Thursday, December 15, 2016

The Blessing Of a Double Milestone.

When Mac was four, Mike and I felt pretty comfortable with his hemophilia.  We were confident.  We thought we had it all figured out.  He gets a bleed . . . you take him to the ER and they infuse him with an IV.  Simple.  Mac had gotten really good about sitting still.  Heck, at 3 years old he would even pick out the vein he wanted 'One Shot VanderTuck' (his favorite ER nurse) to use.  So when we walked into his yearly hemophilia clinic after four years of getting comfortable with hemophilia . . . hearing that he would need a port in his chest devastated me.  I didn't expect it.  I was comfortable with the way things were.  I had become complacent.  A port just complicated things.  It created a new world of worry and concern for me and my very predictable life.

But MacKale was becoming more active, he was having more bleeds and we needed to treat him more often to avoid bleeds rather than react to bleeds.  A port would be placed in his chest and Mike and I would need to learn to administer his factor through it.

What!?   I needed to stick a needle into my four year olds chest, and, oh yeah, the port was a direct line to his heart and so you had to be very careful not to screw it up and to maintain sterile environment so there would be no chance of infection ever or it could be life threatening.

I cried!  I mean, I sat right down and I bawled my eyes out.  I was overwhelmed with the thought of dealing with this 'thing' that would be placed in his chest.  I freely admit I am not good with nursing duties, needles, procedures, blood . . . I have always said, Mike is a much better nurse than I and if he ever wanted to leave the resort/real estate industry, that's the career he should head towards.  But for me . . . I was petrified.   The little boys were only 1 and 2 years old and we had a huge doberman . . .

how do you maintain a sterile environment with those dirty buggers running around?  It seemed impossible, improbable . . . but we did it.  Mike did it . . . and even I did it.

I'm not going to say that I ever enjoyed it, but I did became very confident after so many years of using it.  That port provided so much freedom for MacKale and all of us really.  He was able to join in sports . . . he played soccer . . . skied . . . wrestled with his brothers . . . road a bike  . . . all because we could simply infuse him at home whenever he planned to 'play hard.'

We made it very clear to MacKale though that his port was not a long term option.  It was easy and convenient when he was little, but it was a short term solution to a long term reality.  He would need factor for his entire life, but while the port afforded us freedom, it also wasn't something we wanted him to depend on.  Eventually, he needed to learn how to infuse himself by finding his vein and administering his factor.  I wanted this independence for him.  It would provide him even greater freedom.  Freedom from Mike and I . . . to grow up . . . confident and self-sufficient with his hemophilia.

So we put 'self-infusion' in his mind very early in his life.  He started attending over-night hemophilia camp when he was only 6 years old . . .  (I know . . . what on earth was I thinking.  He was just a baby!)  . . . and, of course, he loved it!  He has been every year since. He got to hang with kids who had hemophilia just like him, he had role models and he was able to practice infusing in a safe and nurturing environment.

All that prepping gave him the confidence to 'poke himself' at camp when he was just 8 years old.  It wasn't pretty and it wasn't perfect but he earned his 'butterfly award' and it gave him the will to try it again and again each time he went to camp until last summer, when he was 11, he came home from camp saying, 'I'm done!  I want to infuse myself and I want my port out.'

So that summer we did some training and practice, and Dr. Mitchell gave us the go ahead to let him infuse independently at home and make plans to get his port out.  He thought Christmas time would be a good time to do it . . . you know, so it wouldn't disrupt soccer season.  It was an exciting time . . . we had become comfortable . . . comfortable and complacent and confident that everything was going just as planned.  Mac was going to gain that independence and that port was coming OUT.

But then you know  . . . life happened . . .

 . . . and the port stayed in . . .

we counted our blessings at the time that MacKale had the port.  It afforded us one less surgery . . . one less thing to slow down the start of his treatment . . . but who would have known that not all ports are the same.  When MacKale started chemo the oncology nurses would all get confused looks on their faces when they first accessed it. 

'This is a single lumen!' 

