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Pacers

My Pops and I used to run marathons together.

It’s odd to be living a moment and, at the same time, hope that you remember that moment forever.

I remember standing at the start of the Chicago Marathon with 30,000 other runners. The skyline loomed over us as we made sure we had everything we needed for the next 26.2 miles.

As the Star-Spangled Banner started playing, I started to cry.

“Why are you crying?” Pops asked.

“Because I’m so happy to be here, and I never want to forget this moment.”

By mile 20, I was singing a different tune.

I was tired. Cranky. Dehydrated. And I really, really wanted to be done.

Whenever our family does something hard, we say the same thing:

This is a marathon, not a sprint.

I said this to Pops on Friday, talking about this journey we’re on.

He thought about it and said, “This is more like the Leadville 100.”

Fair point.

If you don’t know the Leadville 100, it’s a 100-mile running race through the Colorado Rockies. The entire course sits above 9,200 feet, climbing to Hope Pass at more than 12,500 feet. Runners have 30 hours to finish.

It is a monster.

At this time, I should point out that Pops and I have never run the Leadville 100. Nor do we have any intention of doing so.

But when we think about really, really hard things—the kind that require massive endurance, grit and moxie—we think about Leadville.

The race starts at 4:00 in the morning, and the first stretch is considered “deceptively easy.”

Although if any 12-mile run beginning at 4:00 a.m. can be considered easy, well, I guess this would be it.

I think about those first couple of “good days” after surgery that way.

Every step is a good step.
Every bit of healing is good healing.

But there is still a lot of race left.

There are climbs ahead. There are times when you have to dig deep. And there are times when you simply can’t dig any deeper.

Right now, both Pops and Cynde are battling colds. A cold is enough to make anyone feel crappy. Add in the pillaging of the Tum, and you feel crappier. And let’s not forget the small matter of battling cancer.

They are in the middle of all of it.

And sometimes, it is just really hard.

At mile 50 of the Leadville 100, runners can have a pacer—someone who runs alongside them, offers encouragement and helps carry the load.

Pacing is a delicate balance.

You have to know when to encourage someone, when to help, and when to back off and let them run their own race.

I think maybe that’s where all of us are right now.

We’re the pacers.

Although, I have to tell you, I would be a terrible pacer.

Not only are my knees bad, but I get terribly anxious and immediately feel the need to fix and manage everything.

How are your feet?
Do you need a cookie?
Can I carry your pack?
No, really. Let me carry your pack.
You’d like me to stop talking?
Okay.
Can I sing?

So perhaps my lesson in all of this is learning how to be a respectful pacer.

To run alongside the people I love without trying to run the race for them.

Chemo starts again on Friday, and we will learn a little more about the success of the surgery and what the miles ahead look like.

Until then, please keep Pops and Cynde in your thoughts.

Offer encouragement.

Offer a cookie.

Offer to carry the pack.

But if they insist on carrying it themselves, that’s okay too.

Sometimes the most important thing a pacer can do is simply stay beside you.

There are still miles ahead.

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The Power of Friendship

It seems slightly indulgent to be writing this while looking out over the Aegean Sea, but I think travel is a pretty good metaphor for life.

We are better when we stop to watch the sunset. When we gasp at something we have never seen before. When we wander down a road without knowing exactly where it leads.

And, most importantly, when we look our travel companions in the eyes and say, “I am so very grateful you are on this journey with me. That I get to share this special time with you.”

We feel that right now.

We felt it in the incredible outpouring of love when Ryan died.

We feel it in the ongoing support, food, gifts, visits, texts, and notes you have delivered to Pops and Cynde.

We are so very grateful you are on this journey with us.

Cynde is doing well and is celebrating almost a week at home! She is recovering, healing, and settling into a new state of normal. She was even able to attend one of the grandboys’ football games and has enjoyed a couple of visitors.

The biggest issue right now is fatigue—which is no surprise considering the pillaging of her tum.

So please continue to reach out. Send the words of love and encouragement. And please don’t take it personally if you don’t hear back right away. Every note is read. Every message is cherished. Sometimes she just doesn’t have the energy to respond.

Meanwhile, we have been traveling with dear friends who, along the way, have introduced us to new dear friends. We feel incredibly fortunate to be sharing this amazing Grecian adventure with them.

This morning, we were talking about friendship, and one of my new travel buddies shared a passage with me:

“I think friendship is one of the greatest love stories we’ll ever have. Someone who has nothing to owe you chooses you anyway. They become a part of your life just because they want to be. I don’t think we talk enough about how special that is. To be loved by people who are not family. Who didn’t fall in love with you. Who just met you, got to know you, and decided, ‘I want you to be a part of my life.”

