Jesus, or Allah, or
the Life Force; -- fill in the blank appropriately) was listening to her
prayers, he/she, in his/her infinite wisdom, decided to send Susan her gift
of life as well. I am infinitely proud of myself that my first instinct
was to be happy for her first before being freaked out that now I have no
babysitter to help. Blessings and prayers flow in an eternal circle and
now I send them to Susan. And so it goes.
Although all went well yesterday in Studio 54, Dennis is feeling the effects
of the pre-conditioning regimen (read chemo drugs) quite forcefully today.
His blood counts are going down very rapidly and he has, unfortunately,
been nauseous and vomiting most of the day. He’s more tired than he’s
been since being admitted for the transplant, and didn’t get out of
bed much today. As he said to our friend Bets when she called and said she
would call back later, he would either be in bed or in the bathroom throwing
up. We have been warned that he’s in for a rough ride for the next
few days before he starts to engraft and feel stronger and healthier. There
is still much work for the stem cells to do in his body and much work for
both Dennis and the nurses and doctors at B&W to keep him infection-free
and healthy while waiting. And so, your work is not yet done either! Keep
your prayers and welcoming vibes as a low background hum as you go through
the moments of your day and keep him tucked close to your hearts when it’s
time to dream. We’re well down the path and I can sense the calm waters
near. Personal prayers to Susan and Mark Z. Keep the faith, Ronni. ‘Everything
is foreseen and everything is revealed, yet everything happens according
to man’s will’ The Living Talmud: The Wisdom of the Fathers
(when quoting the Talmud, it just ain’t right to correct the gender
references, as I am so sorely tempted to do. Would if I could, but know
that I shouldn’t!) Crazy in Love. Debra.
December 15, 2004
DAY ZERO
Evening Descends –
The second cord arrived at Studio 54 at 5:00 exactly, on the nose, not a
second before, not a second after, and was completed around 5:40p.m. Had
to be German. Of course, we will never know for sure as each bag (which
we kept and I brought home with me) was marked ‘location confidential’.
But I held both those bags and they talked to me (such a flake huh?) and
I am just about convinced that bag #1 was the Milan cord and bag #2 was
German. Based on real scientific data (Dr. Stone and Dr. Antin would cringe
if they read this!) Dennis did fantastically well throughout both and now
it becomes a waiting game for engraftment and blood counts to rise. Incredible
moments, incredible times. My thanks to Patty and Leslie, the B&W Interfaith
Chaplains and to Rabbi Keith Stern for sharing this day with me and sending
their very personal, very direct love and prayers to both Dennis and our
baby stem cells. There was magic in Studio 54 today. Special love to Soheir
for administering these gifts of life and guiding Dennis safely through
the day. December 15, 2004, Dennis’ second birthday, a true day of
celebration. Onward and upward (as my Dad always said..). Blessings. Debra.
DAY ZERO – PART 2
The Saga continues, Bag #1 is officially infused at 1:38pm,
It was a little late; must be the Italian cord. Dennis is feeling terrific,
all went smoothly and his vitals are strong. Stay Tuned..........
DAY ZERO – PART I
Ozer Lovers Worldwide:
I just received a call from Dennis’ nurse for today (Soheir –
ain’t karma interesting?) with the transplant times. Cord #1 will
be infused at 1:00p.m. and Cord #2 will be infused at 5:00p.m. Please take
time out of your busy day, at those times, to send the love and send your
prayers particularly strong. Welcome and encourage these little bringers
of life to become a part of the magnificent O. As we all know so well, they
won’t be sorry – it’s the best gig they could ever get!!
I’ll be back …..
December 14, 2004
DAY –1
On the Night Before Day Zero
Friends:
It is the night before Day 0 and I am feeling emotional all day in a way
I have not felt at any other point during the many months of Dennis’
illness. No matter how difficult or traumatic some of the those moments
may have been, they in no way compare to knowing day 0 is here. It’s
hard to describe exactly, but it all feels unbelievably momentous and charged
with limitless potential. And it will all come down to 20 total minutes.
The turning points in our lives, that which makes us what we are, often
does come down to moments, incidences and decisions which float by quickly
but mark us indelibly.
Today, day –1, Dennis received his final dose of ATG and has been
(and will continue to receive) a long dose of Cyclosporin, which is infusing
over 20 hours. He was extremely tired today and slept most of the day away.
I have been waiting most of the day for the infusion schedule, which will
let me know at exactly what time to expect the first and subsequent transplants
of the baby stem cells, but it has not yet been posted on B&W’s
computer system (as of 8:45p.m.). I want to see these tiny little bags of
life. I want to touch them and bless them and send them all the love, energy
and healing, engrafting power that I can muster. I feel like I am a mother
and there is nothing more potent to bring a new ‘life’ (in the
form of a new immune system) into being. I ask you all to pray deeply and
powerfully in whatever way means most to you and moves you most strongly
to ask those little German and Milanese stem cells to be receptive, to engraft,
to become part of and to cure this wonderful, remarkable man who we all
love so deeply and dearly. They are fortunate indeed.
My grab bag of glib funnies eludes me tonight and even Bobby D. can’t
bring the proper words to fully express what we are all feeling on this
evening. So, quite simply, to all of you who mean everything to us….
send the love, send the love, send the love; there is nothing more powerful
in all of the cosmos. Yours with blessings, yours with the deepest gratitude.
Debra.
December 13, 2004
DAY –2
O Celebrants:
I walked into Studio 54 today and there was our man O, sitting in the visitor’s
chair (that which yours truly usually occupies) looking pretty damn mah-velous.
Although this morning’s dose of Melphalen (administered in a dark
brown bag nonetheless as poor old Melp is light sensitive), did bring on
some nausea, vomiting and light diarhhea, our good friend from the induction
days, the mighty, magical Marinol, made a special return appearance, and
pounded out any GI upset quickly and permanently. It also had the added
bonus of getting him all high, happy and in a sterling good mood. And, as
we all know from what we have read about big, bad insidious marijuana, it
also tends to bring out a major case of the munchies. All in all, he ate
well and had much to say to those in attendance. My undying admiration to
PA Deborah Yolin, who sat down and spent quite awhile listening to him yak
and answering the many questions fired at her byTeam Debra/Dennis. At least
we made her laugh with our pithy observations on life, politics and stem
cell transplants; so much entertainment value packed into one small, hospital
room! Meanwhile, she is thrilled at his progress and feels he is in phenomenal
shape going into the transplant – just the words a woman loves to
hear!
Tomorrow, day –1, will see the final dose of ATG and a single dose
of Cyclosporin, a prophylactic drug administered specifically to help ward
off Graft versus Host disease (when the new stem cells attack his body).
I should know tomorrow at exactly what time on Wednesday, day 0, the cells
will be infused, so time can stand still (at least for a few moments) and
we can, together, give new meaning to the concept of communal prayer. Bring
it on. Body and soul. Debra.
December 12, 2004
DAY –3
Greetings Digital Minions:
Sorry that I’m a bit late on getting this one posted. Not to worry
please, as all is well in Studio 54. He received his final dose of Fludarabine
yesterday along with a third dose of ATG and was quite handily drugged up
for most of the day. I did not end up going in as we had a baby naming for
our cousin Marc and Amy Rosenthal’s beautiful girl Emily, and it was
a good day to spend some quality time with the boys and with my family.
In the Jewish tradition, a baby has an English name and a Hebrew name; Emily
received her Hebrew name yesterday surrounded by many adoring aunts, uncles
and cousins and many generations from the maternal side of my family (everything
from age 4 months to age 82-truly a spectacular thing). It is always much
fun when we all get together and tell tales of those who have passed on.
We also had my cousin’s Sheera and Ahron’s 3 children back to
the house and it was truly wonderful to see the boys hanging with their
cousins (I also got in my girl fix with their daughter’s Aleeza and
Yakira). As I have said to all of my cousins over these last several months,
the continuity of family means a great deal to me right now. Like most families,
we have our members who have allowed meaningless incidences to divide and
isolate; to all those cousins of mine out there who read this, let us never
allow this to happen to us and to our children. They are our link to one
another and to time, space and memory.
Many thanks to all of you who have written and called expressing concern
regarding the kids.
They are both doing better as we have all buckled down and addressed some
of what’s going on with their educators and close family members.
I think the most important thing for them right now is to remain occupied
with their friends and involved in activities they enjoy. On my end, I’ll
need to keep balancing my time and making sure that they are feeling that
I’m present and involved. Yes’m, no one ever said it would be
easy, but I suppose this is what being a mutha is truly all about (note
the spelling…).
Tomorrow is day –2 with the one and only dose of a different chemo
drug called Melphalan on tap. Melphalan is dispensed quickly (about 30 minutes)
but can result in some major GI upset (nauseas, diarrhea, etc.). As with
all drugs in this protocol, he will be heavily pre-medicated and will be
treated rapidly if reactions arise. I will be there for most of the day
today and will do whatever’s needed to make him more comfortable.
I really missed him so much yesterday although I know it’s important
to also grab those moments with the kids (what can I do? Jewish guilt –
it’s in my blood!!). Keep your prayers and your vibes flowing, bring
the love and bring it strong. He said to me yesterday that, whenever he
feels lonely, he looks at the pictures of our children and feels a discernible
presence in the room that brings him a feeling of safety and camaraderie.
You’re working so hard for him and he’s feeling it, friends.
We are all in that room with him, keeping him warm and fighting the good
fight.
‘When the evening shadows and the stars appear/And there is no one
there to dry your tears/I could hold you for a million years/To make you
feel my love.’ Bob Dylan – Make You Feel my Love. Guiding you
through the strong and the swift currents. Debra,
December 11, 2004
DAY –4
O-Town:
A quiet day in Studio 54. Fludarabine was the only drug on tap today and
it was uneventful. While nothing dramatic is happening he is, all in all,
not feeling particularly great as his blood levels continue to fall. When
he went in for the initial round of induction chemo, he was already feeling
pretty poorly and his blood levels were low. This time, he walked into that
hospital feeling better than he had in years with blood levels stronger
than they had probably been for years. It’s difficult to go from feeling
that healthy to all the lousy aches and pains that come with low blood levels
and a suppressed immune system. While the end result is what we are all
shooting for, he will, more than likely, feel worse before he starts feeling
better. Tomorrow, day –3, he will have a final dose of Fludarabine
and a third dose of the rabbit ATG. Neither should bring on any adverse
effects other than those that are part and parcel of going through this
protocol. Another day, another night, inching toward Day 0. I will leave
with a short one tonight as a glass of wine and Bronte are calling my name
for vastly different reasons. Special thanks tonight to Joel and Amy Coblenz
for helping to get this po’ girl through the days. Words to help soothe,
words to share. I bring you the following tonight from my girl Amy MacDougall,
who always seems to find just the right thing to say or send at just the
right time. What a woman!
‘Listen with the night falling/we are saying thank you/We are stopping
on the bridge to bow from the railings/We are running out of the glass rooms
with our mouths full of food/To look at the sky and say thank you/we are
standing by the water looking out in different directions’ W.S. Merwin.
Always purple, kinda blue. Debra.
December 10, 2004
DAY –5
Land of O:
I do so love it when the doctors are right! Despite some fevers in the morning,
Dennis seemed to sail through his second infusion of ATG in a nice, sleepy
drug-induced fog, just as was predicted. No rigors. No accelerated heartbeat.
No delusional mental wanderings (though it would have been way fun to hear
‘Kerry’ when asked who our President was). Nothing to send my
own heartbeat into spastic arrythmia. Just 4 or 5 hours of watching my man
sleep. How do you spell R-E-L-I-E-F? Good, pre-treatment drugs, that’s
how! For some strange, sick reason, I kept thinking of a funny Larry Bird
instructional basketball video I saw, where he was talking about using the
backboard as a tool to bounce the ball off of to help bank it in. He kept
looking at the camera and repeating “The backboard is your best friend,
the backboard is your best friend” in this monotone Indiana Larry
drawl. No, Larry, dude, effective DRUGS are your best friend(when appropriately
dispensed for medicinal purposes of course, lest the kiddies who read my
musings think I’m promoting recreational drug use) Hmmm, it would
seem that Dennis’ Sports Analogy moments are rubbing off on me and
invading my daylight hours. So, in the end, I packed it in, peeled off the
ol’ protective gloves and mask and hightailed it home to the offspring
fairly early. I realize I have to take the time off on the ‘good days’
to be with the kids and save it all up for the ‘not-so-good days’,
which I’m hoping will be fewer and far betweener if at all possible.
Tomorrow, Day –4, should also be a fairly light day as the only drug
on tap is the ever present Fludarabine. But, since his blood levels are
dropping precipitously every day, he will still have to be closely monitored
to ensure that no dangerous infections rear their nasty little selves and
have the nerve to take hold in his immuno-suppressed bod.
Meanwhile, I spoke to Keith Stern today, my wonderful, always happen’
Rabbi , who said, as he is getting somewhat used to my wild, wacky, off
beat requests, that it was a terrific idea for him to come in to bless the
baby stem cells on Day Zero (wouldn’t it be a boring world if we all
walked the path in the exact same way? Flaky people rule!). Bless him up,
down and sideways for humouring my crazy butt. I will also find out exactly
what time they plan to infuse on that day (if I can get the information
ahead of time) and I fully expect you, the digital faithful made flesh,
to raise the chorus loud, wherever you so happen to be at that particular
moment, even if you incur the everlasting scorn of your workmates or have
to pull over on the side of the road and hang up from that oh so important
call or have to step out of a business meeting to take a ‘restroom’
break and meditate on the O. ***Breath****. In other words, shake the heavens
wide open puh-leeze! ‘Through the mad mystic hammering of the wild
ripping hail/The sky cracked its poems in naked wonder/That the clinging
of the church bells blew far into the breeze/Leaving only bells of lightning
and its thunder/Striking for the gentle, striking for the kind/Striking
for the guardians and protectors of the mind/And the unpawned painter behind
beyond his rightful time/And we gazed upon the chimes of freedom flashing’
Bob Dylan – Chimes of Freedom.
Guiding you gently along to Day 0. Debra.
December 9, 2004
DAY –6
Nation of O:
Today was a bit of an up and down day in Studio 54. The ATG infusion was
finished at about 1:00a.m., but the fevers continued throughout the night
and a good a part of the day. Although he was most certainly uncomfortable
from the extremes that come with a high fever (around 102.8 at the highest),
he didn’t see any return of the rigors, which was an enormous relief.
He is capable of dealing with the discomforts that a temperature brings,
but the rigors really knock him out and make him tremendously anxious. May
they be banished for the rest of the transplant! He also seems to have a
bit of a head cold but, again, that may just be a residual reaction of the
ATG. Again, his PA, Deborah Yolin, felt that all of today’s reactions
were well within the expectations of the protocol, but she was running a
series of tests including a chest x-ray and sinus scan, just to be sure.
Nothing is taken for granted during this kind of a crucial procedure. Tomorrow,
day –5, is the second dose of ATG and I’m praying that it is
better tolerated. I actually did not make it into the hospital today as
I am having issues with both of the boys (I received calls from both schools
with concerns) and felt that I have to strike a better balance between being
in the hospital with Dennis and spending time with them, something much
easier said then done. Adam, in particular, is reacting very emotionally
to what his father is going through, and seems very teary and fragile to
his teachers at school. I felt I was lucky during the induction chemo phase
not to have any issues present themselves with the kids, so I will need
to be extra vigilant in addressing their needs and fears as the weeks go
by. This is a difficult time of year for them to be without their Dad and,
unfortunately, it’s equally difficult to have them visiting frequently
due to the risk of infection. Adam is a very direct and communicative human
being and we are fortunate to have an open, honest relationship filled with
a tremendous capacity to dialogue. When I approached him today about finding
a therapist to talk to, he was very willing, which is a great help. I will
do all that is necessary and call on whatever resources I can to keep these
boys of mine feeling strong, safe and healthy in talking openly about their
fears and concerns.
And another day, another night. There is so much power in community ….
so many feeling the O all over the world. Bring the power, bring the love.
Bring the strength of your mind to bear and meditate on the word ‘engraftment’.
Thanks for lending an ear. On guard for her men. Debra.
December 8, 2004
DAY –7
Passengers on the Good Ship Ozer:
Forgive me if I keep this one short tonight as I am one tired chickita.
Then again, I’ve promised you that before then have gone on a second
wind ramble. But I’ll try to be a good girl tonight.
Yesterday, Dennis first day in the hospital or day –8 in transplant
vernacular, was blessedly uneventful. He received one dose of a chemo drug
called Fludarabine and sailed through it as predicted with no ill side effects.
Today, or day –7 (each day will count down to day zero which is transplant
day) was a different story entirely. Along with the Fludarabine, he received
his first dose of Rabbit Antithymocyte Globulin (hereafter referred to as
ATG), which we were warned would be the most difficult drug of the conditioning
lot in terms of toleration. Well, folks, that was indeed no lie. Interestingly
enough, due to the amount of drugs that they gave him prior to infusion
of the ATG and during the treatment cycle to combat the side effects, Dennis
will remember next to nothing of the day. When I called him at around 10:10p.m,
he kept asking if he was going to have a reaction and could not remember
any of what happened during the day. I, of course, remember every friggin’
second and wouldn’t leave until I knew he had settled down somewhat
and was assured that his night nurse, Judy, was assigned to him and only
him for the duration of the night. Otherwise, they would have had a fight
on their hands to get my ass out of Studio 54 (as Dennis has taken to calling
the room) anytime soon. He did get the Rigors several times during the infusion,
but was heavily dosed with Demerol each time which took effect quickly and
served to send him to a happy, sleepy place for decent chunks of time. It
also made him a mite on the incoherent side and he was definitely seeing
some pretty colors and thinking some strange and unusual thoughts that came
out of left field (i.e. getting upset because he thought one of the Physician
Assistant’s stole his hospital johnny). A few times I had to tell
the nurses that things he was saying happened didn’t actually occur
and they had to check him to make sure he was still in the present day and
time (he did know that George Dubya was our president when asked (sad but
true), but answered 1999 initially when asked what year we were in). The
most disconcerting parts of today were the episodes of accelerated heartbeat
and a drop in his oxygenation that had several doctors and nurse around
him simultaneously, taking EKGS and getting him on supplementary oxygen.
