Monday, June 11, 2012
Fall Of A Titan
They put the light out on monday and Kade left us on Friday. In all our time at CP, I've never seen that ugly fucking light out that long. Kade had a lot of fight in him! In the end he went peacefully and had no pain. He was surrounded by his family (Elaine and I and his brothers) and was in the embrace of our love when he took his last breath. Kade was the light of our universe and now it feels as if all light has gone out, we all feel so empty.
We are having a service for Kade on saturday June 23rd, at 1:00 pm, at First Memorial Funeral Services at 14835 Fraser Highway in Surrey. It is an open service and all are welcome. Kade touched so many lives that we felt it would be selfish and irresponsible to keep it family only...especially after all the support we were shown by everyone in our community. People we've never met opened their hearts to us and were generous beyond belief. We owe it to them (you) and to Kade, so please feel welcome.
In lieu of flowers we would ask for donations to be made to Canuck Place. If you have any questions you can contact the funeral home at 604-589-2559.
Thank you all for your support for this horrible journey we've been on. Without you we never would have been able to be there for our baby through his hard fought battle with this evil disease. If you or anyone you love is fighting cancer, you have our love, thoughts and prayers.
Kade I will love you as long as the universe exists. You have been my greatest pleasure! Your life was very short and you suffered greatly through a lot of bullshit pain and treatment. You were full of love and sweetness, and you were so brave and strong. You taught me more than I could have imagined, and you loved us more than we could've imagined. I miss you so much and I hate this hole that you left behind that I know will never heal. You will always be my little Bumbley Bear, and my greatest reward will always be that you picked me to be your father and the love we shared. Rest in peace and no longer in pain my sweet baby boy!
Kade Christian McBurney
August 30th, 2005-June 8th, 2012.
Thursday, May 31, 2012
Running Out Of Time
Some of you may have already gotten this information on facebook. I will have a huge hole in my slowly dying heart. How do you say goodbye to someone you love more than anyone could imagine. I've truly enjoyed every minute of his life and he has taught me so much. What's worse is that we are here watching another family go through exactly the same thing. I hate you cancer, youve stolen from me the only thing I value...one of my children.
Tuesday, May 29, 2012
Hard Times
Unfortunately his disease has progressed to the point where he is having an unimaginable amount of pain, and as I write this I can say that the last few days have been very difficult and there has been a lot of tears. His cancer has continued attacking his spine and is in his neck up to the base of his skull. His pain has gotten to be unbearable to the point that he begs to have the pain go away. We are back at canuck place and have been here for 6 days now. They have put him back on the IV Cadd pumps again and started him back up on ketamine, precedex, fentanyl (which was just changed to Hydromorphone). He also has fentanyl patches on as well and he is getting methadone now too. This time his doses are even higher and for the most part the drugs haven't been working. We have now reached the point that he may need to be permanently sedated to give him a break from the pain. There are limited options now. The one option we started today was more radiation treatment. This has been successful in the past for giving him pain relief. The problem is that he has to be sedated to get the treatment and he has so many drugs on the go, at such high doses, that sedation can literally kill him. This is a very real concern and once again it was Dr. Lauder to the rescue! She is the only one that would do the sedation on Kade, mostly because she knows him so well and is the most familiar with his case. We were forced to make a very difficult decision this morning and Elaine and I did not agree. It was and is very possible that Kade might not survive the sedation, and we had to decide if it was worth the risk. After all there is no guarantee that radiation would work, and in truth it can cause even more pain. I wanted to proceed with it, and Elaine did not. In the end we let Kade decide after I explained what the radiation could do for him. I did somewhat talk him into going, but please understand that all I want for him is to be out of pain...thats all any of us want for him. I know it sounds evil and that i was gambling with my babies life, but the alternative is that he is sedated until he dies! Another reality is that you can be sedated and still be in agonizing pain. My biggest fear for my little boy is that he lie sedated and in agony for months. This is a possibility as well, since as far as we can tell, his disease has only been attacking his skeletal system and his organs are still ok...as far as we know. Thats not to say I didn't have feelings of fear and guilt. I did at one point today ask Elaine if she would ever forgive me if he didn't make it through sedation...she said she wouldn't need to forgive me because it's not my fault. Kade made it through his radiation fine, and so far his pain seems to be better...knock on wood...i really don't want to jinx anything! He still has three more days of radiation to go through though. This is the worst thing i've ever had to go through and i can't think of a worse torture to put a child or their family through! All I know is that my love for Kade is all I have and I do my best to make the right decisions for him. everyday I try to come to terms with the fact that sooner rather than later I will have to say goodbye to my beautiful little son, and that right now the most important thing is his comfort and the best way to ease him through this. All of you, please hold your children close and give them all your love and as much of your time as you can. Children are a gift, and their love is the greatest thing you will ever know.