“I think that is one of the purest forms of love there is.”

Maybe that is what I am feeling so deeply here, halfway around the world.

Life gives us so many journeys we never planned to take. Some are breathtakingly beautiful. Some bring us to our knees. Most contain a little bit of both.

But what a gift it is to look beside you and realize you are not traveling alone.

To healing.

And to those who help us heal.

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HOME

“Perhaps home is not a place but simply an irrevocable condition.”
— James Baldwin

My head is full of words and thoughts, but I wanted to get this update out as quickly as I could.

In the midst of all the action, Hubs and I jaunted halfway around the world to Greece. So, perhaps it’s fitting that I find myself thinking—and writing—about home while being so far away from mine.

Cynde is HOME!

In the words of Pops, Cynde was #1 in #2 yesterday!

Your thoughts, well wishes and prayers got some things moving, and we are so incredibly grateful.

She was discharged yesterday evening and arrived home to good neighbors, dear friends, tokens of love and, perhaps most importantly, her own bed next to Pops.

Nothing is more healing than home.

I have more thoughts about that. About this journey. About this life.

Until then……

HOME!

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Bippity Boppity Poo

Everyone needs a fairy godmother 🙂 Here’s one wish for the week

Happy Monday, Dear Tribe!

This weekend was not easy.

But given the pillaging of Cynde’s tummy and all the healing going on inside her body, it was probably unrealistic to think the weekend wouldn’t be tough. She hasn’t always felt her best, and we’ve had to remind ourselves more than once:

This process is a marathon, not a sprint.

But…

Speaking of butts — sorry, I couldn’t resist…

We need ONE thing to happen before Cynde can go home.

And it’s not a number one.

Sorry. I’ll stop.

Actually, no I won’t.

Nothing says, “Hey! My digestive tract is awake and working again!” quite like…well…things moving along.

So here we are.

After chemo, major surgery, a warm chemo bath, belly pillaging, walking the halls and everything else Cynde has endured over the past few months, our entire family has been reduced to anxiously awaiting a poop…..because that means she gets to go home.

And we are not even remotely embarrassed about it.

So today, Dear Tribe, we have one very specific request.

Send all your good juju toward Cynde’s intestines.

Here’s to healing.

Here’s to getting home.

And here’s to poop.

Bippity. Boppity. POO. 💩

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Walking

I write to you today with a head full of introspection and gratitude. Bear with me as I pontificate a bit. 🙂

It’s always a funny thing, driving onto the Anschutz Medical Campus.

For our family, this place holds a lot of history.

This is where Samantha received so much of her care. It’s where brilliant doctors tried to understand a little girl’s complicated mitochondrial disease and where we learned words and acronyms we never wanted to know.

Years later, this is where Ryan came for answers and care as mitochondrial disease began taking more and more from him.

And now, it’s where Cynde is fighting cancer.

So yeah…driving onto this campus hits a little differently for me.

Anschutz is a busy hub of people who are really sick. Behind almost every window is a family waiting, hoping for good news, sitting beside someone they love or trying to figure out what comes next.

But that’s only part of the story.

It’s also a busy hub of researchers searching for answers to some of the most complex diseases — cancer, mitochondrial disease, ALS, epilepsy and so many others.

It’s a place where thousands of doctors, nurses, researchers, therapists, techs and caregivers come to work every day and say, essentially, Let’s see what we can do.

There is something incredibly hopeful about that.

Maybe that’s why I always feel a tad nostalgic, weepy, hopeful and proud when I drive onto Anschutz.

Our family has experienced some of its hardest days here.

But we’ve also experienced extraordinary care here. We’ve watched people fight like hell for the people we love. We’ve benefited from science, research, medicine and people who have devoted their lives to making someone else’s impossible situation a little more possible.

Yesterday, they did that for Cynde.

Cynde did not have a great night last night.

She had some nausea, it took a while to get her settled into her bed, and someone checked on her about every 15 minutes.

BUT…

It was so much better than having a terrible night because she was in terrible pain. Or because her vitals were out of whack. Or because, because, because.

A very complex surgery went well.

Today looks good.

And I am grateful.

This morning, they laid out a plan for her to do some walking.

I thought, Well, that seems pretty aggressive considering you pillaged her belly yesterday.

But who am I to judge?

Here is Cynde, walking the hallways less than 24 hours post-pillaging.

And Pops and I got to complete the puzzle.

And today I am so stinkin’ grateful.