I was told that this was all very normal as next to no one ever sails through
the administration of this particular drug without a similar reaction, but
it’s still damn hard to watch and had me right up on my feet huddling
with the doctors to make sure that nothing was out of the norm for the protocol.
Since the ATG serum is derived from a rabbit, it ends up being a major shock
to the human body to have something in it that belongs in an altogether
different species, and the body reacts accordingly with what is called the
‘serum sickness’ that I was seeing today. Although he will have
to receive 3 more doses of ATG, it seems that the first dose is the worst
and the body seems to adjust and react less severely with each subsequent
dose. I’ve actually seen that play out tonight as he seems to be tolerating
it far better in the last 2 hours than he did in the preceeding 6 hours
(they transfuse it very, very slowly and stop it for periods of time when
he is rigoring or when his heartbeat was rapid and oxygenation was poor
to allow his body to settle back down). Additionally, the adverse reactions
to it only occur during infusion; as soon as the course of treatment is
over, the reactions disappear entirely. He will probably be left feeling
a little ‘hungover’ in the morning but otherwise will be much
better.
When I left at around 8:45p.m., all of his vitals signs were strong; his
heart rate had returned to normal and, although they kept the supplementary
oxygen on, he was oxygenating well. He was running a fever, but Nurse Judy
said it probably wouldn’t come down until the ATG was completed. But
he was comfortable, feeling settled and could speak cohesively when I left
and sounded great when I spoke to him around 20 minutes ago, so I can rest
semi-easily tonight (one never rests completely peacefully when someone
they love is going through something like this and I’m no exception).
He will have a far easier day tomorrow as another dose of Fludarabine is
the only drug on the menu for the day (day –6).
And so we inch forward, and so we move on. We pray, we send love. We invoke
karma, we take nothing for granted. Every day is a blessing, every second
holds potential. Peace y’all. Debra.
December 6, 2004
OzerNation:
So, after a false start (or dry run as I prefer to think of it), Dennis
is once again ensconced in his room on Floor 4C, Room 54 of Brigham and
Women’s Hospital, ready to begin what I know will be a tough but necessary
journey to final wellness. All went well with this morning’s Hickman
placement although, for some reason, they were a mite slow getting him in
there and the early morning turned to early afternoon by the time he was
up in his room. It was almost comical watching some of the nurses come into
his room, stare at him and then say things like ‘You look so familiar!
Why is that?, forgetting that he had been in two weeks ago (of course, that
Ozer mug is quite unforgettable). And, just to show you that even yours
truly, politically correct, open minded, liberal chick that I am, can fall
prey to prejudicial thinking, I share the following as a cautionary tale
of how deeply ingrained in us these kind of things can be. When we were
in last week, I remember looking over at one of the nurses, who was veiled
and obviously Arabic, and thinking “I’m glad that’s not
Dennis’ nurse. I don’t know if I would be diggin’ on someone
Arab looking after him.” Just as soon as the thought entered my brain,
I became equally appalled that it ever could. That nurse, Soheir, was Dennis’
nurse today when he was admitted, and will be caring for him, when she is
working, throughout the transplant. Of course, as these things always go,
she is a lovely and capable human being and I have been mentally slapping
myself upside the head for allowing myself to be so reactionary and stupid
(we liberals do that a lot). As I said in my last entry, I believe that
everything that happens in our lives does so to teach us a lesson. Well,
Girlfriend sure got her butt schooled today!
Dennis will begin the pre-transplant conditioning regimen tomorrow which
will consist of two specific chemo drugs, a host of immuno-suppressive drugs
and a variety of medications to address the symptoms that can arise from
the different drugs which comprise the protocol. While it’s difficult
to say in advance exactly how his body will react, Deborah Yolin, our Physician’s
Assistant, feels that the conditioning drugs are decently less toxic to
the system than those used in the induction chemo and has not been seeing
the same violent side effects and reaction as in the induction chemo round.
Our new Day Zero (the day when the two cords are infused) is now December
15th, so mark the date and bring the power extra strong on that day. As
weird as it may sound, I am actually thinking of having our Rabbi come in
to bless these little baby stem cells, to send them on their way not only
with your prayers and good vibes from all around the globe, but with deep
spiritual blessings in close proximity (my mother is reading this and thinking
“How did I give birth to such a mesuggenah (crazy) kid?” and
my friend Sari is reading this thinking “That’s so Debra!”).
But I do have precedent for this, really I do! I remember when my son Jakob
was in the hospital with spinal meningitis at 8 days old. A friend who used
to work with us, Stephanie Marshall, came into the ICU to see him, stood
over his incubator and blessed him then and there. Although Stephanie was
a born-again Christian and we were Jewish, she had such deep, abiding faith
that her blessing my baby so closely brought me enormous comfort and peace
(not to mention all that wonderful healing energy that was sent Jakob’s
way!). Thus is the power of prayer and blessing.
Meanwhile, can you tell how tired I am? I’m meandering between medical
procedure recitation and Deep Debra Moments culled from the past like a
blown electrical circuit. Be scared, be very scared. Time for some fresh
air and a walk in the falling snow with the Great White Beast from Tennessee.
Thus I will leave you knowing that our man D is resting comfortably, humming
Donkaschein and Italian arias for the little frozen cords-in-waiting that
have his name written all over them (remember, they’re from Germany
and Milan respectively-where’s Bob E. Heck with a great line of Italian
when I need it?) Oh well, I’ll settle for that other Bob, Bob E. Zimmerman
(yes, but of course Dennis saw 60 Minutes last night!) ‘Don’t
let me change my heart/Keep me set apart/From all the plans they do pursue/And
I, I don’t mind the pain/Don’t mind the driving rain/I know
I will sustain/’Cause I believe in you’. I Believe in You –
Bob Dylan
December 4, 2004
Friends in O:
To all who have called knowing that Dennis had a doctor’s appointment,
my apologies for the Update delay. On top of everything else, my dear little
8 year old managed to ram into my left side like an Ozer freight train (the
night before the Bar Mitzvah nonetheless) and gently crack a rib. After
a week of not sleepig at night, I gave in and got my butt some Viacodin.
Supremely effective I might say as I’m feeling much better, but also
equally effective at leaving that groggy after effect which tends to leave
one unmotivated and jonesin’ for a good lie-down in front of the TV
in the evenings. And I never watch TV. Never fret though: if there was anything
of immediate importance to relay, I would have shaken myself out of my little
drug-induced mini-stupor and forced a coherent sentence or two for my digital
audience.
All was as it should be at our appointment with Dr. Antin last Tuesday.
Dennis feels and looks well and seems to be clear of any infection, be it
viral or bacterial, so we are cleared for re-admittance this Monday, December
6th. Unfortunately, one of the stitches holding the line in place popped
on his original Hickman and the line itself started to move, so last Wednesday
it was removed altogether and will be re-inserted this Monday after re-admittance.
This became necessary, although the line had only moved a few inches, as
once his immune system is suppressed, it would be impossible to re-implant
it if it did fall out altogether. Other than this very minor setback, we
are ready to move forward once again. Dennis is in the best possible health
scenario with full remission, 1st remission AML and Dr. Antin is expecting
nothing short of a successful result. The heart, soul and spirit behind
him in the form of our friends and family never ceases to amaze and uplift.
I continue to hear from friends who I have not been in contact with for
many, many moons, and there is something especially moving in re-connection
coming out of a situation that could be strife with fear, isolation and
depression if we allowed ourselves to move down that path. I remember how
much I isolated myself around the anger of my father’s sudden passing
and tended to close people out and wallow in my fury and self-pity at losing
my best friend so unexpectedly. I believe everything that occurs in our
lives does so to teach lessons and to nudge us to places, kicking and screaming
if necessary, we need to go but refuse to attempt. My heart is wide open
on this one, folks, and I thank you so much for filling it with each passing
hour and each passing day.
So admit it, you’ve actually missed those Deep Debra Moments, in a
sick, needy sort of way, haven’t you? Without the election, I feel
like I have no good fodder to rant about (although you could easily get
me going on those findings regarding government-sponsored abstinence programs)
so instead, I must turn to drama Debra. But, as I have learned the fine
art of ‘enough is enough’ from my kids, I will walk Le-Bronte
instead before turning into Debbie, Soccer Mom (Lord knows it took a lot
for me to just call myself ‘Debbie’! I hate ‘Debbie”!!)
) So, until we start again, keep your love lights shining his way. Ciao.
Debra.
November 26, 2004
Greetings from OzerNation Central:
Happy Thanksgiving y’all. Hope that everyone is feeling stuffed, satiated
and overall thankful for all the happenin’ things that head their
way everyday, be they large or small. We have had a very mellow, restful
few days, which suits us all just fine. Dennis is feeling fairly well overall,
just a little sneezy and such, so he’s been changed to a wider spectrum
antibiotic. As it stands today, we will re-visit Dr. Antin on Tuesday of
next week and, if he gives Dennis the go ahead, he will be re-admitted to
the hospital Monday, December 6th to start the conditioning protocol.
Meanwhile, many of you have contacted us regarding articles you may have
seen in major newspapers and news organizations regarding cord blood transplants.
Seems like the New England Journal of medicine has just published the results
of two cord blood studies, one conducted in the US and one in Europe, that
were concluded in 2001 and early 2002. The data compiled from those studies
is the material that appears in the Journal’s article. Our thanks
to Bruce Rapkin for forwarding us the exact text of those findings, as most
of the articles you may be seeing are just quick summaries of the data at
best, and fairly vague in their explanations of criteria and study inclusions
at worst. For those of you who may read these articles and find yourself
a mite worried when reading the mortality and relapse statistics, please
know that the cord blood transplants reflected in these studies were performed
with SINGLE CORD protocols, not multiple cord as Dennis will be undergoing.
In other words, these studies are now somewhat dated and do not reflect
the current trend towards multiple-cord transplants, which were implemented
as a direct result of the data from these studies establishing that a single
cord was not sufficient in stem cell versus weight ratio for an adult patient.
We pretty much have the old apples versus oranges scenario happening here.
Dennis’ double-cord transplant protocol addresses many of the problems,
such as prolonged engraftment waiting times, that came out of this study
and none of the statistical information you may see presented really applies
to his scenario. Cord blood transplantation methods have advanced rapidly
in the 2-3 years following this study and Dennis will be the beneficiary
of all the positive new information that has come about as a result of this
study. So, in summary, all is good and hopes remain very high indeed! Yours
in the moment, yours in each hour. Debra.
November 24, 2004
A very long day yesterday in Goodman/Ozer land with a
funny ending to it. So, we get Dennis into Brigham & Women’s yesterday
at 7:00a.m. and he goes right into surgery for placement of a second Hickman
line. All goes well with the surgery and, eventually, we make our way up
into his new room on floor 4C. The pod is brand new, air controlled and
the room was contemporary, nicely designed and about as beautiful as a room
can be considering it’s in a hospital. Many doctors and nurses go
in and out, examining him and checking vitals (interesting how not one of
them knew why a second line was placed or that there were two period) while,
the whole time, Dennis keeps complaining about a sore throat. I, of course,
dismiss the sore throat, thinking it’s just dry and scratchy from
the heat on in our house, and he’s nervous and kinda doing the psychosomatic
syndrome thing. But of course, just to play it safe, the attending intern
does several different cultures, including a throat culture, which at around
8:30p.m., after I have gone home, ends up coming back, you guessed it, positive
for strep. They immediately started him on a course of antibiotics, but
I will be heading back to the hospital today at 1:00p.m. to pick him up
and take him back home. Of course, I am endlessly hearing about that fact
that I did not believe him or trust that his throat really did hurt, and
strongly suspect I will hear about it for many months to come. Bad, jaded
Debra. This is my penance and I will pay it gladly rather than see them
move forward with the transplant while he’s actively sick with strep.
They will probably delay the transplant 5-7 days, and I expect that we will
re-schedule it for sometime mid-next week. Our suspicion is that someone
at the Bar Mitzvah or at the house in the days preceding it, was actively
carrying the virus, so those who attended the Bar Mitzvah might want to
be on high alert for a strep breakout from one of their kids (as it usually
is a young ‘un who is the harbinger of these things). As for Dennis,
he should be feeling markedly better by the end of today (24 hours on antibiotics)
and will be able to rest and relax over the holiday weekend with his ever
lovin’ family. We had a great dry run for the transplant, got to meet
the staff at Dana Farber and B&W who will be attending him and will
be able to get right to it next week when he’s re-admitted since both
lines are now placed. So bring those prayers and vibes down to a low background
roar until he goes back in, and have a peaceful, healthy Thanksgiving. We
have much to be thankful for in all of those who love us and share our lives
and this digital diary, so amen and pass the turkey, baby! Debra.
November 22, 2004
Dearest Friends and Family:
We had our son Adam’s Bar Mitzvah Saturday. My emotions and recollections
of the day are almost difficult to describe days after, but it was far more
intense and moving than even I, drama queen supreme, ever anticipated. Timing
is everything and karma is omnipotent in it’s own way. It often takes
us on a journey that is necessary although we fail to be cognitive of just
why when we’re in the moment. The path that our family is walking
with Dennis’ illness brought us to quite the special and remarkable
place on Saturday. As moving a time as this might be in a Jewish boy’s
life for any family, the day took on power, spirit and relevancy so far
past what traditionally occurs when marking this life cycle event. The warmth
and power that I felt in that sanctuary from all of those congregated to
hear and share with my first born was a palatable thing with a presence
all it’s own. I do believe that, for the very first time, I understood
the meaning of the word ‘congregation’ and felt exactly what
it meant to join together as one. We prayed together, we cried a great deal.
We sent healing energy to Dennis as one community united in our love for
him that left me in tears, speechless and unable to recite the prayer with
those gathered. To be able to stand in front of these people and let my
emotions completely show like that (even though my mascara was running)
was a mighty gift in itself. It says a great deal about how safe and at
home I felt with those surrounding us on this day.
In my speech to my son, I said he was the gift that keeps on giving, and
he sure filled up my heart and spirit to capacity and beyond. He was astonishing
on that Bimah and, what was even more remarkable than how perfectly he recited
his portion and his parts of the service, was seeing his magnificent, sensitive
soul come bubbling up to throw it’s light out for all to see and hear.
The day touched a really deep, special place within him and I just saw him
grow into and become himself like a lil’ ol’ sunflower opening
up to the sky (Good God, that is so damn maudlin!!!). Dennis and I were
sitting on the Bimah and, when I looked out at the congregation, each face
was a beautiful, individual entity, so important and impactful to our lives.
Barring the few people who were unable to attend and the constraints that
wouldn’t allow us to invite each and every good friend we might have
wanted to had space allowed, I realized that everyone we loved and drew
strength from was sitting in front of us that day embracing us with their
hearts and their prayers. The last time I had been standing on that Bimah,
it was to deliver a eulogy when my father passed away; that day, I was numb
and I was devastated. Yesterday, I felt his spirit caressing my son and
shining out through his eyes, and it was indescribable in the joy it brought
to me. Right before we left the house, I gave him the mezuza (a special
Jewish charm that hold a prayer scroll inside) that my father always wore
to wear in his shirt pocket close to his heart. He said, much later, that
he felt grandpa with him in the mezuza and it was why he was able to do
so well. Such a kid!!! Call me nuts, as most of you quite rightly probably
do, but I feel like that was my father speaking to me and telling me that
it was time to pass this to my son. I had been holding very tight to it
since the day he died and I left the hospital with it around my neck, but
it’s with Adam now, where it belongs.
Dennis was completely in his glory on Saturday. He looked incredible, which
was surprising to a few who had not seen him and knew what he had gone through.
He was truly buoyed by all of the love and support that was there for him
and our family. Again, that sense of strength and power that was in the
sanctuary and directed towards him, seemed to be a living thing that occupied
a seat of it’s own. He totally brought down the house when he went
to speak to Adam and broke up with emotion when he looked at his son and
the people gathered who loved him so much. In some ways, this was very much
a bittersweet time for us, as after Saturday’s joy comes Tuesday’s
re-admittance to the hospital. We had been trying to focus on the Bar Mitzvah
attempting not to allow thoughts of Tuesday to creep in, but it’s
been difficult. In the end, as much as Adam was in his element and soaking
up the vibes of the day, so was Dennis and it was truly magnificent to see.
My unending thanks to the most amazing Rabbi Stern, who was eloquent and
moving beyond belief during the service, and was more than willing to go
with the flow and let us be our wild, wacky unorthodox selves in adding
our own Goodman/Ozer touches to the proceedings. God’s eyes, and the
spirits of Mort, Dorothy and Herbert (our parents who have passed away)
sure were shining on my family on Saturday (even if we are blue state dwellin’
immoral heathens!). Sorry, couldn’t resist that one!
Now it’s on to the flood of feelings that accompany Dennis returning
to the hospital. He will be checking in tomorrow morning at 7:00a.m. and
will immediately go into surgery to have an additional Hickman line placed
in the other side of his chest. The initial Hickman has two lumen which
can be hooked up for infusion at a given time. With the myriad of drugs
going into his system to condition him for the transplant, they need to
keep additional lines open and functional at all times. I have to stress
again that he will NOT be allowed any visitors while in the hospital for
the transplant at anytime; please, no exceptions or surprise drop-in visits.
I will let you know his phone number when it becomes available but would
even caution against calls until I can get a handle of how he will be feeling
once the conditioning begins. I promise to keep you updated daily starting
tomorrow and will keep everyone informed and in the loop as things happen.
I’ve got to tell you all; its going to be really difficult for me
to be alone again in our bed; it doesn’t feel right and it’s
not how it’s meant to be in this house. But we have to be in positive
energy mode here and I have to believe that missing him for the next 5 weeks
will have the supreme payoff of allowing us the next 25 plus years in his
oh-so unique presence. I’m incredibly fortunate to have this physical
and digital community par excellence to carry me gently through the rough
waters and, again, ask you to bring your love lights and all your spiritual
power to bear on this man who has enriched our lives so very much. He is
the Don, the Scotchprince, the King ‘O Vinyl, my baby boy’s
Daddy and my partner for life. You KNOW I got his back. Here for the duration
... your guide through the choppy water to the calm sea ahead. Debra.