You see, most cancer patients get a double lumen which means you can literally have two IVs of meds going in at one time.  Double lumens are like the Cadillac of ports. But MacKale had the compact, fuel-efficient, 210,000 miles, 7 years-old-but-still-going-strong, never-had-an-infection-even-one-time, take-that, perfect-for-hemophilia patients, single port!  And we made it work . . .

well . . . it worked until about January when that poor little port that could . . . couldn't anymore and so out with the old and in with the new.  MacKale got himself and new 'double lumen' port of his own.  And remember how I cried and bawled with the thought of dealing with that old port the first time?  Well, I didn't worry about this new port at all .  .  . a ports a port right? When it came to ports, we were confident and comfortable.  We knew our way around.  Heck, we had been though hemophilia, chemo and limb salvage surgery . . . a port was NOTHING to give a second thought to . . .  but then it was!  Because these new ports weren't like his old one.  The one that I could have hit with my eyes closed from across the room during a black out was one thing.   I mean, literally, that old port I could have accessed with my eyes closed, but this new one . . . it was different.  The placement was funky, the shape of it was completely different, it was in much deeper than the last port and  . . . I'm not going to lie . . . I cried . . . and I bawled . .  . again!  Because suddenly . . . I wasn't confident or comfortables  Mike and I both had our share of 'misses' and when MacKale was in so much discomfort because of his leg and having chemo, causing him discomfort by infusing him poorly, by missing . . . that was a very difficult thing for either of us handle.   But we got better and we became less apprehensive . . . I still miss our old port, but I've made peace with the new one . . . just in time to bid it farewell.

Yep!  That's right!  After chemo ended in June, MacKale waited to head back to camp to try infusing again, but when he returned home, once again, he said, 'I'm self-infusing. I want my port out.'

He would have liked to have had it out sooner.  He knew there was a buck out their with his name on it and he couldn't rifle hunt until the port was out, but those nasty scans in October that showed suspicious spots on his lungs put a bit of a  delay in his plans.  So instead, here we are, almost exactly a year after the time he originally wanted to have his old port removed.  

This trip to DeVos has a very different feel to it for all of us.  It's a wonderful, jovial, almost celebratory feeling.  MacKale told me . . .'This is a celebration, mom.  I'm getting my port out.  I'm not coming down for chemo. And even though I'll be on the 9th floor for a couple of days . . . you can't make me walk the halls!'  (I never realized I was such a slave driver when it came to those laps!  But I guess I was!)  It didn't take much for him to convenience me that this celebration also needed gummy worms, Pringles and a box of little Debbie Brownies.

I love that he feels this way, because really, port removal for so many cancer patients is truly the mark of the end of treatment, but additionally, for a child with hemophilia, it's yet another mark . . . a mark of true independence . . . a coming of age . . . a graduation of sorts.  MacKale will get a double dose of 'ye-haw' and 'hallelujah' with it's removal and that is a reason to celebrate.

It will be good to get home and return to a boring, mundane, and blissfully simple routine once this milestone is behind us.  But as much as I want us to be normal and boring again, I pray that this new freedom does not, once again, make us too complacent and comfortable in our own lives.  Because you know, complacency has a tendency to be a dirty rotten jokester.   

It lulls you into believing that you can handle everything on your own.  That you alone are in control, that your life is traveling along as it should and according to your plan.  You forget the times you were paralyzed by fear and had only your faith to cling to . . .  And when you least expect it,  life will happen again and you'll scramble to find Him.  

Why is that . . . why do we so easily cling to our God in sorrow, when we are full of despair and fear but when we are joyous and when we celebrate and when we are comfortable, it is often so easy to forget to share these moments with Him as well?

I think about this a lot.  I pray over it.  I am trying to make a conscious effort to keep my God close to me, not just during my trials, but during our hours of quiet comfort too.  Not just to seek him in my days of paralyzing fear for MacKale and his future, but to look to Him when I am at peace, confident and comfortable so that I can find ways to be strong for others.  Because that's really what it's all about . . . it's about what we do from here.  What comes next . . .   But I'm not perfect.  And thankfully God understands that this family is a work in progress.