Grateful for an amazing surgical team.

Grateful that Cynde decided, from the very beginning, to face this head-on. That she decided she could do hard things.

Rest with a good blankey post walk!

Grateful that Pops has a little spark back in his eyes.

I will not lie to you. This has been hard.

I am grateful for good friends, a good therapist and a good hubs who held me as I kind of lost it — as I said out loud that this was way too much for my family. Way too much for me. As I looked to the universe and pleaded for just a pause in the trauma.

Maybe that’s part of gratitude, too.

It doesn’t mean pretending the hard things aren’t hard. It doesn’t mean we aren’t tired or scared or sometimes really, really angry about what life has handed us.

Maybe it just means recognizing the moments when the weight gets a little lighter.

Cynde still has a hill to climb. This is the beginning of a new chapter, not the end of the story. Her body needs to heal. We still have more rounds of chemo ahead, and then we will reassess.

But today?

Today feels like we can breathe a little.

Kiss the Phews on their stinky heads.

Walk the dog.

Laugh a little louder.

Finish a puzzle.

And revel in the seemingly ordinary miracle of walking the hospital hallways less than 24 hours after a very complex belly pillaging.

Today, I am so stinkin’ grateful.

Thank you, dear Tribe, for continuing to walk with us. ❤️

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Update – everything went great today –

So to let you know, Heather is busy fixing dinner for the phews and the rest of us so she asked me, Popsi/Rick to do the update for Cynde. So, this will not be as great as Heather’s writing, and we wanted to get the word out.

Well, it has been a long day for all of us. We got to the hospital at 5:00 am to go through all of the presurgical issues and they wheeled her off to surgery around 8:15. We did hear much from the surgical team except periodic texts indicating they were doing the procedure. Heather and Bart showed up along with Cynde’s friends. Heather brought a jigsaw puzzle, so we passed the time away with the puzzle. It was good therapy for all of us.

Per Heather’s update, we talked to the surgeon/oncologist around 1:00 and the operative word for the day was optimal. She felt very good about the surgery, and it accomplished what she had hoped for. The next step was the Hyperthermic intraperitoneal chemotherapy, HIPEC. This was designed to destroy hidden cancer cells. This process lasted two hours, so we had additional time to work on the puzzle!

I received a call from the doctor around 3:30 that they were done with procedures and were taking her to the post op unit and Heather and I got to see her around 5:00. Cynde was wide awake and fairly talkative. At this time the surgical team had left so Heather and I gave her the summary and of course the optimal word was used. Cynde is much relieved this is over and was resting comfortably. She is waiting for her room on the surgical floor, and her pain is being managed. She is happy the surgery is over.

I decided to go home (Cynde insisted actually) to get a good night’s sleep and be ready for rounds tomorrow morning at 7:00 am with her doctor and team.

The only downside of the day was we didn’t finish the puzzle – not really a downside and we left it one the table for someone else to finish!

We’ll find out more tomorrow and will provide an update. Thanks for all of the well wished, prayers, words, support, etc.

Love

Rick

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Mid-Day Update:

Hello Dear Tribe:

We are six hours into this process, and things are looking good.

The surgeon came out and talked to us while the team was bathing Cynde’s abdomen in a nice, warm chemo wash. We have about two more hours to go before she is in recovery, but so far, so good.

Here is what we know…

Her cancer was pretty aggressive and had set up shop throughout her belly. The oncology team removed her ovaries, uterus, omentum, appendix and part of her large intestine. They also spent about an hour carefully looking for small tumors and zapping them with what I am calling their anti-tumor gun.

There are still a few tiny pockets of cancer cells that need to be evicted. We are hopeful the chemo wash today, along with her ongoing chemotherapy, will take care of those remaining areas.

How are we feeling?

Mostly, we are anxiously waiting for the surgery to be over and for Cynde to be safely resting in recovery.

But we also feel incredibly grateful that these first six hours have gone about as well as they could have. There were no unexpected surprises, and when we asked the surgeon how she felt about the outcome so far, she used one very important word:

“Optimal.”

Here’s to optimal.

We will take optimal ALL DAY LONG.

I will update everyone as soon as she is out of surgery and in recovery.

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The Waiting Game

Hi All:

This might be one of 3,627 updates by the time we get through today. 🙂

It is 9:10 in Denver. Cynde’s procedure started at about 8:20…and so we wait.

Hospitals are funny things when it comes to waiting.

We wait to go home.
We wait for answers.
We wait for the next step in the journey.
We wait for someone to walk through a door and tell us what comes next.