Wednesday, March 21, 2012
Kade The Amazing!
Another drug they were using to sedate him (to change his VAD access) is called midazolam. The first time he got it, he got a 5 mg dose and it put him to sleep. The second time he got it, they gave him a 10mg dose that had to be administered by CP nurses while we were in the oncology clinic at BCCH. This was because none of the nurses there, were trained or were willing to give a child that big of a dose (CP nurses are trained and willing). That time it worked. The next time 10mg wasn't enough...he got 15mg...it didn't work. Then they gave him 20mg...and it didn't work...he woke up when they started to poke him. To put that in perspective, I'm 6'3" and 250 lbs...20mg would kill me (in a controlled medical environment I would be in a coma and on a ventilator!) Now to change his needle they use propaphol...that's the drug that killed Michael Jackson in case anyone was wondering! At least it still works, which is a blessing considering he has his needle changed every 2 weeks.
Okay, so the cause of the pain was his vertebrae deteriorating. So the next thing they tried was a procedure called vertebralplasty. In laymans terms it's called bone cementing. Basically under the ct scanner they inject contact cement (a medical version not found at the hardware store) into the fractures in the bone...kinda like crazy gluing a broken china plate back together. This strengthens the bone and makes it more resistant to breaking down. It's a very complicated procedure done by a very specialized doctor! We were told that 90% of osteo patients get instant pain relief and 80% of cancer patients get instant pain relief! Kade had 8 vertebrae that were in need of this, which they did in 2 procedures one week apart. At first we thought it had done the trick. The pain in his upper back seemed to get a lot better. He still said his back bugged him, but it was lower down. However when they did his lower back, the bugness in his upper back came back with a vengance. It hadn't worked the way we had hoped. This was very stressful and heart breaking...watching Kade writhe in agony begging us to "make it stop" was unbearable...many tears! So 2 weeks after the first vertebralplasty procedure, Kade went in for the next type of procedure...and epidural. If you don't know what this is, They have put an IV catheter directly into his spinal cord. It is similar to what women get when they are going through labour prior to giving birth. The difference is that pregnancy epidurals don't actually penetrate the spinal cord and Kades does. He has an intrathecal catheter that goes into the nerve sack in his lower spine. This means they can give him way less drug and have way more effect! The upside: his pain is virtually gone and we have our baby back! The downside: his legs are numb and he can't walk (he's basically paralysed), We won't be able to go home very often (ocassional overnighter...maybe), and there is a risk of infection to his spinal cord (insert major worry face here!)
The reality is that we've got our baby back! The drugs weren't taking care of the pain in his back, but they were making him sleep 23 hours of the day. When he was awake he was in agony, so they would give him a huge dose of drugs on top of the huge continous dose he was already getting. This would put him to sleep. In case you were wondering you can be asleep or unconcious and still be in pain. This went on for 2 1/2 weeks. After the epidural, they started to aggressively ween him off the drugs. Right before the epidural he was on ketamine, sufentanyl, precedex, and lidocaine continuous infusions (IV pumps.) Now he is on only the ketamine and sufentanyl, and by tomorrow he should be off the ketamine. The sufentanyl is the tough one. since it is such a hardcore opiate and they initially took him down off it too fast, he was suffering major withdrawl symptoms. He had the shakes, sweats, puking and general nasty feelings. It was ugly, so they put his dose back up to close to where it was initially. You really have to ween off opiates slowly. In the last month and a half Kade got more opiates than a hardcore herion addict would've gotten in an entire lifetime...again not an exageration.