November 11, 2004
People United in O:
It feels like its been ages (if only the next 4 years could go so quickly!).
Without much going on here at Ozer headquarters, other than Dennis getting
stronger, healthier and heftier, I figured it best to spare you my political
rants as the fallout over the election continues to be felt here in the
Blue States. Only remember this, the majority of this country’s wealth
and prosperity originates from Blue States (thanks to the O Man for calling
that to my attention) so there is more than one way to beat a right-wing,
conservative, self serving conspiracie’s agenda.!
Dennis and I spent most of the day yesterday signing consent forms, talking
in great detail about the cord blood transplant process and taking a few
final tests to prepare him to enter the hospital on the 23rd. We met with
both Dr. Antin and his transplant coordinator, Toni Dubeau who was terrific,
warm and enormously helpful and informative (along with being a rescue dog
owner with a quirky canine like Le Bron-tay). While we are approaching the
transplant with only the most positive mindset and spirit, the reality of
knowing this idyllic time at home is coming to an end is very sobering and
left us both feeling a bit down. While the cord blood transplant protocol
(chemo drugs and immuno-suppressive therapy only, no radiation) they are
now using is less traumatic on the body and organs than a full blown traditional
transplant requiring highly toxic levels of both chemo and radiation, its
still remains an investigational and highly risky procedure. After Dennis’
rough experience with the induction chemo round and, in particular, his
run-in with the rigers, it was tough for him to hear to expect chills and
fevers with the infusion of some of the chemo and one of the immuno-suppressive
drugs in particular. Much of our conversation with Toni centered on prophylactic
ways to try to avoid the rigers or, at the very least, to stay one step
ahead of them so they don’t take hold the way they did during the
induction phase. Also, it seems that just because a patient had a difficult
time with the induction phase does not necessarily mean that the same will
apply to the transplant conditioning. Without the radiation, there have
been many patients who have made it through with minimal discomfort. Since
the intensity and purpose of the transplant chemo differs greatly from that
of the induction chemo (whose sole purpose was to kill fast-moving cancer
cells), I’m truly hoping that he will move through this far easier
than the initial round. This conditioning phase will last about a week with
one ‘day of rest’ between it and the infusion of the actual
stem cells, a process that takes a total of only about 20 minutes (10 minutes
per cord; Dennis receives 2 cords). This day is regarded as Day 0 (birth
analogies abound). Then, the waiting begins, as it can be anywhere from
12-26 days before we start to see evidence that these life giving baby stem
cells are doing their job and engrafting in his bone marrow. This engraftment
waiting period can vary dramatically from patient to patient and there is
no way to predict beforehand just how long it will take for the process
to occur. This 2-3 week period of time will probably be the most dangerous
part of the transplant as he will have no immune system or defenses available
to ward off opportunistic infections. As always, there will be a continuous
regiment of drug therapies available to help prevent infection and to treat
any that may arise Additionally, there will probably be some degree of Graft
versus Host Disease after the stem cells are infused. This is a stem cell
transplant’s equivalent of organ ‘rejection’, where the
new, healthy stem cells realize they are not in the ‘right’
place and attack the host body (in this case Dennis) as a foreign entity.
GvHD can vary radically in its degree of severity from a mild rash to a
life-threatening attack on the body’s organs and, as with the engraftment
waiting period, there is no reliable way to predict the extent of it in
advance. But one HUGE plus discovered thus far is that, due to the extremely
immature, undeveloped nature of a newborn’s immune system, DFCI is
seeing a markedly reduced degree of GvHD in their cord blood transplant
patients (as opposed to unrelated donor transplants) and are highly confident
in their ability to treat and control any amount of GvHD thoroughly and
effectively.
One very important point that everyone needs to understand in advance is
that this hospitalization will be a whole different animal from his stay
during the initial chemo infusion. He will not be able to see any visitors
at any time other than me and perhaps, maybe one other person who will act
as my backup caregiver in the event that I get sick. His blood levels will
be going back down to just about zero and, more importantly, he will be
waiting for and building a brand, new virgin immune system. The slightest
cold, germ, infection or exposure to small things that our healthy immune
systems can cope with, can debilitate him, if not prove altogether fatal.
Also, when he gets home, he will essentially have to stay isolated for at
least 6 months if not closer to a year; no public places or travel and very
limited interaction outside or in the house (a year of non-stop togetherness
for me and the O; the true test of love and compatibility). So, come make
your pilgrimage to Needham and seek your audience with the Don in the next
week and half or so, or be forever relegated to phone calls and e-mail (in
this case, forever lasts approximately one year).
Dearest readers of this digital Dennis diary, I will only be updating the
site sporadically as we have new information available until Dennis is re-admitted
to the hospital on the 23rd, at which point I will begin to update again
on a daily basis. Your prayers, incantations and blessings worked miracles
for Dennis through the first part of this journey and have brought him,
strong and in a complete remission, to this time when he will encounter
his toughest challenge (other than 13 year old teenage hormones). I believe
in Dennis and his remarkable life energy with all that I am and have tremendous
faith in the power of this deep circle of loved ones who hold him near and
keep him close. I ask you to bring all that you have in hope, in might and
in the love of what you personally hold dear spiritually to bear for him
to bring him safely to the other side of this transplant. Start your engraftment
chant now and let it build in potency, depth and power right up to Day Zero
when those 2 baby cords (that came from Germany and Milan nonetheless) will
find themselves with the awesome privilege of engrafting in the hippest,
most happenin’, best damn bone marrow known to personkind! Amen brothahs
and sistahs! Debra.
November 5, 2004
Blue State Nation:
Well okay, you Red Staters, or those who voted thusly, you can also read
this. I’m sure you have been looking for updates and have been wondering
“where for art thou Goodman/Ozers?” After many days of total
despair and much muttering about moving north, Dennis and I have both moved
through the 12 steps regarding this election (from anger, to hysteria, to
denial, to fear, back to anger etc.) and have decided to stand firm and
fight. For at least this 2 of the 49% who voted democratically, this is
still our country too. I refuse to abandon all that we have fought so hard
for as women, as minorities, as tax paying citizens who want family and
marriage and just happen to be of the same sex and as culturally and religiously
diverse entities to be forced from our homes due to right wing, conservative
idealogues and presidents with a messianic complex. If God is speaking to
us through George W. Bush, as he would have us believe, we are truly in
deep trouble indeed. Bush may be calling for unification to heal the divide
of this deeply polarized nation, but I say, he will never be my President
(with nods to J.F.) until he proves that he is capable of being objective
and open-minded to all the inhabitants of the U.S.A. Walk the walk, Dubya.
Run the damn country objectively and leave the moralizing where it belongs
– in the heart, mind and home of each individual American.
Other than his own equally strong feelings over the election, Dennis continues
to flourish and regain his strength and spirit. He is talking about boycotting
the Red States, so those of you in the Occupied Territories, come visit
him here in Freedom Land before he goes in for the transplant. He’s
now going on long walks with the Great White Furry One, gaining weight,
and gathering vigor, mettle and mental fortitude for the transplant to come.
If the Red Sox fighting back ultimately inspired, then the election results
have made him angry and put him, mentally, into his best fighting prime.
And, when one is entering battle, that is the best place to be. Ain’t
nothing like Dennis when he is feeling righteous and fired-up (on him, its
endearing; on me its obnoxious – such a double-standard). We are both
astounded that Adam’s Bar Mitzvah is almost upon us and I know it
will be the ultimate life-affirming experience to carry with him when he
goes back into the hospital. For this, and so many other reasons, I’m
glad I took the advice of Rabbi Stern (isn’t that what Rabbis are
for?) to move forward with the Bar Mitzvah no matter where Dennis was at
in his treatment. For me, this is how God, or any higher power speaks to
us; to uplift and motivate at times when sadness and depression can send
us sprawling. To bring us together as one, with love, for a common cause
of choice, not to cram someone elses moral choices down the throats of those
of us who follow a different path to God. Now I ask you, where else can
you come for such a heady mix of political indignation and down-home Jewish
schmaltz (some people may call this being bi-polar)? ‘They say that
patriotism is the last refuge/to which a scoundrel clings/steal a little
and they throw you in jail/ steal a lot and they make you a king’
– ‘Sweetheart Like You’ – Bob Dylan (wasn’t
Bob too, too prescient on this one?)
November 3, 2004
Friends in Ozer Nation:
I will keep today’s update on the short side as I am feeling truly
sad and devastated by the outcome of this election. I am sad for this country,
its divisiveness and its blindness to basic, factual truth. I am sad for
the damage this administration will inflict on us in 4 more years without
the accountability of another election looming over their heads and, more
than anything else, I am devastated for my children and all of our children
as they will be the ones to ultimately inherit the effluence of a monstrous
deficit, irreversibly damaged natural resources, suppression of life saving
medical research in the name of religious and political pandering and the
legacy of an ill-begotten war that will by far outdo Vietnam in its pain
and anguish. Thank God I live in Massachusetts!
But, I know you don’t come to the digital home of Ozer Nation for
this right? So onward to the fight that really counts, the one that unites
us all, Democrats and GOP, in a way this election never could. Dennis and
I met with Dr. Antin and Dr. Stone today and it looks like the transplant
will be scheduled for November 23rd or 24th. It was confirmed today that
Dennis is in a complete, certified kosher remission and is in the best possible
position to move forward with the transplant and receive optimum results.
Dr. Antin has been exceptionally impressed and encouraged with the results
of the 15 or so cord blood transplants that Dana Farber has performed and,
although no long term data on the transplants is really available past one
year out, he feels very strongly that Dennis’ best chance for a cure
is with this transplant protocol. If, by some miracle, a matched donor presented
itself in the next week or two, it would probably give him pause to postpone
the transplant and address that option. But, as has become painfully obvious
to both Dennis and myself, his tissue type is exceedingly rare and if we
couldn’t find a match in the 8.5 million donors that have been searched
thus far, the chances are exceedingly low of finding one between now and
November 23rd. Somehow, happy, chirpy positive vibe Debra is feeling a mite
subdued after last night when it comes to the subject of miracles. Even
Dr. Stone was deeply upset by the election results and admitted that he
would have given up the Red Sox miracle for the Kerry-Edwards one. When
the subject of Kurt Schilling came up, he said he was fine on the mound,
but off it, was the very definition of Bush’s ‘No Millionaire
Left Behind’ act. See why Dennis and I love him so? So, tremendously
great news on the Dennis front ( :) happy, joyful, positive Debra-face
:) ) and rotten news on the fate of our country front ( :(
sad, pensive, dejected Debra-face :( ). Then again, Bush will
go far, far away in 4 years and Dennis is my partner for a lifetime; need
I say more (“No, please don’t!” they all cry out in unison)?
No Dylan quote tonight folks as you didn’t heed the words of the Master!
Massachusetts born and bred. Debra.
November 1, 2004
Citizens and Constituents:
I hear that there are those out there among the digital minions who actually
miss my daily updates. Then there is that other tiny, minuscule group of
people, who are probably voting for Bush, who are rabidly relieved that
they’re not hearing from me everyday. “See, they say, ‘Daily
updates leading up to the election only means that we have to put up with
her political pontifications and being vilified because we disagree with
her!” And, I must admit as I am not too big a woman to know when I
am annoying, they would not be wrong in stating thusly. Besides, Dennis
is doing tremendously well, looks phenomenal and feels even better than
great so there is nothing too new to report on a daily basis, at least for
now. But we are only one night away from this election and I just can’t
remain silent any longer knowing that its my last chance to whine and opine.
So all I will say, with only one meager night separating us from this momentous
moment in American history, is vote with your mind, vote in an informed
way, vote in the spirit of innovation and aspiration and do not vote in
a vacuum, guided only by trepidation, secrecy and fear. But, no matter what,
even if you choose a candidate other than the wise sage who drops these
update bombs upon you, get out and VOTE!
End of election lecture. Dennis is doing tremendously well, looks phenomenal
and feels even better than great, so there is nothing too new to report
(déjà vu all over again). These days are a complete and total
joy to me and I am amazed and inspired by the difference in his appearance
and demeanor in a little more than a week. The weekend was filled with visits
from friends who we adore, more marvelous food offerings and a glorious
time at our friends the Coblenzs. Every gathering has an air of uniqueness
to it that I hope I never forget, years down the road, when this time in
our lives becomes more memory and less the stuff of the day-to-day. I can’t
even begin to describe how fantastic Halloween was, between the beautiful
weather, the pleasure of walking Jakob from house to house with Bronte in
tow (people told me Bronte had the best costume around; very realistic),
hanging with our friends watching the Patriots game (okay, so the streak
is over-we are still feeling the Red Sox so its all good), and seeing Dennis
on the porch lobbing candy at the kids in his Rasta-mon puffy hat (as promised,
stay tuned for the Many Faces of Ozer photo gallery). Pure delight for this
cynical soul, boys and girls. My biggest struggle through all of this wonderment
is not allowing thoughts of Dennis going back to the hospital to interfere
with what’s so beautiful right now. This is why I know from whence
I speak when I preach of fear and trepidation of the future putting a stranglehold
on the life you live now. I refuse to ever believe, no matter what I go
through, that life is meant to be about the tragic, the fearful, the evil
and the abhorrent. Dennis moves forward through this with love, strength,
hope and belief in all that we are as a family and all the power our community
is putting forth for him. Isn’t that what this country should be about?
‘How much do I know/To talk out of turn/You might say that I’m
young/You might say I’m unlearned/But there’s one thing I know/Though
I’m Younger than you/Even Jesus would never forgive what you do.’
Masters of War – Bob Dylan. Rock the Vote. Debra.
October 29, 2004
Dearest Ozer-ites –
Dennis in remission, the Red Sox win the World Series – the good news
continues to flow in. November 2nd, 2004 – dare to dream for a better
America. Or prepare to fight the powers that be to take back our country.
So now that I got that out of my system, Dennis is doing terrifically which
is why you don’t see an update posted everyday. He looks wonderful
and is getting back his marvelous Sicilian-Jewish ruddy complexion. He has
taken to going on mid-afternoon walks with Adam and LaBron-tay, the chocolate
lovin’ Pyrenees, and has been holding court with his constituents
on a daily basis. They come, they kibbitz, they kiss the ring. And, just
like the Three Kings of old, they come bearing gifts – yummy foods
to tempt his palate, brownies, cookies and cakes to hide from Bronte, Dylan
memorabilia and head coverings to keep his bald keppe (head in Yiddish as
some of you may remember from an earlier update – brownie points for
you) warm. I have been wondering where I could get cool happenin’
headwear for him (doo-ragsareus.com?), when our friend Alycia walked in
today with her offerings for the O and I found out the answer to that burning
question – its spelled Du-rag, not Doo-rag. Dennis now got him his
official Jew-mon Du-rag (schmate in Yiddish) and a fine-ass dreadlocks puffy
rasta-mon hat to boot, Pictures of the baddest white mon in all da suburbs
to come for the digital crowds.
Early news of the aspirate from Dennis’ latest bone marrow biopsy
confirms the good news of full remission and Dr. Stone fully expects the
marrow itself to follow suit. We have a meeting with both him and Dr. Antin
next Wednesday, at which time I anticipate we will be able to confirm a
definitive date for the transplant (sometime shortly after the Bar Mitzvah).
Again, as it stands today, we will move forward with umbilical cord stem
cell blood (and, for those who have asked, this is NOT related to embryonic
stem cell research though one might guess the stand I take on that subject)
unless a fully matched adult donor presents itself within the next 3.5 weeks.
I am just grateful as hell that the technology exists to even have this
option; as little as five years ago, Dennis would have had no alternatives
available to him whatsoever. We are fortunate to be in this place and this
time.
So, I am loving these days, the hours with Dennis home and completing the
circle as it should be in our house. Despite the trepidation and fear that
may accompany knowing what will come next, strangely enough, I will look
back on these weeks in between the chemo and the transplant, in years to
come (and, oh they will come, my friends) as some of the happiest and most
contented I have ever experienced. To be able to be home with him and to
take care of him is a gift whose value is incalculable. Thank you again,
Jim Dadmun and the DGI-Invisuals staff – please always know that not
a day passes where I do not realize how blessed I am by your generosity
and trust that I never take this time for granted. But, before I devolve
into pathos and drama as only I can, its time to go downstairs and wrestle
Bronte for Sally G.’s amazing apple crisp. Yours from Boston, home
of the 2004 World Series Champion Red Sox (Lordy, it sure felt good to write
THAT!) Debra.
October 27, 2004
Nation to the Second Power:
Red Sox. 3-0. Wow … dare to dream.
With every passing day, Dennis is looking better, filling out, and chowing
mightily while the well-loved Dennis persona (God help us all) has come
roaring back with a vengeance. Personally, it warms this ‘lil ol’
heart to see him flourishing – must be all my fine home cookin’
and nurturing ways!! We went back to Dana Farber today to see Dr. Stone
for the first time since Dennis’ release from the hospital. Dr. Stone
thought he looked terrific and the all-knowing tale of the blood work was
absolutely phenomenal, with all indications pointing to a full-fledged,
glorious remission. His counts were up so high that even Dr. Stone was happily
surprised (my man is one strong mo-fo). His hematocrit reading was 32; 34
and upwards is normal. His white counts blasted way up and were not only
totally in the normal range, but, as Dr. Stone so aptly put it, ‘probably
are better than mine are right now’. Best of all, there were no, nada,
zippo, zero, zilch, nil not a one, nasty little leukoblast cell (the villain
in our tale) to be found anywhere in his circulating blood. They did perform
another confirmatory bone marrow biopsy (I watched this one, sick little
puppy that I am. Fascinating …) as the tale of the bone marrow itself
has the final say regarding remission. But, with his blood levels as high
and as strong as they were today, it would be rather unprecedented to see
any problem in the bone marrow that would not have manifested itself in
his blood work. A quick flu shot (I have to wait for mine until he is admitted
for the transplant) and we were on our way, happy as pigs rolling in shiz-nits
(Snoop Dogg speak for those of you not in the know). Some days I am traditional
and sappy, others days I am off the wall. You know you never come here for
that which is conventional! My purpose these days is to bring the information,
attempt to entertain the troops while doing so and, above all, to protect
and advocate for our man Ozer with every muscle of my Pilates powered body.