After weeks of peaceful, blissful normalcy, I pray that my complacency will not cause me to lose my urgency to fight childhood cancer,  to give aide and an ear to families struggling with a child or family member who is ill, it will not allow me to forget to love on all four of my boys every chance I get, to laugh, spend time with my family and friends or to find time for my faith.

So today, as we take this next step towards a comfortable, normal . . . (and by steps--I also mean--he literally walked into the hospital this morning on his own two legs -- can I get a hallelujah?)

I want to remember to give all the glory to Him for each and every day--good and bad.  Yes it has been a hard year.  But it has also been an amazing year as well.  God has placed us on this unbelievable journey as a family . . . and you have all travelled along with us.  What a gift.  And while I know there is a fine line between faith and complacency, I am not naive.  I know . . .  we all know . . . that those scans will come every three months.  There are no guarantees.  We know what can happen, but we choose to trust and have faith that He has us in his hands and will not take us down a road He will not travel with us.  That promise to carry us when we can not walk alone is what we hold on to.  So, whatever comes our way, we will continue to give Him praise, cling to His side and look for ways to show others His amazing love.

And with that . . . if you can spare a little holler up to the Big Guy, MacKale just got out of surgery, and we are parked back up on the 9th Floor of DeVos.

His hemophilia keeps us here until Saturday and then we'll travel home . . . during another predicted snow storm.  We would love to have prayers for an uneventful hospital stay and safe travels to and from DeVos.  And while you have His ear, give Him a big 'thanks a ton' for all of His answered prayers, for all of His blessings and for all of His abundant goodness.  God truly is SO good.

As always, you all continue to amaze us with your generosity of friendship and faith.  Thank you all.

Friday, October 7, 2016

In the dark . . .

 Scans are NOT for the faint of heart.  Scan day is long and arduous so when you get a chance to sneak down and visit friends in between appointments, you take that opportunity.

Sweet Mistha was more than happy to play peek-a-boo and try to touch MacKale and his hair through her window.  She's grown up so much and is such a big girl now.  We all pray each night for this little peanut.  She is a special friend from the 9th Floor.

It was bittersweet walking on the ninth floor after having left it June 3rd.  It feels comfortable and familiar.  We see so many of the faces that we hold so close to our heart--nurses, patients and staff.  They will always be so important and special to us. And yet . . . this is a place we never want to have to call home again.

So scans . . .
Echocradiogram . . . good.  His heart is functioning well despite all the poison that we pumped into him.  Audio test . . . mostly good.  He has lost some high pitch frequency hearing, but we'll take it.  I say it's an excuse to ignore me when I'm yakking at him.  X-ray . . . good.  Looks like the cadaver bone is starting to assimilate and mesh with his own bone.  CT scan . . . I hate CT scans.

It is a necessary evil. You see, osteosarcoma has this annoying tendency to show up and metastasize in the lungs.  This is why we do these scans every three months.  Even though MacKale had 99% necrosis, telling us that the chemo worked on his tumor, there are no guarantees that it won't come back!  It happens! 99% necrosis or not!  So we do CT scans.

Unfortunately and fortunately, CT scans are so good, they can pick up the smallest . . . itty bittiest of nodules, and yesterday that is what they did for MacKale.  Instead of the words, 'clear scans' we got 'several very small nodules.'  Now nodules can be a number of things . . . scar tissue . . . inflammation . . . infection . . . or metastasize osteosarcoma.  At this point, our doctor is hopeful that it is not mets (metastasized osteosarcoma), but we really don't know . . . we are literally in the dark.  And because of that, she isn't confident that we should remove MacKale's port just yet.

Of course, as a mom, my head goes immediately to fight mode. Doctor Mitchell knows this about me.  This is why I love her.  She literally has instructed Mike and I to worry about MacKale being able to drive in 4 years . . . not these nodules!  I'm worried about both!  

But really . . . I don't know what or if we are fighting anything.   These 2mm nodules are so small, seriously the size of a grain of sand, no surgeon is going to go in after them either way.  It's literally a wait and see game.  We are waiting four weeks and scanning again.  Hopefully, we will know something one way or another then.