Now for the bright side. His legs are numb, but he can still move them a little. He can't stop smiling and laughing because of happiness...he is very much like he was when he was 4, before he got cancer. We have been given our baby back for a while. I don't want to jinx anything but in his latest scans his cancer is still mostly skeletal and hasn't started attacking his organs yet. All that means is that we still have some time with him...maybe weeks...maybe months...I'm not ready to go there yet. We live in the now because the future is to dark to look to...except for tomorrow...we're going to take Kade to see the Lorax, with nurse in tow and smiling kid and all!
Friday, January 27, 2012
So far without a hitch!
I was actually able to get out yesterday for some much needed motorcycle therapy, since we finally had a dry sunny day! I did manage to find some ice and snow though and decided to keep it short. It's amazing how much stress you can be under and not notice until you step back and take a look at the big picture. It was very head clearing and very needed.
Kade is happy to be home too since he has his cats and family all here at the same time.
Sunday, January 22, 2012
Short and Sweet!
In order for us to go home we had to have round the clock nurses at our home. This is provided by the program that we are on thru Canuck Place and the home nursing is provided by Bayshore Home Nursing. I may have gotten the name wrong to be honest because we essentially know them as Bayshore. We are allocated 56 hours a week for nurses. I'm also not sure how the financial part of it all works either, whether its a government program or if it's done thru charitable foundations. What I do know is that we are very grateful for it! We did however realize that we didn't really need round the clock nursing for Kade (at this point), and that the only major concern were his two CADD pumps. These two pumps are what gives him his constant pain meds (Ketamine and Fentanyl) intravenously through his VAD. The reason for the nursing is to monitor the pumps and deal with any problems to do with his IV access! The nurses usually have to have training on these types of pumps, but we found out most nurses don't (outside of Canuck Place)...this also includes the nurses at BC childrens hospital! I thought this would be a big deal but as it turns out, it's not! If an untrained nurse were to have a problem with the pumps, all they do is call CP and get a trouble shooting walk thru...and no, it doesn't get dispatched to india, it's from the nurses station at CP. Which is exactly what they would do if Elaine or i called in. So the point I'm trying to make is that we may not need round the clock nurses and that we may be able to stay home longer by not burning up all our nursing hours in three days! What I'm hoping for is that we can get CADD trained nurses over night and just look after Kade ourselves during the day. It might be more complicated than that though, and things change faster than I can speak or type, so we will just have to see! We would also have to get some VAD training if we were going to be at home with Kade sans nurses. Don't get me wrong though, I'm not saying that we could spend an hour or two getting trained and that would be the equivalent of going to nursing school and getting a degree! I'm just saying that with some basic training we could maybe stay home longer...which makes Kade happy!
With that said Kade is also very happy here in CP, as are we...but it's not home.
We enjoyed our brief (and busy for me) trip home, and we were back at 9:00am sharp at the Cancer Agency. Kade had to get more radiation on his right shoulder and upper arm, and at the last minute it was decided he would get it on his right hip as well. Just before we went home he started limping and he couldn't put any weight on his right leg. He couldn't walk!
Friday (the day after getting nuked) he's walking around with no limp and no problem...so it DOES work people! Tummy pain seems to be the most predominant problem he's having lately! These gastral intestinal issues are just unrelenting lately and it's very frustrating, especially for Kade. Just when he gets his appetite back and starts to eat, he will get pain. They are trying to manage it with his pain meds but they can cause tummy issues on their own in the way of constipation or diarhea. It's like being on a roller coaster sometimes. Overall he does feel okay for the most part and we do have more good times than bad...and we did get to go home! The best part is that we are booked to go home again this coming thursday and for a full three days. That is if there are no unforeseen problems. Last thursday he got radiation and chemo, and tomorrow he gets more Pamidronate (bone growing drugs). All of these usually make him feel like crap with the least being the chemo! I fully expect him to get a fever and be nauseous and miserable and I just hope it all passes by thursday!