But I digress. Our next step is a meeting next Wednesday with Dr. Stone
to confirm the biopsy results/remission, and then we will begin to put plans
into place for the transplant. This is Dennis’ next battle but, with
much love, karma and the hand of the Supreme, it should be his final cure.
Cure is the only word in the English language that is even more beautiful
and harmonic then remission. Stand ready to tune up your pipes for the Cure
Cantata.
This has been a fabulous day for me and mine and it is always my honor and
pleasure to bring the good news out to the digital ‘airwaves’.
May the Red Sox bring us glory tonight (or within the next few nights if
they must) and then may Kerry bring this country back to a state of hope
and unity on November 2nd, 2004. Dare to dream; never back down. Debra.
October 25, 2004
Fanclub ‘O’:
I do believe I had the best-est birthday today (yeah, I know no such word
exists, but it just seems to make sense given the circumstances). It may
not have been the most eventful one, but it gave me the most sensational
feeling of contentment to spend it with Dennis and just be home together
all day. For those of you who know us well, I know you may be thinking ‘girl,
are you trippin’? Was a time, not long ago, when you would be freaking
if you spent too much time together in one day!!’ But I am here to
tell you – I feel a preaching moment coming on - that time and events
can alter the stagnant patterns of one’s daily life and bring into
it a newness and harmony that may not have been there before. Now, what
the hell does that all mean, you might ask? It means that the Dennis formerly
known as the Tasmanian Devil has learned to sit, to think, to be in the
moment and just dig on the stillness a bit and it felt wholly, marvelously
peaceful and right to just hang out and be (and this with construction and
banging going on in the house nonetheless). No expectations, no curfews,
absolutely nowhere to be but home. Now, that is the very definition of a
blessing and a bang up birthday!!
The strides Dennis has made from Friday to today are absolutely remarkable.
His appetite is huge and he is enjoying everything he eats. His walking
is getting stronger and muscles that were left weak from a combo of chemo
and weeks in bed, are now coming to life and regaining their tone. We took
a walk around the block today with LaBronte, then sat in the park and simply
enjoyed Fall happening around us. Friends, marvelous, magnificent friends,
have been coming by to pay their respects to the Don and hear the hero’s
harrowing tales. I feel like our sunroom has become Receiving Central, as
Dennis relaxes in his wicker throne (in case you need a visual reference,
it sort of looks like the wicker chair that Big Boi sits in on the Speakerboxx/The
Love Below Outkast CD) where he welcomes the Ozer-thirsty throngs. Both
Dennis and I have had a chance to re-connect with many, many old friends,
but one very special till-midnight-tonight bonus that has come out of this
time in our lives has been the discovery of our fabulous, supportive friend
and next door neighbor Erica Kaplan. We have been in our house for almost
7 years and there was Erica the whole time, living right by our side, so
wonderful yet undiscovered by us. This is what I mean when I talk about
stagnant, daily patterns. So many incredible people and experiences surround
us, but we become too busy running to work, to do errands, to work out,
to pick up the kids, to stop and say ‘what up?’ to the people
we pass in a given day. Life altering events force you to put on the brakes
and open yourself up to slowing down. When you take life by the hour, expecting
nothing more than just making it on to the next, you see amazing things
that you might have ran past just days before. Thus Erica (thank you, thank
you)!
But, alas, I feel myself turning into Warm and Fuzzy Lecturing Barbie (or,
as my mother has been known to say to me, ‘who cranked you up tonight?)
Enough gems of wisdom for you! Sleep well, pat your kids, kiss the dog,
group hug. Debra.
Oh … and GO SOX!!!
October 23-24, 2004
Nation of Ozer:
These are days like no others. At the risk of sounding all overly introspective
and mushy, each day we wake up with Dennis seems imbued with something very
special and precious. That baby analogy never seems to be far from my mind,
but its so apropos. When he wakes up at night for any reason, I’m
up like a shot making sure that all is right and that he is able to go back
to a restful, peaceful place. My mommy hearing is, once again, at its keenest
(all you moms will remember that as waking up to every little emission your
baby makes while your significant other sleeps through the loudest, most
earth-shattering wails). With each day, Dennis’ strength and confidence
reasserts itself and he is already weaning himself off the majority of his
medications. His appetite has been terrific and I think he is luxuriating
in the wonderful tastes of non-hospital food. Chemo can drastically affect
the taste buds and the taste of food, so I am so pleased that most everything
seems to be sitting well and that his system is settling down, with everything
moving or not moving the way it should (that was tactful, was it not?).
His shoulder continues to bother him so we will have a PT come in to work
with him and our friend Mina will also be at the house frequently to do
her healing energy work in our beautiful, warm, glowing sunroom. Add to
that the healing power of our friends and family, the potent visions of
fall and the voodoo mojo of the World Series and the Patriots, and it could
almost feel like all is right with the world (the ‘almost’ is
a qualifier until we know the results of November 2nd).
Dennis and I had an extremely overwhelming and emotional day yesterday when
we surprised our friends, Joel and Amy Coblenz at a lunch in honor of their
son Jacob’s Bar Mitzvah. They knew there was an outside chance that
I would be coming, but had no idea that I was going to try to bring Dennis
if he was up to it. Joel and Dennis, in particular, seem to have a special
bond and Joel’s e-mails were among some of the most moving I had read
in their depth of feeling. When Joel saw Dennis and they embraced, the rush
of emotion was unlike anything I ever experienced. When his wife Amy and
our friends Dan and Diane Shapiro came over to greet their returned warrior,
the floodgates burst open and we had a good old fashioned, my-mascara-is-running,
blotchy-faced cry-a-thon. Very, very cathartic! We spent a few hours there
enjoying the company of our good friends and savouring Blue Ginger’s
superlative cuisine as we joined in the celebration of their son’s
special day. It was such an extraordinary event for me to see Dennis back
in his element presiding over the proceedings and basking in so much love
and genuine admiration. I can’t even describe how it put me at peace
and knocked me back to appreciating the small moments without the anxiety
of ‘the next step’ interfering. Life allows us infinitesimal
gifts at random moments throughout the day and we are sometimes so embroiled
in the rat race and the next day, next chore, next project that our sense
of wonderment gets trampled and submerged. I have been so focused on the
transplant that I also couldn’t allow myself to fully immerse myself
in this incomparable time and the lessons to be had. I fully realize that
our battle is far from over, but it is such a privilege to be part of times
like these and, if Dennis’ karmic lesson is to be gentle and patient
with himself and those around him, then mine is to allow myself to live
in the meaning of the moment in front of me, and not to obsess in whatever
the next few might bring with them. ‘I hear the ancient footsteps
like the motion of the sea/sometimes I turn, there’s someone there,
other times it’s only me/I am hanging in the balance of the reality
of man/like every sparrow falling, like every grain of sand.’ Every
Grain of Sand – Bob Dylan.
October 22, 2004
Dear Friends and Family:
I just came upstairs to write my update leaving the most beautiful sight
in the world sitting in his accustomed place on the sofa in the family room
(never was a place more appropriately named than today) buttoning and channel
surfing. Dennis came home today at around 2:20p.m. and the ride back was
one I will remember for years to come. The wonder in his eyes, after 4 weeks
plus in the hospital, as he looked at the outside world, his home territory
as we got near Needham and the gorgeous changing colors of fall (fall leaf
watching has always been one of his favorite things) was the same as my
children when they were small and experiencing something remarkable and
special for the first time. It is truly significant that what we come to
take for granted was very moving and emotional to him. Watching the leaves
the past week or so had made me really sad and today, for the first time,
I was able to see it and enjoy it because I was seeing it with him and the
world was as it should be. Small moments that will last a lifetime. The
kids were so amazing when they saw him. They were ecstatic but not overwhelming,
showing him tremendous love but then settling back in around him like he
had never been gone. I was concerned about some awkwardness, but their capacity
to be flexible and accommodating as things ebb and flow is really astounding.
Bronte was happy to see him and didn’t pummel him with her 95lb.,
body-throwing mad dog behavior (as we have come to call it when she gets
happy feet) which was a relief as I didn’t want her to be disruptive.
The only sad point in the day was the transfer of the kitties to the most
wonderful Judy Pike and her family. I am so relieved and happy that they
have gone to such a marvelous home, but they have been my loving, long-term
friends and companions and I’m truly sad tonight that they had to
leave.
I am also now drug-dispensing Debra, as Dennis has come home with an awe-inspiring
arsenal of drugs which he has to take for the next few weeks. I do believe
it’s the first time I’ve filled about 12 prescriptions in one
fell swoop. Meanwhile, his prescription for the ever popular and effective
Marinol was nowhere to be found at any pharmacy near or far here in suburbia
and I had to run back to Children’s Hospital to get that bad boy filled.
Herb in pill form; one would think that would be a pharmaceutical top seller
(some of you are thinking ‘yeah, maybe in Mission Hill’.) The
man has got so many ‘scrips that I have a printout of them all with
blanks to keep track of when and what hes poppin’ so as to dose him
well but properly.
Some of you have written to me inquiring whether I would now cease and desist
with my updates (thank you Bob E. Heck for diggin’ on this sistah’s
words) and some of you may be secretly hoping an end has come to your misery
of having to dig through the sports and political ramblings to get to the
lowdown on Dennis. I may not be updating on a daily basis as, God willing,
we will happily slip back into our tedious, ordinary lives for awhile (life
ain’t never tedious with this mix of characters!), but I will keep
the updates coming as we get Dennis-related news to share and as Satan forces
me to blather on ad nauseum about the Red Sox and the election which is
so frighteningly close. Dennis, the Red Sox and John Kerry – we only
need a 3 for 3 this once and then we can all live happily ever after. Celebrate
my warrior’s return. Peace. Debra.
October 21, 2004
Mine in ‘O’:
This is the definition of a helluva week! Our Red Sox borrowed some guts,
tenacity and determination from Dennis and pulled out a miracle for the
long-suffering masses. Calling them unbelievably gutsy falls woefully short
of describing the feeling we’re all feeling today (well, maybe not
all of us. There are, of course, the Chiaffs in NY …). Okay, so I
only speak for those of us in New England when I say that we’re savoring
every bit of this victory; it still feels like a dream. Of course Dennis
being Dennis, and here is proof positive that he is truly not a card-carrying
member of the Red Sox nation, said, and I quote, “It meant something
last night, it means nothing today. They need to win the World Series”.
So much for enjoying the moment! It was like total deflation ….. NOT!!!!
Nothing can bring us down until Saturday rolls in.
I went into the hospital today, packed him up and took almost everything
back with me in anticipation of him coming home tomorrow afternoon. There
is still an outside chance that his morning’s blood work might dictate
otherwise but, at most, it would just be a one day delay of game (we’re
heavy into the sports analogies here). His appetite has come roaring back
and he was jonesin’ for a bagel with cream cheese when I called him
at 8:00 this morning. He ate fairly well today and it all stayed put without
nausea or cramps. He was essentially IV-pole less for most of the day and
I took him off the floor for a walk for the first time since he checked
in. I decided it was time for him to see more than other patients and people
wearing scrubs and white labcoats. We went down to the lobby for an easy
stroll and went back up fairly quickly as he was a bit nervous being around
that much of a crowd (afternoons at B&W can be pretty action-packed).
Might not seem like a lot, but it was huge for him and gives you an idea
of how much the chemo can devastate physically even the most able-bodied
specimen. It will be wonderful for him to be back in his own environment
where he can rest, revitalize and enjoy the fresh, non-hospital air of fall.
I promise I won’t allow Bronte to take him for any walks because,
at a trim yet furry 95 lbs., one needs to be strong and have good traction
to hold girlfriend back when she sees other dogs. But, for those of you
residing in the Needham city limits, look for Dennis walking the neighborhood
with me and the big white woman, accepting hosannas from the community as
they stop to pay their respects. Yes folks, he may be a bit thinner and
balder, but the Mayor is back! And he is coming home to 2 happening kids,
a big dog, an evah-lovin’ wife, the world’s most amazing mother-in-law,
an extraordinary community of family and friends and, last but not least,
some wicked pissah baseball with the Red Sox in the World Series. Damn,
but life is good. ‘The storms are raging on the rollin’ sea/and
on the highway of regret/the winds of change are blowing wild and free/you
ain’t seen nothing like me yet’ Make You Feel My Love –
Bob Dylan. Lead by example. Debra
October 20, 2004
Yo O Club:
My morning started out pretty terrifically when it looked like Dennis was
going to come home a day early (that being Thursday). Most of me was elated;
the other part was going “Lordy, the house is such a mess!”
As it turned out, his absolute neutrophil count had dropped again, from
around 425 to 390, so they cancelled the idea of an ‘early release
day’. As I had mentioned a few updates ago, his ANC seems to leap
forward, fall back slightly then leap forward again, so we anticipate that
he’ll hit the magic 500 number tomorrow and be ready to come home
on Friday. Right in time for my birthday on Monday; best possible birthday
present I could ever get! He still is having problems holding down food,
but the prevailing opinion is that he will do far better at home in his
own comfortable environment, where he can get the food he likes (we’ll
have to experiment), get some fresh, clean air and most importantly, get
lots of love and nurturing from yours truly and the offspring 24/7. He will
come home with an arsenal of Adivan, Marinol and other nausea quenching
goodies and can expect much adoration and pampering, so he need not feel
that he is going without at anytime, be it our attention to his every need
or his needs of a pharmaceutical nature. I’m still waiting to hear
from his transplant surgeon in order to get a better idea of the weeks ahead
and when they intend to move forward with the transplant. I do know that
it will probably be within the next 2-3 weeks maximum, as the best transplant
scenario will be with him in complete remission, and the likelihood of relapse,
due to the Myelodysplasia is, unfortunately, quite high. We are meeting
with a member of the transplant team tomorrow afternoon, so I am hoping
to have a clearer picture of things at that time. So, I will let you all
go easy tonight as a certain 7th game (its 6-0 on A Johnny Damon grand slam
as it stands at 9:20p.m) is calling me to test the faith (which was waning
big time several updates ago if you recall). Kudos to Curt Schilling (won’t
he be pleased that he made my update) for last night’s performance
which rated in the all time top ten gutsiest sports moments as determined
by a certain Dennis Ozer, expert panel of one. Off to walk the chocolate
bundt cake devouring white beast (today’s latest killer chocolate
encounter – will have to put sweets in the oven so she can’t
get to them) then back to watch those Sox make us all proud. ‘Wasn’t
looking for any special assistance/not going to any great extremes/I’d
already gone the distance/just thinking of a series of dreams’ –
Series of Dreams – Bobby Zimmerman
October 19, 2004
Dear Friend and then some:
It may be gloomy, rainy and dark outside (at least here in Boston), but
a happy sunshiny day was happening full force at our house today. As I have
mentioned, Dennis blood counts have been doing a steady climb back to normal,
at which point he will be discharged. In order for him to rejoin the familia
here on William Street, his actual neutrophil count (his neutrophil count
is a white blood cell component) needs to be over 500,000. This morning’s
bloodwork revealed that it went from 180,000 yesterday to 425,000 today.
If all goes well, meaning no more fevers, food stays happily down, he is
able to be weaned totally off intravenous drugs and he hits the magic 500
number, he should be coming home on Friday or Saturday! Yes, this Friday
or Saturday!!! National Needham holiday and rejoicing in the suburban streets!
Dr. Stone is ecstatic (he actually used that very word, very comforting
coming from a doctor) with his progress and his overall strength bodes extremely
well for the transplant to come. I would still be happier if we found an
adult matched or better mismatched donor, but I know that, in the end and
with the help of many amazing people, I have done just about all that I
can do bring the odds up, even it was only slightly more, in his favor.
We have options, we have tremendous hope, we have the world’s most
incredible karmic cheering section and, best of all, we got the indomitable
spirit of the ‘O’ showing us all how it should be done!
I can’t even start to describe how frustrating the transplant component
of this journey can and has been. There is a tremendous learning curve and
the rate at which acute myeloid leukemia moves does not allow one the luxury
of time to research and advocate from the most knowledgable power base possible.
You end up cramming whats seems like a lifetime of scientific research and
processes into a very overloaded and emotional cranium and need to reconcile
with having to place a great deal of trust in a very few people That is
something that does not always sit well with me when its Dennis’ life
at stake. I have learned much and pushed far more than the people at DFCI
and the NMDP are probably used to or comfortable with, but its difficult
for me to rely on anyone without accountability and hand over decision-making
power without being involved and well-informed. Sitting back and relying
on others without a double-check is whats gotten this country in a whole
world of trouble and discontent (ever the political axe to grind, huh?).
Suffice it to say that I will not stop pushing, learning, questioning and
asking for accountability where Dennis’ life is concerned. For all
the times that I have been a pushy, obnoxious broad over trivial matters,
this is the time when it counts the most to stand up and shout loudly.
***** Pause as she steps carefully down off high and mighty soapbox *****
There now, that’s better. How about them Sox? I will wait until tomorrow
before offering commentary just in case I am left eating my words to Dennis’
friends the wonderful, but evil-empire lovin’ Chiaffs. Nothing in
Red Sox nation is ever a gimme. Much pain and heartache is still to be endured
before we long-suffering, emotionally damaged Red Sox fans can walk reverently
down the golden road, lifting off the heavy shackles of the endless curse.
Instead I will walk Bronte, who survived the killer brownie incident with
nary a bad emission of any sort (I love my dog). Of course, theres also
my cat Oscar and the attack of the glue …. but that’s a bedtime
story for another night. ‘Good intentions can be evil/both hands can
be full of grease/you know that sometimes Satan comes as a man of peace’
Man of Peace – Bob Dylan (just got a Dylan lyric book, thus the nightly
Master quotations in Dennis’ honor). Night Y’all.
October 18, 2004
Those joined in Ozer::
Adam and I walked in to a beautiful sight when we visited Dennis today.