MacKale is in good spirits.  His attitude is never wavering and every faithful.  "We don't know what it is, so I don't care about it."  He's right, of course.  We just need to keep moving forward, we need to remain faithful that 'God is sending the rain.'  We just need to prepare our fields to receive it.

So that's where we are.  We are in the dark, but holding onto our faith . . .ever thankful that God continues to bless us with your love and support.

Please please please . . . continue to pray for MacKale.  Pray that those nasty nodules disappear, that his body remains strong and that cancer has left his body forever.

Friday, September 30, 2016

Happy Cancerversary!

This entire month of Childhood Cancer Awareness, but especially this past week,  MacKale's cancer fight has weighed heavy on my heart . . . not necessarily in a bad way, but I have definitely been very reflective and reminiscent  about those last days before our own "lives turned upside down." Those blissfully, ignorant days before my faith was put to the test . . . shaken . . . and uprooted by cancer.

When I pulled up my iPhoto account yesterday to look for a picture of my class, I hit the "Pictures from the Last 12 Months" option.   Suddenly this was the picture that came up from October 1st, 2015.  This was MacKale at DeVos, the day of his biopsy.  This kid . . . so unaware of what he was suddenly going to have to face in matter of hours.  And Mike and I . . . so frightened . . . and still frightened.

On Saturday, October 1st, it will be exactly one year to the day that Dr. Joel Post walked into the parent surgery consult room and confirmed the fact that the tumor in MacKale's leg which he had just biopsied was, in fact, osteosarcoma.  One year!

I mentioned it to Mike the other day.  "October 1st is Mac's Cancerversary."
"His WHAT?"
"His Cancerversary!"
"Are we celebrating his cancer?  I don't get it?  What's a cancerversary!"

Quite honestly, I doubt that MacKale has thought twice about the day.   A year later, he is in the 7th grade, attending classes everyday, heading to PT three times a week and getting stronger.  While so much of what made him 'him' was taken away from him, he's still the same MacKale. His faith focuses him forward.  While I am reflective and often emotional as I look back over the year, MacKale, as any typical 12 year old boy would be, is looking ahead.  He's never been the kid to say 'why me' and, while it's been a challenge to find his new 'place,' he is rather more of a 'what's next' kind of kid.

I with I had more of the 12 year old boy in me. It's not that I feel the need to celebrate the day MacKale was diagnosed. I truly wish it was a memory I could erase forever.   However, the date is significant to me because it signifies the day that MacKale began this fight, the day all of you put us on your prayer lists, began supporting and fighting along with us and it signifies that a year later, he's still here . . . fighting, and while I am often stricken with doubt and fear for what comes next, he walked in faith and continues to walk forward in faith a year later.

A few weeks ago during mass, McCoy was serving and Father Joe had been speaking about faith and who in our life has taught us about faith.  He invited the parish to share with each other who it was that had taught them about faith and as we all started sharing with our neighbors, he turned to McCoy and said, 'Who has taught you about faith McCoy?'  And McCoy replied, 'MacKale!'

As parents we believe it is our job to raise our children in faith, we are to set the example and be a model of faith, but as I look over the last year . . . this, the most difficult year of my entire life, it is from my own children that  learned what faith really means.  MacKale's faith never waivered and his little brothers prayed and prayed, without fail, for him every night.  MacKale endured . . . well you know . . . he endured it all, but his brothers endured as well.  These brothers, all three, were separated from each other, their lives torn out from under them, everything they knew and understood about their life suddenly changed . . . and yet, they continued to pray.  When things wouldn't go their way, when unexpected hospital visits ruined plans we made . . . they rolled with it, they made do and they found a new normal.

As a year has passed, their faith remains and I am in awe of it.

So how will MacKale be celebrating this first 'cancerversary'?

Golfing in Phoenix, of course.  Last year, before his diagnosis, he was asked to attend a program called 'Getting In the Game' which brought two kids with bleeding disorders from each state to Arizona for golf, swimming or baseball clinics and play. He was diagnosed two weeks before he was to attend and never went.  It was devastating to him then, but the program told him, 'we'll hold your spot and see you next year.'  Well it's next year and MacKale is thumbing his nose at cancer and hitting the links.

I couldn't think of a better way for him to celebrate.