Well there I go again blabbing on and on! Lastly i just wanted to say thank you all again for all the support we have been receiving! the donations are still coming and it feels like an absolute god send. Most of the people that are helping us, have never met us or would recognize us if they saw us. Yet they have opened their hearts to us. That is a very humbling feeling! I wish there was a way of repaying everyones generosity. At this point all we can say is thank you so much, from the bottom of our hearts! I would like to thank everyone individually, but i don't want to mention someone and forget another. There have just been so many, I'm getting teary eyed and a lump in my throat typing this. I will say this though, I was home briefly yesterday and a card had been dropped off for Kade from another little one. So I opened it and it read "To Kade from MF, I want to give you my birthday money! Merry Christmas!" and inside was $20. Now I'm a full grown man who is usually pretty good at keeping it together, but that made me cry! That is just one example of many. As you can tell I'm usually very long winded, but this puts me at a loss for words! To everyone, thank you for making it possible for us to be with our baby boy at the end of his life. That is a gift that can never be repaid! Gotta go find tissues again.
Wednesday, January 4, 2012
The New Year
Anyway back to the positives, right?
So for three days we had this huge mansion all to ourselves, except for our staff...we had 2 nurses, a chef and a volunteer (for the kitchen). I gave a couple of tours to visitors and I had a chance to explore the whole house...it was pretty cool. Kade was having really good days then as well, he was a lot more like himself. He did have a bit of nausea and needed some gravol, which puts him right to sleep unfortunately...but for the most part he felt good.
Christmas morning we woke up around eight and Santa had come to visit! He had left presents for Kade under the tree in his room as well as downstairs by the huge fireplace ine the great room. One of the nurses had made fresh cinnamon buns (with creamcheese icing), when she started her shift around seven. So we got up to warm cinnamon buns and fresh coffee and a whole lot of MAGIC. It was a very normal type of christmas with warmth and excitement, but with way less stress! We had 30 people here for dinner, which was prepared by the chef. No stress of "okay we had our christmas morning and breakfast, now we have to clean the house up and start dinner because 30 people will be here in 4 hours"! It was more like "wow that was awesome, I think I'll drag my sorry carcass upstairs and have a shower now because dinner will be ready in a few hours!"
They cooked 2 turkeys, a ham, mashed potatoes, gravy, and a whole bunch of veggies, apple and pumpkin pies...it was awesome. We didn't have to clean up either. Plus we got to spend christmas with our family instead of on our own. It was truly wonderful and kade had a great day! Kade did get a little burned out around six and he went back up to his room to chill out and his tummy was causing him some grief. He didn't get to open any of the gifts that our family had brought him until boxing day, but it was like having christmas day all over again...It was great.
I can't say enough about how great everyone here at Canuck Place is! They are truly amazing at turning something shitty into something great! I'm not sure I want to go back to the emptiness of home anytime soon.
New Year's eve was a bit of a non event for us. We were just not interested this year...what it represents is just too unbearable! We did stay up past midnight with Kade and we had our party hats and noise makers and we had sparkling apple juice with the nurses. So it wasn't a total bah humbug event!
Sebastian and Kieron came for a couple of days starting new years day, which was nice. I miss having them around us. They were here through christmas, and then went home for a few days. Sebastian and I got to go to a canucks game last monday, thanks to someone who donated tickets to canuck place. It was Seb's first game, and it was nice to be able to go with him (the seats were great too!)
All in all we've had some good experiences while we've been here. It's all thanks to others generosity, so thank you!
I'm not sure if I mentioned this before, but we are allowed to have our pets here with us! Having the cats here has definitely helped Kade!