He had just come back from having a few routine tests, and he walked back
into the room completely detached from the IV pole. True, it was not forever
and always quite yet, but it was still so fantastic to see him unencumbered
and moving well under his own steam. His counts are climbing with larger
gains each day, and we now have 3 full days without blood products or transfusions
of any kind. He was definitely still tired and a bit woozy, but was definitely
more alert than he has been. They are starting to cut back on his copious
and highly varied palette of drugs as they don’t want him back home
nasty and jonesin’ for Adivan, Morphine and Marinol. When he comes
back home, he’ll just have to be slapped in the face by the Red Sox,
the Election and all the other moribund news of the day in a completely
sober, unaltered state just like the rest of us drudges (‘Who took
her happy drugs away this morning? you are asking). Actually, you know that
we will all roll out the red carpet and be celebrating him with every ounce
of energy we have (which may not be a lot these days, but it’s the
thought…). I do know that he should be home right in time to exercise
his right to vote (as we all should no matter who we choose, as apathy is
the only thing worse than a wrong vote) and, if we are very lucky and the
timing all works out, there is a chance that Dennis will be able to stand
at Adam’s side at his Bar Mitzvah. I can’t even start to express
how much this will mean to all of us to …. Sports Alert!!! The Red
Sox just tied the game! You see, even moments of high, teary emotion can
get interrupted by important sports moments. We know our priorities here
in the Goodman/Ozer household. Well, now that I’ve lost my focus on
all things heart-warming and family-like, I do believe y’all just
got a reprieve from another DDM (Debra Deep Moment). I was about to go off
on a Bar Mitzvah-family-isn’t-family-without-Dennis sort of tangent
but, instead, I’m going to go watch the game. I can hear the collective
sighs of relief from here to Carmel California and points beyond. And she’s
off to watch the game (miracles can happen), walk the fluffy brute (she
consumed 16, count ‘em, 16 brownies – chocolate is toxic to
dogs – and is a lucky canine tonight because her body weight absorbed
the more poisonous effects of the killer brownies) and dream my dreams of
Dennis healthy and holding court for his constituents. ‘And I could
never let you go/no matter what goes on/’cause I love you more than
ever/now that the past is gone’ Wedding Song – the Master
October 17, 2004
Those in Ozer:
Its terrible, its painful to watch, it haunts us day and night and will
stay with us for years to come – a legacy of failure for our children
and our children’s children (and no, I’m not talking about the
Bush administration though the same might be said). 19-8? 19-8? This is
not a reasonable way to lose in the playoffs. Still we believe, my ass.
Forgive my language, Ozer fans of delicate constitutions, but what else
can a long-suffering Red Sox fan say other than …. how about them
Patriots? I now find myself rooting for whichever team in the Cardinals-Astro
matchup that is most capable of beating the crap out of the Yankees. Again,
do not blame our man in room 5B-38 for the obnoxious Red Sox rantings you
hear in these updates; he knows not of this Red Sox Nation madness and subscribes
only to the honorable basics of the game alone and the game well played.
Don’t you hate that?
As promised, I kept my distance from room 5B-38 today because I woke up
and still had that, crappy, under-the-weather feeling. Could be something,
could be nothing, but one thing is for sure; I take no chances with Dennis.
I was supremely glad to hear that he felt much better today and was far
more alert, although the nausea still seems to be plaguing him somewhat.
He had his most solid lunch yet today (shrimp, fruit, some salad) and seemed
to hold it fairly well until later on in the afternoon when his stomach,
once again, decided to say no to food (isn’t that a nice way to put
it?). It will still take some time for his stomach to adjust, but he is
definitely making inroads all around. His blood levels rose again, after
yesterday’s slight drop, and this has been the third consecutive day
without any need for blood products of any kind. All the signs we need to
see for a remission in the making. As long as I feel well, I will bring
Adam tomorrow for a long visit after school (my Red Sox fan unlike his traitorous,
Astros-lovin’, contrarian brother). Like his mother, he has the fine
gift of endless gab and will entertain his father mightily before putting
him gently to sleep with his endless life-of-Adam chatter.
A quick note of thanks to everyone who has sent things to me and the kids
to cheer us up; you are wonderful and, one of these days, I will attend
to my proper social duties as taught to me by my beloved mother and thank
you personally with a well crafted thank you note on stunning, yet elegant
stationary. In particular, a bigtime shout-out to Allison Arnold (of the
now infamous First Cousins club) for sending me Al Franken’s ‘Lies
and the Lying Liars Who Tell Them’. Hilarious – I have been
feeling a touch on the blue side these last few days and I spent the majority
of the day today either sleeping or reading this book, which made me just
bust a gut laughing. I so needed that – excellent pick Allison (then
again, maybe she meant it to go to Dennis and I bogarted it)!!!! So, its
off for a Bronte walk, then on to a good political read before chanting
my mantra and dreaming of donors. ‘The trail is
dusty/the road it might be rough/but the good road is a-waitin’/and
boys it ain’t far off’ Paths Of Victory - Bob Dylan.
October 16, 2004
Lucky FanClub:
You are going to get a bit of a break tonight as I am feeling a mite under
the weather and will keep this one short. Then again, I’ve had that
intention before and end up going on for pages, so never trust the promises
of a long-winded woman!
Not a great day for our man in room 5B-38. The temperature was back up during
the night and morning (to 102 and above) and, for some reason, he has been
extremely nauseous all day. This was the first morning that he has woken
up actively complaining about nausea. He has not been able to eat much and
can’t seem to hold down what he does. Back to IV nutrition until the
nausea eases up. His blood counts were slightly down from where they were
yesterday, but today’s nurse, Lenore, feels that it is due to the
fever and is nothing to worry about. I know intellectually that it’s
a scenario of 2 steps forward, 1/2 step back, but it still puts me in a
bit of a funk when I see those steps back. Jay Feinberg from Gift of Life
visited with both of us this morning. Unfortunately, Dennis was too drugged
up and exhausted to really be alert while Jay was there, but he was tremendously
helpful to me, giving me guidance as one who has been there and helping
to fill in the tremendous knowledge gaps that come with learning about transplants
and donor searches. With so much at stake in the donor search, I often have
trouble sleeping at night feeling there may be some rock I’ve left
unturned or some small bit of information that is eluding me and could lead
to a miracle match for Dennis. If Dennis’ job is to focus on getting
well, mine is to get my arms around the transplant search and fully advocate
in every way that I am humanely capable of for the best possible match.
Understand that this is my mission people and I will not be turned aside
come hell or high water. Jay has been unbelievably generous in sharing his
time, his knowledge and the incredible resource that is the Gift of Life
Bone Marrow Foundation, along with making each and every one of our multiple
drives possible. His presence in our battle has been invaluable and we are
indeed blessed to have his advocacy and personal attention as we quickly
approach the challenge of making our crucial transplant decisions.
And its off to bed with my headachy, lousy feelin’ self (and I said
this would be short…). Rest assured that if I am still under the weather
tomorrow, I will forego my visit to the Man as he can’t be anywhere
around anyone who is remotely resembling sick. I leave my kids to the TV
and the Sox, Bronte (who we refer to as ‘the other bitch’ in
the house) to a quick pee in the backyard and all of you to a night of little
matched stem cells dancing through your dreams. Keep casting your karmic
nets. Debra.
October 15, 2004
Nation of Many:
I am looking forward to these updates getting shorter as Dennis continues
to feel better and his overall condition continues to improve. His fever
has, for the most part, stayed consistently low and today was the first
day that he didn’t need any blood products of any kind. According
to his nurse, Lisa, his white blood cell count is definitely on the rise
all by its lonesome, exactly as it should be in a patient in remission (that
word is a symphony in Dylan to my ears!). He still remains fairly drugged
up but that isn’t necessarily a bad thing! He also seemed to have
slept weirdly on one of his shoulders and was in quite a bit of pain more
from that than anything chemo-related. Our friend Mina came in to work with
him again today, and left him feeling very relaxed, emotionally peaceful
and sleeping deeply and soundly (bless her wonderful Scottish heart). The
rash was markedly better and he continues to eat lightly as his appetite
returns. I did bring Jakob in today for a short while, but Dennis definitely
had a difficult time staying awake, despite the fact that he held off on
an Oxycotin for the shoulder so he would be alert for Jake. I could see
that Jake was also a little ‘freaked-out’ (as he himself put
it) at seeing his Dad bald, rash-covered and kind of weak and ‘shaky’
(again, as Jakob put it). For Jake, Dad is a force bigger, tougher and louder
than life itself, so I think it was tough for him to see him sick and looking
vulnerable. Whereas Adam has dealt with my father’s sickness and subsequent
death and the death of his babysitter Penny, who died right in front of
him alone in my kitchen (that’s a hell of a story in itself), this
is Jake’s first experience with illness and family trauma to this
degree. He misses his Dad and misses the focused attention he usually gets
from me and often shows it by acting out and acting regressively (temper
tantrums that would test Mother Theresa’s patience). His teacher recently
related to me that he said that it makes him mad that Mom is constantly
on the phone or computer at night always doing things that have to do with
Dad. Its that jealous male thing and reminds me of how men get when we have
babies and feel that we give all our female attention to the baby at the
expense of the Daddy person. But I digress (easy to do when one is tired).
Bottom line is that Dennis was so happy to see him and it really lifted
his spirits and I hope to get Adam to the hospital tomorrow so he can show
his Dad some love, offspring style.
The outpouring of warmth and support we continue to receive from every member
of OzerNation continues to amaze and move Dennis (and he still loves you
just as much and forgives you your GOP-ness, Carol Klim!) I leave you tonight,
for the task of walking La Bron-te in the pouring rain, with what he said
today when we were talking about our community – you are a blessing
on our house. Debra.
October 14, 2004
Greetings from Fight Central:
Okay, the Red Sox are down 2-zip, the pundits (how does one officially earn
their degree in professional pundit-ism?) have the gall and audacity to
say that Bush may have won last night’s debate, but we still have
Dennis and he is on the mend. And that is the reason why we gather here
each and every night to preach, pray and say the mantra, now isn’t
it? So, we’ll pack up Grandma, Bronte and the kids and move to Canada
when he’s better …. hey, its pretty up north!
Our man, though remarkably high and out of it, is definitely walking the
recovery road and taking grand little baby steps towards remission. He was
as drugged up today as I’ve seen him yet and pretty unintelligible,
murmuring and slurring when I called him this morning and at many points
throughout the day. I just keep nodding and saying ‘love you, baby’.
But he’s comfortable and getting rest, so whatever it takes is all
good by me. His appetite continues to improve and, although he has had some
bowel rumbling after eating, as a whole his stomach seems to be adjusting
and holding steady. If he has another fairly comfortable night without diarrhea,
I might venture to say that the Teflitis is just about healed up. (Mmm,
mmm, mmm, someday he will look at these updates and think ‘all these
nasty details about my bowels and diarrhea! And I married this sick woman?’)
The rash is looking much better and they are even beginning to see a rise
in his blood levels, albeit tiny. He did have platelets today, so they will
have to see a continued rise without the aid of transfusions to truly say
that his blood levels are heading up. But Dr. Stone feels he is doing great
and that his body is responding exactly as he would anticipate in a patient
who is heading towards a healthy remission. From his lips to God’s
ears, as they say.
I am still waiting to hear results of the two drives (Brooklyn and here
in Newton) and the first Stamford CT drive, starring Elena Levy, is on for
this Sunday. I have heard that there is a confirmed double-umbilical cord
protocol that will be adequate for Dennis’ weight. When last I mentioned
this, the NMDP was still searching for two compatible cords, which they
now have. Considering that the confirmed BC mismatch is far from optimum,
with all the information available to us today, Dr. Antin would choose the
cord blood transplant option as long as Dennis achieves a complete remission.
Again, this is not the transplant of choice, but with no adult perfectly
matched donor in the foreseeable future, the cord blood option is presenting
itself as the safest candidate with the best hope for success. Needless
to say, there is much to be done before we are at the transplant stage,
but I will keep doing everything in my power to try to find a more suitable
match for him. The transplant piece of this is extremely complicated on
a genetic and molecular level, and there is much I still don’t know
and need to learn. I know, on an intellectual level, that the odds of finding
a perfect adult donor are not at all in our favor due to his rare tissue
type, but I strongly believe in the power of prayer and karma. If ever anyone
deserves to test the theory that all the love and positive karma you put
out into this world will come back to you threefold, it is Dennis. All the
lives he has touched check in with us everyday through this website and
I’m sure they each have an incredible story to tell about their extraordinary
friend. And friends, I know he will come out on the other side of this time
in his life with more manic Ozer stories with which to entertain the masses
for many years to come. Bronte calls (big fluffy chick dog). Here’s
to miracles. Debra.
October 13, 2004
Dennis Lovin’ People:
What a total joy it is to be able to address you tonight with today’s
great news (how presidential sounding of me)! Words seem far from adequate
in their ability to express all of the feelings and the palatable sense
of relief that we are feeling here in Chez Goodman/Ozer. But, as I am finding
out more with each passing day, going through cancer is a never-ending process
of discovery and fact-finding, so I do have to temper the news somewhat
by telling you not to abandon your remission mantra quite yet. While this
is most definitely the beginning of what will hopefully be a total remission,
it is just that, a beginning or initial stage. He is not ‘officially’
in the clinical definition of full remission. That will be determined in
around two weeks with a final biopsy after his blood counts rise back to
their normal levels, unaided by transfusions, and without any leukoblast
cells re-appearing in his bone marrow. But that in no way takes away from
the fact that today is HUGE, that the statistics are very much in his favor,
and A #1, NO MORE CHEMO!!!!
I truly thought I was going to have a coronary of my very own waiting for
the results. Hours passed this morning and I still hadn’t heard from
Dr. Stone. Of course, being a Jewish woman, I was running every horrible
scenario through my mind as I built up a mighty head of righteous, pissed-off
steam. I called Dennis bitching and moaning about it in that nasty, strident
way that those who know me well are all too familiar with. But Marinol boy,
who was busy floating in a happy, relaxed place that I knew not of, told
me to ‘mellow out, what will be will be and can’t be rushed’
at which point I felt it was only fair that he share the nice drugs and
pony up some of what he had cookin’ in that IV. Finally, I decided
it was time for, da-da-ta-ta ‘Aggressive, Medical Advocating
Woman’, she of the big mouth and short fuse. I had Dr. Stone’s
nurse paged and he got back to me soon after to let me know the good word.
Seems that he was waiting until later when he could see Dennis in person
to let us both know. NOT! Considering he didn’t end up coming into
Dennis’ room until around 6:00p.m., I would have been in a pretty
ugly, state of complete frothing, maddened frenzy had I waited and not placed
that call. Debra’s life lesson for today? Don’t get pissed;
get pushy.
Dennis continues to slowly but surely make improvement. Naturally, today’s
news had a profound impact on his good spirits when he could feel confident
that he would not have to undergo any more chemo. He is such a brave, fearless
individual, but I know even he would have been demoralized facing 5 more
days of chemo. Now he can concentrate all his efforts on healing and getting
better so he can get a complete remission and come home to his ever lovin’
familia. His appetite has started to return and he had small amounts of
bland solids to eat today (theres that baby analogy running through my head
again). He needs to eat carefully and slowly to allow his system to re-adjust
to food without setting off any bouts of diarrhea, but its all good thus
far. The rash also looked slightly better today. Bonus points go to the
3 Infectious Disease Doctors 3, who came by to check on him and were very
funny. Lots of good punning (i.e. telling Dennis not be so ‘rash’),
Dennis comes from a long line of first class, professional pun-sters (Elena,
we shared Harry’s urn pun with our ID friends), and I’m sure
the family Usadi/Levy can well appreciate the irony of the ID doctors finding
a true connoisseur who could appreciate their schpeal. Who needs a cure
when you got an act like that? Between yesterday and today, he received
about 4 units of blood, which should help alleviate some of the tiredness
and breathlessness he’s been experiencing. Our friend Mina also came
over today to do some energy work with him that he found both very emotional
and impactful. Energy work (Reiki, Cranio-sacral) is extraordinary and enriching
for the healthiest among us and is nothing short of essential for those
dealing with cancer. Mina, in particular, is a deeply gifted and spiritual
healer and I thank her so much for sharing her love and healing energy with
Dennis. So many helping us along this road of discovery and recovery –
it still humbles me each and every moment.
Now, if only our Red Sox and John Kerry can do a Dennis! Then, we can all
live happily ever after secure in the knowledge that, when we lay our keppies
(head in Yiddish) down at night, there is justice in this world, the good
guys can win in the end and that we need not move to Canada anytime soon.
Keep doing the remission tango and know I love you all. Debra.
October 13, 2004
Just got the word, no more chemo for Dennis. HE GOT THE BIG R .......... More to come!
October 12, 2004
Dearest Ozer Buds:
So, let me get this out of the way so we can all move on. I know you are
all waiting to hear the news but, just as I predicted in yesterday’s
update, I don’t have word yet. We will all have to wait until the
morning and I will update the website as soon as the word comes down and
not wait until the evening. This is a promise and a pledge.
Dennis had a much better night last night and finally felt that he got a
good night’s rest. Never thought that I would say this but bless Sister
Morphine. He remained diarrhea free throughout the night and, as a result,
will be able to very slowly start to re-introduce solid food back into his
system. Of course, his appetite is somewhat non-existent after the beating
his body has been subjected to, so it is Marinol, a derivative of the active
ingredient in marijuana, to the rescue (do not even get my little political
self started on the subject of medical marijuana …). The beauty of
Marinol is that, not only does it quell nausea, but as any good high will
do, (of course I never inhaled myself, so what I report is just from info
gathered on the internet), it gives you a wicked good case of the munchies.
Sure enough, when I left for the evening, he was grousing about when he
was going to get some food into his body. A very good sign indeed. Mix in
a little Valium and Adivan to the Marinol, and Dennis finally got his wish
when he exclaimed in his last communiqué to Ozer World “All
these drugs and none that get me high! What a shame!” Glad to see
that the doctors at Brigham and Women have finally decided to correct that
grievous oversight. (Red Sox pause -- what the hell are they doing to us?
Talk about grievous!!!). He spent most of the day drifting and sleeping
peacefully which was like manna from heaven to my eyes after the tough days
he has endured. The rash is still pretty nasty looking but they are keeping
close watch to make sure that it is just a drug rash and nothing more serious.
He was visited by the infectious disease crew 3 times with the promise of
a 4th visit that never materialized and certain redheads hung around specifically
waiting for (again, I’ll take this no show as a good sign for Dennis).