And quite honestly we have celebrated everyday since his last clear scan.  We've certainly had a blissful summer! Three months of no hospitals, no scans, no chemo, lots of fishing, and golf, and brothers, and loving each other (with some healthy brotherly fighting thrown in).

 MacKale is still hitting PT three times a week and, although he says he doesn't really like it, we all like the fact that he's getting stronger!   We have been blissful and basking in the delightful feeling of an almost normal routine.

But come next week, we are back to reality.  Next Thursday, we will head, once again, down to DeVos for MacKale's three month scans.  While I never really forget that they are looming, scans are easier to ignore when they are closer to being behind you than in front of you, when you can see three months of blissful ignorance ahead of you instead of the imminent pending and possible slap of reality ahead.

I am thankful that these days at the hospital for scans do not impede MacKale's good nature.   When I told him we would be headed down to DeVos soon after he returned from Phoenix, he only wanted to make sure that we would have time to be able to 'visit the 9th floor.' Somehow, despite all the unpleasant days and nights we spent there, that 'floor' and everyone on it will always be a part of him.  He and his brothers never miss the chance to include 'all our friends on the 9th floor' in their prayers each night.

So again, I am asking that you please keep MacKale and our family in your prayers over these next couple of weeks. I still have faith, although some days are easier than others, that now matter what God will bring about some good with all this.  When I see a Team MacKale shirt, when I look at MacKale walking without crutches, when I receive a note from a friend who is thinking of us . . . when I pray each night with my boys . . .  but it reminds me that He is still with us.  These moments come to me when I feel most vulnerable and afraid for our future . . . they are timely and perfect and they renew my faith.

Our specific prayer is always that the cancer has left his body and never will return.   Clear scans and NED (No Evidence Of Disease) would be a fabulous blessing!

You are all a blessing to us, and we are so thankful to you  for following MacKale this year and for  your prayers.  I hope I'm back every year for many years

Saturday, August 13, 2016

Walk In Faith

I realize it has been several weeks since I posted here, but really, not hearing from me IS generally a good thing.  Our family has been busy trying to find a new normal and packing as much fun and being together as we could possibly get during these last few weeks of the summer.  

MacKale has been golfing, camping, attended the Cadillac Viking basketball camp, playing with brothers, catching a Tigers game and has been, most importantly, working towards getting healthy and stronger at physical therapy--three times a week.  Oh and he's also infusing himself again.  Woohoo.  

The physical therapy part is a slow process.  It takes a ton of work.  This leg is not the leg he had and it will never be.  Besides having a 7 inch piece of his tibia replaced with a cadaver bone, he had a big hunk of muscle removed and other muscles moved and 5 inches of his fibula just taken out.  Supposedly that fibula is not 'necessary' and so they don't replace what they take of that.  The problem lies, however, in the the fact that all those parts and pieces that used to be attached to the fibula, now are attached to his new tibia. How will that work out? Well, we don't really know.  It means for now that there is a lot of 'give' in the side to side movement of that knee. It's not stable.  We won't know how much of that 'give' will go away until he builds up more muscle, but most likely, he will wear a knee brace of some kind indefinitely and his AFO for the unforeseeable future.  Has this discouraged him? Not yet!  Somehow, despite crutches and braces, he hasn't let it slow him down.  He assured me that this climbing wall was done 'one legged!' 

We know this is the work that needs to be done to get him mobile and moving.  He gets that, too.  He knows that nothing is going to come easy when it comes to mobility anymore.  But right before MacKale left for his second camp of the summer, Camp Catch A Rainbow, he crutched out of physical therapy and said, 'Mom, I have a goal!'

I was a little confused but anxious to hear what he had to say.  I mean, Teri, his physical therapist and all around miracle worker, generally works him pretty hard during his sessions and, while he doesn't complain about it, he generally isn't so enthusiastic afterward . . . I would say 'beat' is usually the state he is in.  But on this particular day, he said that he 'felt really good' about his therapy.

"My goal is that by August 12th I'm going to walk without my crutches. That's the day I'm suppose to golf with Matt, mom!"

"Ok, well . . . we have some work to do!"