Cynde has done everything she could to get herself to this day. She made it through three rounds of chemo, TPN, countless appointments, scans, blood draws and more than a few bumps along the way. Today, her job is to sleep while an incredible surgical team does its work.

Our job is to wait. And love her.

Pops is doing okay. The nurse will be texting him updates from the operating room, and we will post as soon as we hear anything.

Thanks for waiting with us, dear Tribe. There is something incredibly comforting about knowing we aren’t sitting in this waiting room alone.

AND…if you want to text Pops, I’m sure he would love reading your good thoughts, prayers, inappropriate jokes, distractions and words of support. He probably won’t text back today, but I promise he’ll love hearing from you.

Here we go. ❤️

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Find Your Grail

This is a big week for our family — and for you, dear Tribe, those of you who have embarked on this journey with us.

As we get closer to Thursday, and Cynde’s surgery, I promise not to leave you in the dark. I will consistently post updates here. I will let you know what I know.

And right now, I don’t know a lot.

Except for what I feel.

And that is that we are on high alert, waiting for Thursday.

Until then, there is life to be lived and moments to be had.

The family went to Spamalot yesterday. And when I say “the family,” there were about 20 of us in the audience trying to “look on the bright side of life,” searching for a shrubbery and keeping an eye out for murderous rabbits.

Ryan loved Monty Python and the Holy Grail.

As his disease progressed, Ryan’s speech could be pretty bad at times. He had a “talker” that helped him communicate phrases and needs. When he went into hospice, he asked the speech therapist to program it with phrases specific to palliative care.

His favorite was a button quoting The Holy Grail and “I’m not dead yet!”

He also had a button that said, “Ask my sister,” meaning me.

The button had a picture of a nun.

As in sister.

And if you know me…well, that sister/nun button was amazing.

It’s been six months since we lost Ryan. My lovely SIL decided we should celebrate and remember Ryski by going to Spamalot.

I think the timing was perfect.

The musical is completely silly, but tucked among the killer rabbits, Knights Who Say “Ni!” and general absurdity is a message that resonates:

Find your grail.

Last week, I sat in my therapist’s office and told her that nothing in my life feels solid or predictable right now.

She asked me what my anchor was.

I thought for a second.

“Walking the dog and swimming.”

“Do that,” she said. “And make it non-negotiable. Find a way to walk or swim every day. Make that your anchor.”

I’ve thought about that a lot.

Is swimming and walking the dog an anchor or a grail? Do I anchor or do I search?

Or maybe an anchor keeps you grounded while you search for whatever comes next.

Or maybe you start with small things that keep you tethered while everything around you feels uncertain.

Walk the dog.

Get in the pool.

Put one foot in front of the other.

Just make sure you don’t float away.

Or maybe I am thinking way too much about Spamalot.

But as we move into a big week, all of us are searching for that next step.

We celebrated Cynde’s birthday yesterday.

Before she blew out her candle, she looked around at all of us with resolve and said:

“You all know what I’m wishing for this year.”

We do.

And perhaps that is our grail right now…..a successful Thursday.

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Next Steps

Happy Friday, dear Tribe!

Please forgive another quick update, but I wanted to put everyone’s minds at ease so you can go enjoy the weekend. ❤️

We got good news today.

The surgical consult went well, and Cynde’s team is happy and optimistic about how she has responded to this first round of chemo. Most importantly, they feel good about moving forward with surgery.

Surgery is scheduled for Aug. 27 at 7:30 a.m. at Anschutz Medical Center in Aurora. It is expected to take six to seven hours, depending on what the surgical team finds. The current plan includes a full hysterectomy, with the possibility of removing additional intestinal tissue if necessary.

After surgery, Cynde will spend some time in a higher level of care — somewhere between a traditional hospital room and the ICU — so they can keep a close eye on her. Her total hospital stay is expected to be about four to seven days.

Recovery will take some time. She won’t be able to drive for at least a couple of weeks, depending on how she is healing and whether she is still taking pain medication. We are also hopeful that surgery will allow her to begin transitioning back to a regular diet.

In September, she’ll begin three more rounds of chemo.

If that sounds like a lot, it is.

But here is the part we are holding onto: Her team is very optimistic. This is the path they hoped she would be able to take, and they believe this is the best treatment plan moving forward.

So tonight, we are grateful. Grateful the chemo did its job. Grateful there is a plan. Grateful for an incredible medical team. And incredibly grateful for all of you who continue to surround Cynde and Pops with so much love.

One step at a time.

And remember…

We can do hard things.

Much love ❤️