Word to the wise, oh infectious disease dudes; you probably do not want
to piss my tired ass off right now! Then again, perhaps they heard I was
there and that’s why they never showed (paranoia creeps in). Finally,
as I bent over to kiss my man goodnight, I noticed lots of little black
hairs on the pillow and also realized that his goatee was getting sparse,
so, yes, its time for the hair to fall out. He reminds me of my boys when
they were babies, complete with that bald spot at the back of their heads
where their hair rubbed off from laying on their backs so much. I promise
you all a new picture of him on the website when his rash goes away and
his head and chin are completely purdy and shiny. You just know he will
be a hot, handsome, hairless bald man! And, since I am once again feeling
like I’m on the slippery slope to Punchyland, the place where all
manner of stupid things get said, that is my slap upside the head to go
walk the Bronte and turn my full attention to the debacle playing itself
out on our TV screens (my, but we are a long suffering people!). Go safely
to bed this evening tucking the mantra, the man and the love extra close
to your hearts and minds. Yours in the Nation (you choose which). Debra
Rest in peace Christopher Reeve
October 11, 2004
Friends in Ozer:
Hopefully you have all had an opportunity to catch up with the last two
day’s updates. My thanks for your patience; next time, I’ll
warn you ahead of time when Flo goes away and I won’t be posting nightly
or I’ll get over my techno fear and learn how to post myself. Yesterday’s
drive in Brooklyn went very well. Through cousin Eva Usadi’s efforts
of going to more than one shul (temple) to seek victims, she estimated that
they were able to test between 300-350 people. She hopes to be able to take
the ‘show on the road’ as it were, as there is a tremendous
Jewish population in Brooklyn (second only to Israel) and many small congregations
along each block. So, along with the results from our Newton drive, we have
many more results to look forward to and many more chances to find the miracle
match!
After another very long, difficult night, Dennis’ doctors decided
it was time to bring in the heavy drug artillery in an effort to finally
make him comfortable and greater able to cope with all that he is going
through. He spent the majority of today in a bit of a drug induced haze
courtesy of morphine, valium and Lord knows what else, but seemed able to
rest up a bit more than he has. Rumour has it that he will be hooked up
to a self-adminstering morphine pump in the near future (not to worry; it
locks itself out on a timer so the over-eager patient can’t OD). He
continues to be plagued by the rigers (must check this spelling with the
medical powers-that-be) and the drug rash has spread all over his body.
Although the rash is not a thing of beauty, it does not seem to be any cause
for concern because there is no itching or constriction of his breathing
passages. It is just one more thing to deal with. The temperature has been
fluctuating somewhat, but not as dramatically as the last 3 days. It comes
down and has stayed down for longer periods of time, allowing the nursing
staff to accomplish at least one bag of the red blood cells transfusion;
hopefully, the other bag will be transfused tonight. Probably the best news
of today is that they were able to treat the diarrhea with Imodium and he
has, knock on wood that it continues through the night, been diarrhea and
cramp free all day. This is an enormous relief to both him and to me ….
small victories, in this war, mean a lot.
I e-mailed Dr. Stone not long ago regarding when to expect the biopsy results
tomorrow and, unexpectedly heard back from him a few minutes ago. I must
tell you, he is one special man and I see why he is so highly regarded both
from a standpoint of knowledge and as a doctor with a heart. His responsiveness
is a Godsend and has been an oasis in a lot of the frustration I’ve
experienced elsewhere. He feels that the results will not be posted at DFCI
until around 6:00 tomorrow evening, more than likely making them unavailable
to me until the following morning. I know that many of you are hanging on
the word coming down tomorrow as am I, but please hold tight if you do not
see the final results in tomorrow’s update. You will know as soon
as I have them and I will make sure to post an update immediately, even
if it is early in the day. Until then, my deepest thanks to Eva Usadi and
Elena Levy for bringing drives to Brooklyn and Stamford and for showing
the love to your cuz. Ongoing blessings to Dr. Stone, Dr. DeAngelo, residents
and interns a plenty and the oncology nursing staff on 5B for being the
integral part of fighting the battle to bring Dennis home to us minus the
demon. Ain’t no stopping the Queen of the Jungle. Debra.
October 09/10/2004
Hey FanClub Ozer:10/08/04
Hello Ozer Friends:
Another difficult day in Room 5B-38. Dennis’ temperature continues
to fluctuate, never going higher than 101.5, but bringing with it terrible
chills and uncontrollable shakes that have to be treated with Demerol. These
are the weeks, after the chemo is over, that the reactions become most prominent
and the monotony of the days becomes most prevalent. It seems to be a watching
and waiting game, watching to make sure that none of the reactions to the
chemo are out of the ordinary and then waiting for the body to bear up under
and get over the results of those reactions day after day. As he has felt
up to it, he has had a few visits which have helped provide distraction
from and break up the long day. I’m hoping to bring the boys in again
tomorrow as long as he gets a good night’s sleep and his temperature
stays down. They are missing him tremendously and I know the feeling is
very mutual. The boys and I are very tight and are holding up well (thanks
to our circle of family and friends), but there is always that missing presence
of Dennis in the house that is almost as real and palatable as his physical
self when he is home. I think we all take for granted the day-to-day routine
and ritual that becomes our lives with our families and it is there that
I feel most strongly how cancer impacts and disrupts. I said to someone
today that, whereas I could plan most every moment of my day and our lives
before Dennis got sick, these days I wake up with no expectations of where
a day will go. I only hope that, when I call Dennis each morning, he has
passed the night easily. It’s a very day-to-day, sometimes hour-to-hour
existence that rotates around temperatures, blood levels and small words
of encouragement from nurses and doctors instead of work talk, kid’s
grades, politics and soccer games. Okay, so maybe it still rotates around
politics too …
And that’s is always our saving grace. I may have my wistful moments,
but then my sense of humor (and innate drama queen-o-meter) kicks in and
tells me to quit while I’m ahead. The Red Sox swept the Angels, Bush-Kerry
#2 was entertaining and enlightening and I have the Ozer Nation sending
love and chanting the mantra for my #1 man. Small victories for now and
that’s enough to go to sleep on. Remission, remission, remission.
Debra.
10/07/04
Yo Nation:10/06/04
Hi to all -
All in all, a fairly good day in hospital room 5B-38 today. Dennis
got to watch the game yesterday (a win), got to watch the debate last night
(southern boy John held his own against Grandpa Dick and they're tied in
the polls), the temperature has stayed down and Dr. Stone is feeling confident
about tomorrow's bone marrow biopsy. He received another round of
platelets and red blood cells today and it looks like his white blood cell
counts are on their way back up (a good sign). The stomach condition,
officially called Teflitis, continues to bother him but is fairly common;
4 other chemo patients on his floor also have it. Chemo tends to (!gross
description alert!) slough off the stomach lining resulting in inflamation
that is exacerbated by food and similar irritants. Its almost like
a form of temporary colitis and is easily cured through a combination of
resting the tract (thus the intravenous) and antibiotics. !End of
gross description alert! Amazing what one can learn that they never
particularly wanted to!! Again, Dr. Stone has no concerns over the
Teflitis (does one capitalize disease names?), so if he ain't sweatin' it,
I sure ain't!
Dennis was visited and held court today with two first year Harvard Medical
School students (John and Thomas). They got the full Debra and Dennis Show
treatment when they asked him for the history of his illness summed up in
20 minutes or less. Listening to us work the story was a thing of
beauty. We were a finely tuned orchestration of single-minded purpose,
smoothly segueing our salient points one off the other, gently building
the story and the momentum without ever overstepping or interrupting.
The D&D show had it all: pathos, affirmation, humor with a tinge of
sadness, yet, overall, an inspiring sense of strength and resolute determination.
John thought Dennis' story so compelling that he came back to talk some
more after his 20 minute allotment had expired. He is now Dennis'
new friend, invited to go out to dinner with him and hang when the mayor
is feeling better and once again able to pithely entertain his constituency.
In other words, hes baaaack!!!! So bone up on yo' game, Jordan Gupp, because
he will be back to see them skills and mop up da court wid yo' butt!
Check your screens this evening for a new entry of 'Notes from Dennis' as
he has once again brought fingers to keyboard in an effort to entertain
and enlighten. Time for me to tuck the dog in and walk the kids or
something like that. And with that, as only Peanut (old Dennis name
from Brooklyn days that I've been dying to use) could put it, I'll be seeing
you tomorrow on the other side of the bone marrow biopsy. Talkin'
the talk. Debra.
10/05/04
Hey Ozer Humanity:10/04/04
Y'OzerPeople:
It still blows me away that you all check into this little part of the digital
universe every day to walk the road with Dennis and my family. To
those of you who say you can't believe that I always manage to update before
I sack out, I have to say, with a Nation like the one that surrounds us,
I wouldn't have it any other way. You motivate me and keep me sane
and functional throughout. I haven't got time for the pain (I must
be tired as hell if I'm quoting Carly Simon. My, how the mighty have
fallen).
Dennis started the morning off really well. He called me early and sounded
strong and lively. The temp remained down through the night resulting
in a restful night's sleep, and the platelets and red blood cells definitely
gave him a boost as intended. The day remained uneventful right up until
I got there (Debra G., harbinger of crappy afternoons). He had just
finished a set of 5 laps around the pod, his first steps out and about in
well over 3 days. He got back and for some reason, the exertion seemed
to set off a fever. Next thing we knew, it was back up to 102 and
climbing and his good mood and overall feeling of well being rapidly disintegrated
as it rose. They quickly got some tylenol into him which brought down
the fever rapidly enough, but left him sweaty, wet and chilled. He
had to change bedclothes 3 times as he soaked them through. On the 3rd time,
he took his glasses off and placed them on the bed, where they were
accidentally tossed out with the wet linens. Good news was they were
found, bad news was they were broken (B&W will pay to replace them).
Add in the rash from a few days ago, continuing cramps from the candy I
brought him, and the general monotony of the long days, and things were
very much becoming the definition of an 'off day'. Finish with the
fact that the baseball playoffs are starting and there is no ESPN to be
had, and sweet, affable Dennis finally got extremely grumpy and pissy ("Damn
girl, hes allowed!" I hear you all saying and I agree). Luckily,
the bendryl for the rash and oxycotin for the cramps soon took the edge
off the lousy afternoon. When I left for the evening, his temp was back
to normal and he was drifting, drowsing and back to the patient with the
best damn attitude west of the Pecos.
O-Nation, I have tried to find a way around it, but if anyone, anyhow, anyway
can work some kind of magic to get my man ESPN in that damn hospital room,
you will be our best friend, lifelong pal and personal savior.
No one should ever have to miss the Red Sox in the playoffs, especially
since everyone is saying that this is their .... wait, no, I can't say it,
it hurts too much to go there. Suffice it to say that I would move
mountains and even say that Sugar Ray won that fight if I could hook the
man up somehow!! At least he'll be able to watch the V.P. debate tomorrow
night and that should be good for some hisses and chuckles. Yours
in political incorrectness. Debra
10/03/04
Wow O-Nation:
What an amazing day! First to Dennis. His temperature has, for the
most part, remained down. In the morning when I first called him at
around 9:00, it was all the way down to 98. It did spike back up to
100.5 during the day, but went no higher than that, giving me hope that
the days of 103 spikes are over. He also received platelets along
with the red blood cell transfusion from yesterday and definitely sounded
more like his own bad-ass Dennis self. He called several times during
the day with questions and commands; "How many people are there?"
"Did you bring any food?" "Did so and so come?" "Are
you taping it?" "Bring Adam, bring Jake", "Did Flo put
the news article about me on the website?", etc., so on and yadayada.
As a matter of fact, he called so frequently and was so persistent and demanding
in trying to direct the action, that I knew he must be feeling much better
as his mind was roving off the business of getting well and wandering over
to our Ozer Production at the JCC. A good sign indeed! And I
thought I would have to play endless Bush speeches to get that much of a
rise out of him!
The drive was very busy and we got a ton of unexpected media coverage. NECN
(New England Cable news) send a unit over, interviewed me, interviewed Dennis
over the phone (the hospital would not allow them in) and then went live
from the JCC. Channel 4 promoted the event on their calendar section
and even Fox News got into the action with an interview of me and Adam.
We shot video for Dennis and took lots of digital photos which will soon
be on display at dennisozer.com for your entertainment and visual consumption
(we are all imaging folks here after all). While we didn't quite get
the numbers we expected because, as it turns out, much of the Jewish community
had already been tested in a large drive last year and a massive one in
1999, it still was quite the happening place and we tested over 325 new
people out of the about 400 who showed up (the rest were deferred for medical
reasons). If anyone would like to test who was unable to come today
(or who lives out of state), you can go to www.giftoflife.org and register
online. They will send you instructions and a kit free of charge and its
an easy swab test that can be self-administered and sent back for testing.
I don't know how to even start to thank all of the incredible friends, family
and new friends who came to volunteer and be part of the community that
has come forth for Dennis. Extra special love to Jill K. and Mike
and Perla C. for making the trip from the land of the evil empire (NYC that
is) to test, volunteer and show the love. You are each tremendously
special and have chosen to take a journey with us that would be lonely and
devastating without you. Now go tuck your bad selves into bed, say
your remission prayers and repeat the mantra just like I taught you!
Power to the People. Debra
10/02/04
Dear Friends:
First to the realm of Ozer, the reason that brings you to this internet
part of the universe everyday. Small victories are what sustains us
and and Dennis got one today when his fever broke in the early morning and
went down to 99 degrees. By chemo standards, anything under 101 is
considered normal. It did spike up a little during the day, but minimally
so compared to what it has been over the last few days. As of 8:45p.m.
(Eastern standard time, baby) the fever remains down at 99 and they were
administering benedryl and prepping him for a transfusion of several units
of red blood cells. His hematocrit is down to 23, the lowest I've seen it,
so he has been feeling very weak and tired, but they had been holding off
on the transfusion because of the fever. By tomorrow, between the
blood units and reduced temperature, he should be feeling markedly better
and ready to move around and start walking the pods again. The cramps
and diarrhea are still troublesome to him but, since all of his stool cultures
remain negative, there seems to be no localized infection and it just seems
to be the way his body is coping with the onslaught of chemo drugs.
Hes still not eating much of anything solid as it brings on the cramps,
but he is drinking and remaining hydrated. I keep my fingers crossed
that the fever remains down, that the lowest point has been reached, and
that he gets to slowly but steadily start the climb back that will lead
to a clean bone marrow biopsy. Remember, keep meditating and praying
on that all important mantra: remisssion, remission, remission. Say
it when you're lying down, say it when you're rising up, take it into your
heart and send it back out his way (uh-oh, its the attack of the verbal
drama queen).
And for all of you who have been asking if I'm okay and how I'm holding
up, I figure if I can still laugh at my crazy-ass old self, 'I guess I'm
doing fine' as our man Dylan says on the homepage. And tomorrow, ITS
ON! My friends Dan and Diane Shapiro, Amy Coblenz and Patti D'Amore,
along with Adam and his buds Nate and Brian (the terrific trio), met me
at the JCC early this evening where we set up for tomorrow's drive.
Tomorrow morning will be exclusively for training the amazing volunteers
(including my oldest friend Jill Kaplan who came from New York just to help!)
who are making this unbelievable, life-saving effort a fantastic reality.
I've been really obssessing over it (ya think?), but now its time to step
back, own that we all did all that we could and let it do what it will.
Hopefully, it will get its karmic groove on in a major, earth-moving kinda
way. My Scorpio self cannot say for sure that the angel we are going
to find from the drive will be for Dennis, but I do know, with weird, psychic
certainty, that there is an angel waiting there tomorrow for a swabbing
date with destiny and that a life is going to be saved as a result.
Our poster repeats it, and the talmudic scholars uttered it, "He/She
who saves one life, it as if he/she saved the entire world'. I couldn't
have said it any better (though I definitely would have uttered that baby
in a more gender-neutral fashion if I had). You have my love, you
have my heart. Debra
10/01/04
Dear Fanclub:
The tough ride continues today. The fevers go up and down and the
constant cramping and diarhhea make for sleepless nights. He does
not seem to be too bothered by the nausea though he has had a few bouts
where food would not stay down. It seems to be hitting him hardest
in the gastro tract and there is not much that can be done past the medication
he receiving; it needs to run its course. One saving grace (if one
can even use that term) is that it seems no worse than yesterday.
Hopefully he has hit the roughest patch and it will stay at about the same
level of intensity before his blood counts start to regroup, head back up
and he improves. That could be a few days or it could be a week.
As seems to be par for the course with chemo, there is no real way to predict
duration. He has been having Reiki sessions with a practitioner who
works for DFCI and finds that it has an effect in realigning wherever his
energy lies at the time of the treatment. I'm grateful and impressed
that DFCI understands both the need and the effectiveness of eastern-oriented
treatments and energy work. Mind-body wellness is very concrete and
necessary to our lives; our bodies are powerful and our minds are untapped
and limitless.
The Gift of Life folks (an example of the term 'folks' used appropriately)
will be in tomorrow evening in time to help us set up the rooms at the JCC
for Sunday's drive. I feel as if I've spent little 'quality' time
with the offspring in the past weeks, so we are going over my cousin's Sheera
and Ahron's home to celebrate Sukkot. I know I will be praying at
their table tonight for my people to heed the bone marrow call and come
out in force on Sunday. As I've said before, the house of Goodman/Ozer
embraces and welcomes all makes and models with love, but this time, for
this purpose, for the needs of this man, its very much my tribe of Israel
who need to show the love for their tribal brother in need. Together
in the fight. Debra.
9/30/04
During this last week, I have been holding steady in
the belief that his strong body would be able to dodge the bad chemo reaction
bullet, but it hit him full force today. He got the full litany, from
continuing bad cramps and diarrhea to high fevers of 103 complete with bad
chills and extreme weakness. They have been pulling blood and stool
cultures, as well as meticulously examining the Hickman line, to make sure
that there are no specific infections present causing the fever. So far,
all is good and they feel the fever is a a normal by-product of his almost
non-existent immune system from the chemo. As much as you can hear doctors
and nurses prepare you for this and listen to them say 'its normal, its
working, its okay', 'its' devastating to watch. I don't think I've
ever felt so impotent and useless before in my inability to make it all
go away and make him feel better. Somehow rubbing his head and legs
and tucking blankets in just doesn't seem to cut in when you see the person
you love going through this shit (excuse the language, but sometimes you
got to let it all hang out). But I am reassured by talking to Dr.