Cadillac's MSU Alumni Association had planned an event for the 12th of August including golfing, dinner and a speaker, Mac's favorite Spartan, Matt Costello.  MacKale and Matt have continued to stay in touch, texting several times a week and had plans to golf together along with their dads.  

It was then that MacKale wanted to show Matt that he could walk . . . a big surprise for Matt!

Well that day was yesterday and here's how it went down . . 

He didn't set this goal for his mom --and he didn't do it for his dad--all that work he did to learn to walk without crutches he did to show Matt!  It's been almost a year since we've been able to see MacKale walk without crutches.  If you think my heart didn't nearly explode . . . well . . . I think it might have a little. 

I know that I've said it before, but I can't say it enough.  My heart had been breaking for MacKale since the day I heard the word 'cancer.'  I knew that his life would never be the same . . . I knew that the activities and things he loved to do the most, would be ripped away from this little boy and I didn't know how to fix it . . . I didn't know how to fill that gap that was tearing a hole in his spirit.  My goal was to keep him alive, but in the process, we needed to feed his spirit and keep that alive as well.   But God, in his infinite wisdom, knew what he was doing when Matt Costello's mom handed her phone to MacKale that night that the Viking Basketball team so graciously invited us to be their special guests.  I often wonder . . . if Coach B hadn't invited us to be there, if Matt's mom, Jennifer, hadn't decided to attend to watch her nephew Keegan play, if Jennifer hadn't had the initiative to connect these two  . . . how would MacKale have made it through all these trials? 

But all of those things did happen, and God gets all the glory for knowing that He needed to put these two in the right place at the right time.  I honestly don't know how we would have gotten through all this without Matt and the bonus of his new bride, Anna!  

There are no words that can adequately describe the gratitude that Mike and I have when it comes to Matt and his entire family.  When someone can give your child something that you can not give them . . . when they provide them with a vacation from the pain and the despair of fighting through cancer just by being a friend --you can not imagine what a gift that is.   And if Matt wasn't busy before, he certainly is even more so now with a new wife and working towards securing a NBA career.  Busy--and yet he found time to hang out and hit some balls with Mac! 

Our children often idolize and admire athletes for all the wrong reasons or despite their bad choices.  Lord knows, there are enough athletes out there that are gifted physically and yet, can't seem to stay out of trouble.  Matt offers MacKale the realization that athletes can be gifted and yet still struggle, they suffer disappointments, and have to work past those disappointments and work even harder to meet their goals, but, it's how they handle themselves in these moments, those moments when things aren't so 'easy'  that really matter.  It's having the ability to be gifted and blessed, and yet still having time to remember their faith, their family and their friends.

What a great role model for any child and what an amazing friend for MacKale.

These last 10 weeks have been such a blessing to our little family.  There are brief moments in the day, when I almost feel like we are back and our lives are normal.  

But the reality is, while we are so grateful for clear scans in July, we know that the fear of relapse is constantly 'there' in the back of our minds--trying to steal our joy.  It is a constant battle to fight those fears and doubts and we need your prayers to that end.  Pray for our ability to 'walk in faith' each day. MacKale will have many obstacles and challenges in the years to come . . . but with friends praying for him and our family, with people who love him in his corner, and by trusting that God will make something good of all this, I know that we will all get through this.

As always, thanks for being part of our journey and continuing to lift us up in prayer.  We pray that the cancer has left MacKale's body and it never returns, that he can continue to move forward in recovering strength and mobility and that we all will find a way pay forward all the kindness we have been so fortunate to receive in these past months.

Tuesday, June 28, 2016

Defining our lives . . .

We have so many blessings to be thankful for at the McGuire home these days. It's been a magical three weeks.  No chemo! Woohoo!  Very few labs!  A quarter of the pill intake . . . but the best part is just being together and resuming some familiar routines.  Things we used to take for granted but now see as true blessings in our lives.  Like . . . school! Yes!  I said school!   Both MacKale and I were able to make it back for the last 8 days of the school year including his school trip to Mackinac Island.  Yes, that's right.  A week after finishing chemo, this boy and his dad joined his classmates to trek around the island. No stinkin' crutches were keep him sitting at home.  He was going!