Stone and knowing that nothing is occuring that is of worry or out of the
ordinary. No little beads of sweat appear on his forehead as he tells
me all is as well as can be expected; you know you're getting the truth
(hmmm, somewhere in this there is a WMD comment to be had!). He remains
as cool and nonplussed in the face of all of this as Kerry was tonight debating
Bush (sorry, I have been good and just could not resist. Was especially
diggin' on the stem cell shout-out by Kerry!). Although Dennis was
very tired and bundled up in his bed against the fever chills when I left,
as predicted a few updates ago, he rallied to watch the debates and called
me to offer his pithy assessments of what he was seeing and hearing.
Thanks, John Kerry, for making my man smile tonight. The next few
days may be a rough ride for him but I will do all I can in whatever way
I can to ease the passage. He has the power, the attitude and the
will to fight through anything. We're both visualizing in the
most positive way possible to next Wednesday and that bone marrow biopsy.
Pray and meditate on the following: 5% or less leukoblast cells in his bone
marrow. Those are the magic words that spell REMISSION, the most beautiful
word in the english language. Walkin' the walk. Debra.
9/29/04
Hey Friends in Ozer:
So, even The Don has to have a rough day now and then and, unfortunately,
today was one of those days. The diarrhea was back with a vengeance
leaving him tired after a tough night with little sleep. He remained
crampy and uncomfortable through most of the day. His platelets were
also quite low and he required a transfusion. Somewhere along the
line, either today's blood unit or yesterday's resulted in hives requiring
mucho Benedryl to counteract the reaction. I'm no doctor, but all
these different drugs mixing in his system to quell various symptons ultimately
must do a number on his body and his head. He was definitely very
sleepy and not quite as alert although he kept the muscles sharp walking
the pods and had our friends Joel, Tom A., Delmar and Kevin O'Conor (the
other Mr. O) up to visit at various times throughout the day. In the
end though, all of this is a normal reaction to the chemo and means its
doing what it is supposed to do. Dr. Stone continues to be pleased
by his progress and his overall strength and determination. More and
more, I see that we were pro-active and caught the changeover from MDS to
AML fairly early. If I can lecture with some degree of confidence
on one thing, its that we must follow our instincts and push for what feels
right in any medical situation. When Dennis and I went back to see
Dr. Stone after our vacation when the need for a transfusion indicated that
things had progressed, Dr. Stone wanted to give it another 3-4 months before
doing another bone marrow biopsy. Instinct, need for peace of mind
and nagging Scorpio sense was telling me not to wait and, as it turns out,
Dennis was in the same place, so we pushed for a test that day. The
rest is history. Dennis walked into that hospital with a physically
powerful body, healthy organs and a firm, resolute, focused mind.
I am totally convinced that will be the mitigating factor that will serve
to get him through this and bring him home healthy and ready to start chapter
two on his already amazing journey of a life. Our doctors can cure us, but
only we can advocate and demand what is right for our bodies and minds.
Know thyself and know your bodacious bod is truly a gift and a temple.
Mr. O has set the example, now follow his lead.
All praise, thanks and the You is Da House award to our friend Ralph Feinberg
for getting both an article and a full page ad in the Newton, Needham, Brookline
and Wayland Tabs. Credit for the idea must go entirely to its mastermind,
the wonderful Mr. Feinberg. I have been on the phone literally without stop
today fielding calls about the drive. Crazy, but enormously fulfilling
indeed! The response from the article has been extraordinary to say the
least and, with a circulation of 70,000, even a response rate of 1% would
be fantastic. Something tells me to expect much more. This is no longer
just a drive, but an official Dennis Ozer Happening. Funny how that
often seems to happen with the man. Our friend, Joel will be there
taping parts of it so I can show Dennis the love, the mission and the drive
to find his match. Something tells me it will be a beautiful sight
to behold. Keep pushing for the numbers on Sunday and keep sending
his name up to the heavens and beyond. 'You can stand me up at the
gates of hell, but I won't back down' (Tom Petty). Debra
9/28/04
Dear Ozer Constituency:
Dennis continues to feel well and, in the words of Dr. Stone, look fantastic.
Its heartwarming indeed to hear those words out of his doctor's mouth!
Even after 7 days in the hospital and 6 days of chemo, he looks ruddy and
healthy when compared to my east european, pasty-complexioned self.
If you look at the color pictures of the 4 of us (under Family Pictures),
that old Sesame Street classic, 'One of These Things is Not Like the Other'
comes to mind. I've always referred to it as the Ozer olive oil complexion.
For the first time since he was admitted, he was a mite grumpy and it highly
amused Colm T. Nurse when he saw this 'other' side of his model patient.
Watching the TV news and polls on Bush (apologies GOP friends but I'm just
reporting here) made him ballistic. I take that as a good sign and
will play tapes loops of Bush speeches if need be on those bad days (should
they come) to rouse him, piss him off, and make him forget whatevers ailing
him! More of the gastro effects of the chemo made themselves
apparent today, again normal, but enough to make anyone feel grumpy and
uncomfortable in the best of circumstances. But, all in all, he remains
fantastically strong and resolute through this ordeal and, as he said so
eloquently in his latest letter (check it out by clicking on the 'Notes
from Dennis' link), he is fighting his battle and knows his mission.
On a donor search update note, I found out today that two of the cousins,
Bob Usadi and Elena Levy, did not type out as matches. That still
leaves 5 cousins and I'll report their results as I receive them.
Gift of Life also now compares Dennis's tissue type directly to all new
donors received into their database (as opposed to being an affiliate search
by the NMDP) and, since that database is primarily Jewish, perhaps that
more direct focus might help to increase the odds in his favor. Finding
a donor is all a numbers game which is why a huge turn-out for the drive
is so crucial! Tell your friends, tell your neighbors, come oh ye
Jews far and wide and pony up your tissue type! Keep sending the love,
keep digging deep for him spiritually. Like a rock. Debra.
9/27/04
Greetings OzerNation:
Today finds Dennis feeling stable, although extremely tired, with spirits
high. Hes eating a little better today and his temperature has remained
normal. All other systems are moving along as they should, shall we
say. Some day he'll look back at these entries and want to smack me
for telling intimate details about his bodily functions. Inquiring
minds want to know! His chemo is scheduled to end Wednesday night.
If this able-bodied man of mine is going to have a tough time with the chemo,
it will be in the days to week following the final dose, but something tells
me that he will weather this with the strength and resilience he has shown
in every other aspect of life. If he does have a difficult time of
it, know that he has the most tremendous, capable care in both the B&W
nursing staff and his bride who will be sleeping there and caring for him
right alongside them.
On another note, there is a decent likelihood that I may have to give up
my two beautiful cats after Dennis has the transplant. Since they
use kitty litter, the possibility of scratching Dennis and transmitting
toxiplasmosis or something else inherently dangerous to him is far too great
and the doctors are givng me the word up. Anyone who knows me knows
that these cats are damn close to being like kids to me and its devastating
enough to think of giving them up, but I can't put Dennis in \any kind of
jeopardy. Please put the word out about these two wonderful, affectionate
cats so I know they will go to people who will love them as much as me and
my boys have (you notice I pointedly left Dennis out of that!). They
are very loving, adore kids and are altogether awesome little kitty beasts!
Please call or e-mail me if you can help; it will probably be several more
months before Dennis actually has the transplant and comes home, but its
important that the word goes out now. I am deeply committed to my
animals and owe them the very best effort possible in finding a loving home
(where, hopefully, we can visit often!) Off to walk the Bronte.
Night all. Debra.
9/26/04
Dear FanClub:
I finally got to the hospital with Jakob today although we didn't get to
stay long due to 8 year old boredom. I also got a little paranoid
when he got too close to Dennis as 8 year old boys are awfully close to
the earth and rate high on the germ scale. Dennis had a fever of about
100 degrees yesterday and had problems with diarrhea (both common side effects
of the chemo) which both seemed to have resolved themselves today.
He said, he seems to have 10 minutes where he feels okay, then 10 where
he feels terrible, and so forth. The nausea has kicked up a notch,
but the nursing staff is right on it and prepared to control it as it gets
worse. His appetitie is also going by the wayside, so he is drinking
Boost to keep getting the nourishment he needs and trys to keep on tea and
toast. He continues to get blood transfusions daily to keep his red
blood counts up and will probably continue to for quite some time.
For those already on the bone marrow registry or who are unable to become
donors, I would encourage you to donate blood and platelets to DFCI for
all cancer patients. I am seeing that the need is tremendous and,
thanks to the inspiration of Amy MacDougall, a good friend of our friend
from Charrette Jack Ford, I'm going to start donating as often as I can.
I'm at DFCI everyday now, so I can't even use the excuse of saying its a
schlep to go into Boston! All in all, his spirit and attitude are
still awe-inspiring. He keeps looking at the pictures of the kids
which I brought into his room and says that the 4 months of suffering and
difficulty will be well worth it knowing it will give him the 20 years on
the other side with his boys. I tortured you enough with yesterday's
entry, so you get a break tonight! Peace and out. Debra
9/25/04
Hi all -
Not much of change for Dennis today, He continues to be extremely
tired and to sleep a great deal. I hoped to take Jakob to see him,
but little O woke up sniffly and stuffy. I'm not sure if its allergies
or a cold, but I can't take a chance with Dennis' blood levels dropping
as they are. Dennis sounded mentally alert though and continues walking
the pods and gently stretching his body. We are fortunate to know
some wonderful people in the healing arts who I hope to have work with him
to keep his muscles flexible and mobile. But, according to Dr. DeAngelo
who stopped by to see him, all seems to be going well and as expected and
thats all we can ask for at this point. His bone marrow will tell the tale
in 14 days, but that feels light years away and we take it a day at a time.
Small victories.
But, meanwhile, its finally thank you time. Everyone deserves to have
their names called out and sent out to the firmaments and these people,
in particular, have been my lights and my shining stars.
Jim Dadmun, Glen Fairbanks, Bob Bekesha, Kristen Coles, Pam Keith and the
rest of the crew at DGI-Invisuals. These are people I work with who
have allowed me the freedom to focus on Dennis and my family without guilt
and without remorse. They are each special and remarkable in more
ways than I can recount. They are taking care of the professional
me, taking care of my clients and have removed the pressure of constantly
worrying about our family finances. I am honored to work with them
and thank them for unselfishly giving Dennis and my children the gift of
my time and presence.
Rabbi Keith Stern, Debbie Fellman, Patty D'Amore, Emmy Zylber and the community
of Temple Beth Avodah. Although I have always been proud and connected
as a member of the Jewish tribe, I have, admittedly, had difficultly connecting
to a congregation and allowing a Jewish communty into my life. Starting
with Rabbi Stern who I turned to on the day of Dennis' diagnosis to Emmy
Zylber who immediately reached out to start the process of supplying us
with meals, the boys and I have been embraced, surrounded and protected
with an overwhelming amount of Jewish-style love and spirituality.
Your support has shaken me out of my complacency and helped me to understand
the meaning of being a Jew and the role of community, prayer and participation.
Debbie Fellman, you are a blessing to me. Your warmth, strength and
friendship is a gift and you are fast becoming my rock of Gibralter.
God blessed me indeed when he/she (pick the one that works for you!) brought
you into my life through your Peter Daniel Clark foundation. Rabbi
Stern, you helped me honor and bury my father with love and dignity, you
will Bar Mitzvah my first born this November and you have marshalled the
Rabbinical troops behind our bone marrow drive and my husband. All
this and a fabulous, amazing wife he has to boot! Oy, such a guy!
Sheera and Ahron Solomont- my family, my friends. Never forget that
we are your family and you are ours. We love you, we appreciate you, we
are blessed by you. Sari Rapkin and Betsy Cohen-every day, every hour,
every moment.
David Levy, Elena Levy, Lester Levy, Bob Usadi, Eva Usadi, Jonathan Usadi,
Debby Nagler, Allison Arnold, Bob Arnold, Joyce Echt, Ruth Cornell -the
Dennis Ozer First Cousins Club (I hope I didn't miss anyone). Thank
you for your love, your energy, your tissue typing. Sherri Goldberg-old
friend with deep roots. You always come through and your energy is
inspiring. Ralph Feinberg-new friend who pulls out all the stops (we
Goodmans also love your wife!). Marty Gutter-miracle magician. Dennis
is blessed by your friendship. Louise Cohen for leading Sari and I to Jay
Feinberg and the Gift of Life Registry. Eleanor Grosser of The Jewish
Advocate for bringing the Dennis Ozer Bone Marrow Drive to the Jewish communty.
Mort Ozer, Dorothy Ozer and my father, Herbert Goodman. You are intrinsically
and forever part of Dennis and me. Your eyes shine down on us every
waking hour and will light the path for Adam on his Bar Mitzvah day.
One must always end the thank yous with she who brought us into this world!
My mother Sylvia Goodman. She is my life, my inspiration, my guidance,
my teacher, my girlfriend. I did something very good in a previous
life to be allowed to be her daughter. I am everything because of
her and would be nothing without her. Her love is a gift beyond value
and I only hope to someday make her proud and be half the woman that she
is.
*****Deep breath and change of subject pause******
In other Ozer news, we welcome the Gift of Life Bone Marrow Registry to
our drive effort and to dennisozer.com, THE happenin' place to be. Jay Feinberg,
Gift of Life's Executive Director is himself a stem cell transplant survivor.
Check out our new friends at www.giftoflife.org and read Jay's story.
Miracles can happen, with effort and with love, and it did for him!
We are now working with both Gift of Life and the NMDP towards the goal
of reaching as many donors as possible. Gift of Life is also working with
Dennis' cousin David Levy to launch a concurrent drive in Seattle.
In addition, we are also hoping to launch a drive in Brooklyn NY with Gift
of Life and Dennis' cousins Elena Levy and Eva Usadi. The Brooklyn drive
is still in the planning stages but will hopefully become a reality in the
next week (lots and lots of Chasidic Jews with pure bloodlines back to the
old country!!). So, Dennis has now become national in scope and we
can truly call ourselves OzerNation! This has been a long one and
I thank you for bearing with me and my need to acknowledge. As they
say on Yom Kippur, 'May your names be inscribed in the book of life'.
Debra
9/24/04
Yo OzerNation:
So, I brought in my weights, I done brought in my squeezy balls, I even
brought in pictures of the offspring, but when the hoop came out and Colm
T. Nurse assembled it (I am mechanically challenged to say the least) and
placed it on the door, the Don offered the following upon clanging his first
virgin jumper off the TV set (and I quote) - "I don't need no pick,
I don't need no play, just gimme the ball and get the f--- outta my way"
(Bob E. Heck is a proud man tonight)! Beautifully spoken.
Today was definitely a tougher day and a dramatic change from yesterday,
indicating that the chemo is definitely starting to do its 'thing'.
He was very tired and sleeping a lot during the day. There are a staggering
amount of different drugs, other than the chemo, going into his system that
are treating issues ranging from nausea, upset stomach, potassium loss and
discomfort from the Hickman, and it all serves to make him feel weak and
a bit disoriented. He continues to walk the pods, but 3 laps around completely
zaps his energy. His frustration is evident at not having his body
under his control and performing at peak efficiency. Being exhausted
and laid-up in bed is especially hard for someone who is used to moving
like the Tasmanian Devil from the Warner Bros. Roadrunner cartoons. But
he's Dennis and he keeps on keepin' on, taking it all in stride and keeping
those in attendence laughing and marvelling. Just when it looks like
he's nodding off, his brain clicks in and he starts cracking on the crowds
with one of his classic Dennis-isms (such as the one that began today's
update).
Sari R. and I spent a lot of time visting tonight and, although we managed
to get him laughing and doin' the diss on certain Presidents we know while
watching the news, his whole mood totally perked up when his boy Colm T.
Nurse came in. All of the nurses have been incredible, but Colm is
da house for Dennis. My little Scorpio vibe tells me that Colm's going to
be the one to help get him through when the days and nghts get really tough,
bless his little gaelic, Red Sox lovin' soul. Oh, and for all those
who have expressed displeasure at seeing Dennis in Red Sox colors on the
drive poster, know that he has yet to make a formal, long term committment
to the long-sufferin', Red Sox Nation madness here in Boston and still maintains
an objective, professional distance when it comes to his baseball.
Chill evil Yankee fans.
Although he's been taking calls, he is still not really up to visitors yet
(Sari was an exception as she is family). Hang tight, oh ye that love
Dennis and you will soon be granted an audience! He has had many old
friends checking in, some who he hasn't spoken to in 15 or more years, and
I thank those people, from the bottom of my heart, for reaching over the
chasm of time and conflict to show him your love. My bleeding-heart
liberal self would still really like to believe that, in the presence of
a struggle for life, old animosities mean nada and can be put behind and
to rest.
Amen and hallelujah until tomorrow. Debra
9/23/04
Hello to all -
Dennis began his chemotherapy last night as expected and seems to be doing
well so far. He did wake up slightly nauseous at around 4:30a.m., but his
nurse immediately took care of that with some medication that quelled the
nausea and sent him more comfortably back to dreamland. All vitals are holding
up well as are his spirits. He remains physically strong and does laps around
his pod several times a day. Rumour has it that 25 laps=1 mile; if its true
and we make it, we'll re-name it the DonOzer Hospital Hike in his honor.
I'm also bringing him in light weights, squeezy balls for his hands and
most, importantly, a hoop and foam balls for the skills (aren't you proud
of me Bob E. Heck??!!) You can lose your mind, lose your way, but Armageddon
will come for sure on the day The O man loses his sweet set shot! Your e-mails
to him are terrific and are really moving. Keep them coming, keep in communication,
keep bringin' the love!
Adam came with me today to visit and I will take Jakob in separately over
the weekend. They are each little angel men when they are apart and devil
spawn when they get together and all that testosterone heats up! They have
both been holding up exceedingly well considering, though Adam was definitely
teary when he left the hospital and had to say goodbye (real men can cry)
and Jakob has been alternately extremely clingy with me and hyper and obstinate
(hmmm, wheres he get that from?). His famous Ozer temper has been flaring
more than usual and there are times I need to lock myself in another room
so I won't throttle his cute little self (I can hear the DSS coming to get
me as I type this to you!) But they both come from good, strong Goodman/Ozer
peasant stock and have a wonderful community of loving friends and relatives
keeping them focused and in line.
I still must make my litany of thank yous but, once again, feel the pull
of a final dogwalk and sleep beckoning. Tomorrow will bring another morning
in which to catch up and take up the armor. FYI, my thank yous are not out
of obligation, but out of a deep sense of knowing how important it is to
be acknowledged when you have stepped up and accomplished for those in need.
We shine together and we shine as individuals. Another lesson learned from
my always beloved Dad, the other strong, unique, fantastic man who has graced
my life and one that Dennis also exemplifies everyday.
Yours in the fight. Debra.
9/22/04
Dear Friends in Ozer:
Its incredible how you can know someone for so many years, be married to
them, share the same bed night after night and still discover new things
in them you never quite realized were there. Dennis' strength, spirit
and humor is absolutely remarkable. I mean, yeah I knew what a happenin'
kind of guy he was since I done married his ass, but facing this kind of
thing would wilt and bring down the best and strongest among us. With
Dennis, there is no retreat, no surrender (thanks Dan Shapiro for sharing
that great line) and he is like the EveryReady Brooklyn Bunny who just keeps
goin, and goin' and goin'. As Anna, she of the vital signs, said to
me today "your husband, he has such a sweet temperment' (for a second
there I thought she was talking about my dog Bronte). By now he knows
her complete life story and the names of both her kids. He also once
again demonstrated his superb knowledge of foreign languages by throwing
off a line of Croatian to his anesthesiologist for the Hickman procedure
when he mentioned thats where he was from. Whadda guy, whadda man!
All went well with the Hickman implant and he received both an infusion
of platelets and a transfusion of red blood cells to get his counts back
up (they had dropped down to 25 from yesterday). Both Dr. Stone and
his associate Dr. DeAngelo stopped by to see him and, in doing so, got another
major grilling from me, the question lady. They're going to start
running in the other direction soon when they hear my melodious tones floating
through his closed door! By now (9:30p.m. that is),they should be
starting his chemotherapy. Despite all the heavy baggage that comes with
receiving chemo, the actual infusions themselves are uneventful and he should
be able to get a good night's rest. He won't be feeling any of the
ill effects of the chemo until a few days after receiving the full course
which will end at this time next Wednesday. Heres hoping that the
next week will not be too uncomfortable for him. The nursing staff
is terrific and, if and when he starts to feel poorly, they will be there
with treatment and medication to manage the nausea, fevers and other issues
that can arise from chemo. And you all better know that I am waiting
and ready to set up camp in that room and be there 24/7 to take care of
him however he needs. This is what those silly ol' marriage vows are all
about. Again, just a gentle reminder to please check in with me if
you would like to visit him; I think he will be up for visitors in a day
or so. You can drop me an e-mail or call me on my cell phone (617/799-8110).
And please, please, please folks, do not even think about going to visit
if you have anything resembling a cold or illness or if you've been exposed
to sick kids. His blood counts are going to start to go extremely
low before they rise again and he will be wide open to infection. Lecture
over. Stay tuned to tomorrow's update for many, many thank yous that
I'm too tired to extend right now but are so very well deserved. You
have taken us into your hearts and your lives; its a beautiful place to
be! Blessings everyday. Debra
9/21/04
Dear Friends:
Dennis was admitted to Brigham and Women's Hospital today, almost exactly
a month after we first received his diagnosis. The walk back to my
car (which was parked at DFCI) without my man, down a long series of empty
corridors and bridges that connect DFCI to B&W, was one of the saddest
and loneliest moments I have ever experienced. It is wrenching to
leave your life partner alone when all you want to do is camp out and spend
every moment taking care of him (or her) and easing the burden every ache
along the way. It really drove home the realization that, as much as Dennis
has this incredible, unrivaled, loving community closing rank around him
and embracing his every move, there are parts of this battle and the road
back to health that he will face and travel alone as a solitary man.
Friends and family, I am deeply humbled tonight.
Of course Dennis being Dennis, he made immediate buddies with his male nurse,
Colm (thats pronounced 'column' for all we non-gaelics), was testing his
fledgling Spanish with Anna, the aid who checks his vitals, and was berating
Veronica, the TV turnin' on woman (for lack of a better title) for not having
ESPN at the hospital. He was being transferred to a private room when
last we talked and y'all know its just a matter of time before that room
becomes THE place to be at B&W. When I last spoke to him at around
9:45, I could hear yelling in the background from multiple voices as the
Red Sox scored a run. Need I say more about his settling in?
They performed some initial blood work tonight and will be giving him a
transfusion tomorrow morning since his red blood cell levels are way down
again at 27. After that, he will go into surgery to have a Hickman
catheter placed in hs chest. The Hickman is a flexible tube that is placed
under the skin of his upper chest and into one of the main blood vessels
leading to his heart. All infusions, intravenous fluids and blood
work will be done through the Hickman, avoiding multiple daily needle sticks
in his arms. And so it begins. If Dennis and I were at all able
to intellectualize our feelings this past month, the gravity of the situation
has now become staggeringly, painfully real and scary on a very emotional
level.
My man Colm T. Nurse has asked that people NOT send any flowers, plants
or dried flowers to Mr. O. Latex balloons are also a big hospital
no-no. Books, cards and other sources of entertainment would be most
welcome. Chocolate, baked goods and both sweet and tart candy are
great and encouraged since many chemo patients seem to enjoy it as the chemo
can leave a metallic aftertaste. Juicy Fruit gum seems to be a particular
chemo fave. Dennis has also asked that people refrain from calling
for the next few days as there will be a lot of initial procedures taking
place and he needs time to adjust to the reality of being in the hospital.
He has his laptop, would love to continue receiving your e-mails and will
e-mail back as much as he can. I'll let everyone know when he is feeling
ready to receive phone calls and, again, respectfully ask anyone who would
like to visit to both wait a bit and always check with me before they head
in. I am Goodman the gatekeeper and I take my job very seriously.
Time to take my tired tush to bed. Sweet dreams to all. Deb
9/20/04
Hey OzerNation:
I feel like our lil' ol' Needham home has become the headquarters for Ozer
for President between organizing and publicizing the drive (phone calls!
newspapers! magazines! fundraising letters! iPod donwnloads!) and those
stopping by to pay homage to Don Ozer before he goes into the hospital tomorrow.
As I've said many times, your love and respect humbles The Don and gives
him strength for the fight ahead!
Our drive is moving ahead with a force all its own. My unending thanks
to The Jewish Advocate for agreeing to place 11,000 inserts of the drive
poster into their next edition and to Unigraphics, once again, for moving
hell and high water to get the inserts done overnight for delivery to the
Advocate. I must tell you all that none of this would be possible
without my friend Sari Rapkin (mushy moment comin' on). She is my foundation,
my anchor in these and so many other stormy times and my life would be far
less worthy and special if she was not in it! This girl would be wanderin'
lost in the desert without her love and support these many years.
If I can wish you all one thing in life besides health, it would be to have
a Sari of your very own!
Moving on from Mushyville, there has been some concern raised by a few of
you regarding turnaround times for results when you go directly to DFCI.
DFCI had agreed to fund the first 25 people who came to get typed at $ 25.00
instead of the normal $65.00. Turns out, as I found out today, that
discount comes with an 8-10 week turn for the results versus the 3-4 week
turn for those contributing $65.00. We have already informed DFCI
that we would prefer they not fund any more donors as the results would
not be available in time to help Dennis. If you anticipate that you
will be going to DFCI for typing instead of the drive, please let them know
that you want to type for $65.00 as the results are crucial for Dennis Ozer,
a patient currently undergoing chemo. If the $65.00 is problematic
for you, we at FOD (friends of Dennis) would be glad to pick up the cost
of the testing. We have confirmed that drive results will be available
in 3-4 weeks, which will allow adequate time for each result to be compared
to Dennis. Heres hoping that his miracle match is waiting 'round the
corner! Yours in the OzerNation. Debra
9/18/04
Dear Fanclub:
Uh oh, Debra Deep Moment Alert (DDMA)! This is our last weekend together
before Dennis goes into the hospital and the familia has been spending lots
of 'quality time', truly valuing each day far more than the normal weekend.
The timing of Dennis' starting the good fight with the Jewish High Holidays
seems like no coincidence. The High Holidays are very much about family,
prayer, welcoming new beginnings and cleansing old demons. Rosh Hashanah
brings with it all the good things that come with a clean New Year (you
know, that fresh start kinda thing); Yom Kippur allows us to confront and
then let go of the negative baggage from the year before so we can move
into the new year unencumbered. For the Goodman/Ozer clan, this year
will be like no other and I do believe our lives will be irreparably changed
from the course they may have been on before Dennis' illness. But I already
know that change is for the better as times like these will test both what
you are about as a planetary inhabitant and the depth of your ties to those
who surround you. If I'm strong for Dennis, its because my momma and
my daddy raised me up right and then the mayor of O brought out the very
best in me (awwww, you all say!) And, If I had any cynicism about
human nature and the ability of people to rise above conflict and give unqualified
love and support, that is all way gone. You have all shown us, unendingly,
what the power of family, friendship and prayer can do when you allow yourself
to be open, be humble and accept love without ego. End of DDMA - you
can all relax now.
Your e-mails to Dennis have been fantastic and he absolutely loves them!
Please keep 'em coming while he's in the hospital; he's bringing in his
laptop so he can stay connected with OzerNation (thanks Daphne Davidson
for that great phrase; I laughed my butt off when I read that in your e-mail!).
Of course, the O Man has been a CD burnin' fool and will be going in with
an iPod full o' Dylan and blues (and perhaps a Prince tune or two). You
KNOW he will have a different Dylan quote to match up with every experience
he will have throughout this! Thanks Rick S. for hookin' him up.
Also, since a number of you have asked, he can have visitors while going
through chemo but, since its a day-to-day thing regarding how he will feel,
I would ask that you contact me first to see if hes up to it. You
will then be asked 3 questions and be forced to make a pertinent, on-the-spot
sports analogy before you will be allowed to enter the realm of Ozer!
Seriously though folks, surprise visits while going through chemo are probably
not a wise idea! In summary, please don't forget to contact
me to come by for your marrow drive posters, stay tuned for more info for
those volunteering and, most importantly, turn up the volume on your prayers
and the good vibes and set the ground ashakin' for da man! Weatherin'
the storm - Debra.
9/14/04
Greetings from D & D:9/12/04
Hello Fanclub:
Not much new, medically speaking, over the weekend. I just wanted
to take a moment to clarify an entry I made a few days ago that seems to
have caused confusion. I've had quite a few e-mails and calls from
people who are under the impression that we have found a matched donor for
Dennis. I need to emphasize, we HAVE NOT found a donor who is a complete,
molecular match for Dennis as we stand today. Because Dennis' brother
was not a match and the 10 potential matches from the Registry did not test
out to be compatible on a molecular level, we currently have no match potentials
available to us at this time. Without any donor options, we have to
consider and accept alternative transplants that are less than optimum and
far riskier than conventional matched donor transplants. The cord
blood and MISMATCHED donor options are both considered alternative and experimental
in nature and definitely do not offer us the best possible transplant scenario.
While I don't ever mean to sound negative and want to stress that we feel
fortunate that these alternative options are even available, I also want
everyone reading this to understand how crucial it is to turn out the biggest
bone marrow drive possible, especially in the Jewish community. So
pull out all of your contacts, tell your friends and business accquaintances
and lets send out the good vibes near and far to bring in that perfect,
matched donor for Dennis. Later ....
Debra
9/09/04
Hi to all -
I received an e-mail from Dr. Stone, Dennis' oncologist, this morning confirming
that both a umbilical cord blood match and a mis-matched adult donor (a
donor that has some, but not all, of the same matching HLA markers as Dennis)
have been located and reserved for Dennis when DFCI is ready to proceed
with the transplant. Dr. Antin, his transplant doctor, will decide which
method to go with (cord blood or mis-matched donor) after seeing how Dennis
responds to the round of induction chemo. While an adult matched donor,
related or unrelated, would still be highly preferable, we are both extremely
relieved to know that these options are waiting and available to us. In
the meantime, Dennis' first cousins have been sending in their addresses
and kits are going out to them immediately. for fast typing. We should have
a hard and fast date/time for the drive tomorrow evening and y'all can just
about bet on the fact that Dennis' Bone Marrow Babes will be launching into
publicity and networking hyperdrive to get the word out for the bone marrow
drive! The community here in Needham where I live has been incredible in
their support and I thank them for for reaching out and embracing Dennis
and my family. Like all mothers, my Mama Lion instinct kicks in when anything
threatens the emotional balance and well-being of my boys, and I can't even
express how much it means to me to know that they are watched, cared for
and protected by all the other Needham Mama Lions, teachers, educators and
friends when they are at school and at activities. As Hillary Rodham Clinton
('hiss, boo', you Republicans are thinking), Democratic Goddess-Icon Supreme,
said "It takes a village ..." Amen to that. Debra
9/08/04
Dear Fanclub:9/07/04
Greetings y'all-9/03/04
Shalom all -
No new medical news today, but we're finding that the company of friends
and family is great medicine in and of itself. Our friends Barbara and Bob
drove here from Philly to stay and play over the long weekend; they've been
keeping us talking and laughing our asses off since they've arrived. Great
commentary from the peanut gallery here in Needham as we watched George
Dubya's speech last night. With apologies to all our Republican friends
and family (we still love you), theres nothing like the GOP for eliciting
gasps of disbelief, roars of laughter and getting the 'ol political blood
pumping! Politics as medicine!
Now that I got that out of my system I promise to stay away from the political
for a bit! Dennis continues to feel much better thanks to the bounce in
his blood levels from his transfusion. One thing I am realizing as we walk
the path of learning to live with, survive and beat cancer, is that its
a day-to-day, hour-to-hour process where each small moment of laughter,
enjoyment and humor feels as massive as each medical step forward. Karma
is a good one for smacking you upside the head and bringing priorities sharply
and quickly into focus. We had pictures of the Familia Ozer/Goodman done
today before he has to deal with the physical effects of chemo and the transplant
and we look forward to sharing them with all of you on the fanclub website.
Even got the dog into the act (whodathunk Cousin Allison!)!
My great and awesome bud Sari was kind enough to pass along 2 great informative
documents from DFCI; one describes the stem cell donation and typing process
and the other is a stem cell donation 'Q&A'. You can find them under
the 'Links' page . The 'Q&A' in particular addresses the donation questions
of those of you who are out-of-state and even international in location.
For those Mass residents, stay tuned for a date for the Official Don Ozer
Bone Marrow/Stem Cell drive coming to a street near you. We are working
hard to organize it and will nail down a date/time hopefully sometime next
week. Also, enormous, unending love and gratitude to Flo and Alycia for
the Fanclub website that is our connection to all of you! Be well, enjoy
the long weekend and live in the day! Always, Debra
9/02/04
Hello all-9/01/04
Greetings All -
Dennis is feeling much better today after yesterday's transfusion. His energy
level and his spirits are both back up after dealing with yesterday's disappointment
regarding his brother's typing. We can't afford to get down for long so
we will keep going full guns onto the next step. I did hear back from his
doctor who is feeling that a round of induction chemotherapy would be the
next logical step as they search for, find and put into place an unrelated
donor. He anticipates that Dennis will enter the hospital within the next
2 weeks, but will discuss and confirm this when we see him next week.
We were at Dana Farber this morning to have an initial meeting with a social
worker and we ran into Dr. Stone who had preliminary results of the registry
search. Turns out that Dennis has an unusual protein in his tissue type
(the Sicilian in the Jew) making it somewhat uncommon so, instead of the
1,000 or more donor matches they were hoping for, there seems to be only
10. They will start looking further into the backgrounds of these 10 people
and should have a lot more information on whether any of the 10 will be
suitable and available by our appointment next Wednesday. We may not have
any new information available until that time, so don't get concerned if
you do not see further medical updates in the next few days. Meanwhile,
keep those e-mails coming (you can now e-mail Dennis directly); they mean
more to us than you could ever know. We are grateful everyday for our incredible
community of friends and family and are learning quite the life lesson in
discovering that each day is a gift and every person in it is a blessing!As
my father used to say "Onward and upward ...." Debra
8/31/04
Hello all -
We just got word from Dana Farber that Dennis' brother Jay is not a match.
As much as I thought I steeled myself for this disappointment, I must admit
it really got to me emotionally and it brought on the waterworks. We still
have many options to pursue and rest assured that I know we will find a
donor, but having his brother as a match would have made an already difficult
process much easier. Dana Farber will now initiate a preliminary search
of the bone marrow donor registry and I have e-mailed Dr. Stone (who we
see again next week) to see where we go from here. I will keep you all posted
as soon as I know more.
Dennis had to go in for a transfusion of red blood cells today. This becomes
necessary when his red blood cell count drops below a certain level. He
should be there for most of the day but will feel markedly better after
the transfusion and will be home once its complete. This will be his second
transfusion; the first took place at the beginning of the month and was
our clue that his disease had progressed. On another note, I'm adding a
link to Dennis' e-mail address on this Updates page, so please feel free
to send him your wishes and greetings. A few of you have e-mailed me with
wishes for him and I've made sure to forward them to him as I get them.
Also, our thanks and love to our friends Laurie and Jim who are planning
a gathering of old Invisuals folks and other friends for Dennis this Saturday.
Your love and friendship is astounding and keeps us going strong!
Debra
8/30/04
Hi all -
Firstly, thank you for all of your love and support. We feel your good energy
in so many ways and it means the world to us. We went to our friend Carol's
wedding this past weekend. It was wonderful seeing old friends and celebrating
this special time for Carol in beautiful Hampton NH, and it left both Dennis
and I feeling energized and positive! Dennis can't drink or otherwise alter
his frame of mind, shall we say, but he still loves to party with the fanclub!
We did find out on Friday thar neither of the children are potential donors.
We should know by Tuesday or Wednesday if his brother Jay is a match. I
know a number of you have asked when he will enter the hospital; I will
have a better idea of a timeline once we have received Jay's results and
will update the site immediately. In the meantime, keep the positive vibes
flowing and send your good thoughts and prayers for Mr. O out into the world!
Be well.
Debra