And so we resumed our school life . . . even if it was only for a short time.  At one point, Mac looked at me and said, 'ya know mom, I can't remember the last time I was in school 5 days in a row.'  I replied, ' . . . ya know what?  Neither do I'  It was fabulous!   Of course, it was great just being able to get back to kindergarteners, but even more so, it was such a blessing to be back at school with my other two boys.  Once again, McCoy and MaGill came to school with me each morning, I could sneak a quick squeeze in at lunch and, at the end of the day, they went home with me.  You will never know how incredible that feeling was for me.  I missed them desperately this year and our routine  and was so thankful to have it back.   

That first day when MacKale came into Franklin after returning from the his day at the middle school to meet us, I could hear those familiar crutches coming down the hall.  For a split second, I wondered what my little friends would say to him . . . they hadn't seen him in 9 months.  Would they comment on his lack of hair, maybe that ginormous scar on this leg, or his crutches or brace . . . but nope!  True to kindergarten form, they surprised me with with a  . . . 'Mrs. McGuire, MacKale got SO BIG while he was away at the hospital.'  And this folks, is why I teach 5 year olds.  Cancer Shmancer!  They didn't care.  They just wanted Mac to come back at the end of the day to play and dance to GoNoodle with them like he used to do.   And he did!

We all have just been trying squeeze as much fun and being together as we possibly can into every single day these last three weeks.  

At one point, MaGill was snuggling up to me and said, 'I'm just so happy that MacKale is home mom.  Things are just so much better when we're all together.'  I couldn't agree more.  I'm most happy when all four of my boys are all where they need to be . . . together.

They have been jumping at every possible opportunity to embrace fun.  

 . . . hanging with Papa and the boys at the car show . . .

 . . . channeling their inner silliness . . .

whip creme mustaches

 . . .  playing  . . . a lot . . .

 . . . always up for a game of cards . . .

 . . . focusing on the funny . . .

(My teacher friend Patty has sent MacKale jokes, without fail, for the last nine months---she is our laughter angel.)

 . . . even when the thing that is 'funny' is you!

(Mac decided it was time to change his 'mii' on our Wii system to truly reflect his new look.  What do you think?  There wasn't an option for a bum leg.)

We have also been able to get back to 'our people.'  Our community that has been our family and has supported us with their prayers and good deeds through this fight.

This little town continues to rally and show their support for MacKale, never failing to remind us that they haven't forgotten his fight.   We continue to see #TeamMacKale shirts on young and old and it fills our heart to know that you are still thinking and praying for our family.

 Recently when the annual cardboard boat races were held at the canal,  Lauren and the girls from the Mitchell State Park decided to build a 'Team MacKale' boat to continue to keep Pediatric Cancer in the fore front of our community's thoughts.

It was a great boat design  . . .  

The day of the races, the little boys and I donned our Team MacKale gear and went down to cheer them on.  Just like Mac, that little boat lasted not just one, but several races.  It may have not been the first boat over the finish line, but it kept going.  And as we sat there that day cheering it on, there were visitors to our community that asked us if we were 'with the Team MacKale boat' because of our shirts and the boat design.  The question presented a timely opportunity for me to tell a group of strangers to Cadillac about the incredible community support and the way you have all rallied around MacKale.  I was happy to boast about our wonderful neighbors and friends in the Cadillac area and how extraordinary this place truly is . . . more than a community . . . more like family!

Our end to chemo also allowed us the chance to  get back out to the soccer fields to cheer on MacKale's team in their last game.  These boys have grown so much since when we left them in the fall, both in size and skill.  They blew us all away.  It was truly one of those bitter sweet experiences . . . Mac cheered on his team loud and proud, but at one point he leaned over and said, 'Man mom, I wish I were out there playing.'  I didn't have the heart to tell him I felt the same way.  But the disappointment was fleeting and he was right back cheering them on in the next moment.  It's a bitter pill for him to accept that he won't be playing soccer again . . . that he won't be part of that team in the same way he was . . . but he's learning to accept it, moving forward, trying to discover new ways to stay involved and re-defining himself.

He is moving forward . . .

 . . . working on getting stronger . . . no more wheelchair for this kid  . . . (big cheer from mom and dad for not having to manhandle that beast anymore) . . .

 . . . and tackling PT three times a week.  He's working that leg and getting stronger each time.  We are currently at 70% weight bearing which means it's only a matter of maybe a month or less before we are trying this new leg out.  I'm anxious to see him walk again.  You never realize how much a little thing like seeing your child walk is taken for granted until you watch them struggle with mobility for such a long period of time.  Walking . . . I'm not sure I'll be able to hold it together when it finally happens . . . but I still can't wait to see it.

I am so very guilty of being such a proud momma . . .  so proud of all the progress he's making with Teri at Dynamic Physical Therapy.  She has given him so much confidence and has just the right amount of 'mom to three boys' in her to help him stay focused even when he tries to distract her with endless chatter about sports and trivia during those times when he's feeling less than enthusiastic about an exercise.

We love seeing his progress at just those little things like standing up and sitting with just the use of his legs  . . .

His desire to move forward, get better, start to move and walk is fueled by a desire to do more . . . move more . . . play more . . . And of course, by play, we mean . . . golf . . . 

There is no question in my mind that any boy that's willing to get up at 6am to get ready to golf with his dad before dad has to head into work for the day LOVES golf.  There's even been a resurrection of the infamous  'don't be a golf dinosaur.'  

Second only to golf is fishing . . . 

 . . . a TON of fishing . . .

 . . . and did I mention fishing . . .

He loves it so much, that sometimes he's so dang happy to be fishing that he just has to kiss his catch before releasing it.

It's been blissful.  Truly incredible to have all these weeks.  We haven't taken a single moment of it for granted because tomorrow we are slapped right in the face again with the reality of pediatric cancer.  Tomorrow we spend the day at DeVos for scans . . . because you see, just because you've done the treatment . . . you've endured the chemo . . . and are working at overcoming the surgery and rehabilitation of your defective bone . . . you don't get a free pass.  You don't get the title of 'remission' or 'cured' or even 'done.'  Instead, you get to come back for scans!  Scans to confirm or deny the existence of cancer that may or may not still be lurking in your body somewhere.

For now, MacKale seems pretty blissfully unfazed by scans.  I love that about him!  His main concern is whether after a day at DeVos he will have enough time to stop and hit some balls at Ferris University's Katke Golf Course on the way home.  But for Mike and I, scans kind of bring this whole last year screaming back to the fore front.  We are nervous  . . . and uneasy and this is just the beginning of what we hope to be many many many years of scans, because while the scans detect any cancer that may be lingering or that may have popped back up, they also have the ability to confirm that the cancer has NOT come back.  They can give us the confidence of NED (No Evidence of Disease), and we will take it, even if we have to do it over and over again every three months.

It is our prayer every night with the boys that God bless and care for our friends on the 9th floor of DeVos who are fighting cancer and to also remove the cancer from MacKale's body and "never ever ever let it come back."  

God brought us through this fight so far and we continue to reach for Him for strength as we start this new phase of treatment and healing.  There is no better captain for Team MacKale.  He has been so good to us, and we count ourselves so incredibly fortunate to have had Him speaking to all of you and your hearts as you joined us in fighting for MacKale.   We count your prayers as precious, priceless gifts and, although perhaps greedy, we are asking for more.  Please continue to pray for MacKale.  Specifically, please pray the scans tomorrow (the CT, bone scan, x-rays, mri, lab work and ultrasounds . . .) all give MacKale the status of NED.  Pray for Mike and I to continue to have faith that God is with us and has MacKale in his hands.  Pray that McCoy and MaGill will feel the peace that comes from knowing MacKale is home to stay. And finally, pray that the cancer leaves Mac's body and 'never, ever, ever comes back.'

Finally, I have always said that God will make something good of all this.  I still believe that . . . I'm not sure what it is.  I'm not sure what it means to us. But pray that we will help facilitate that 'good' in the way that He intends and understand the direction He is pointing us towards as a family.

As always, we are so thankful for each and everyone of you.