Alex 2024 recipientIt’s been a joyful yet very stressful life path we’ve been on since Alex was born. I like to say our family is taking the treacherous but more scenic route. When Alex was born it was an immediate struggle to get him to grow and gain weight as he was constantly vomiting. Despite all our efforts to figure out what was causing this, it remained a mystery until his 4 year old well check up. I casually mentioned that he was constantly needing to urinate, often getting him up with a full bladder 4 x a night. We were exhausted. His pediatrician took the comment seriously and next thing I know Alex was having a kidney biopsy. We were blindsided to get a diagnosis we had never heard of let alone were able to pronounce called Focal Segmental Glomerulosclerosis. There was no cure and no real treatment. The disease had already caused 70% loss of combined kidney function. We were told he will eventually need dialysis and/or a kidney transplant to live.

We were able to slow further loss of function through diet and some medications until he hit puberty in 2021. As his body attempted to grow the demands on his kidneys were too much and he was put on the transplant list in early 2022 when Alex was 13. Many family members stepped forward to be his donor but in the end I was the best match and I found out I would be able to donate one of my kidneys to Alex. I was so thrilled. The doctors were confident he would have a great outcome.

Alex and I underwent surgery to transfer one of my kidneys to him on 11/7/22 at the University of Iowa. I woke from surgery to find that all had gone well, but within a week we were back in the hospital with complications. He had to have another surgery to try to remove a large amount of fluid that was accumulating around his new kidney. The surgery went well but his kidney never seemed to recover. Over the next year we battled several acute rejection episodes. Each one required large amounts of medications that were hard on his body and there were always multiple days in the hospital. He missed so much school I was worried he would never catch up. His immune system became very weary from all the prednisone and he began to develop one infection after the other. We could barely go 3-4 weeks without a hospital admission for the next year. At his one year Kidneyversary instead of celebrating we were back in the hospital with a very scary kidney infection that led to sepsis. We spent a couple days wondering if Alex would make it through. He did. I can only give thanks to God for helping us find the doctors and nurses at Blank in time to save his life. I learned to never go a day without monitoring him for some kind of illness.

But the infections didn’t stop and became even scarier. He got infected by a rare virus that next spring that caused his bone marrow to stop producing red blood cells and he was back in the hospital for several blood transfusions and infusions to boost his immune system. He had been taking too many steroids and his adrenal glands were shut down. He was now dependent on them to live. He was missing so many things and he became pretty discouraged at this point. We had been telling him for the past year and a half that things would get better, but we were all starting to lose hope.

Alex 2024 recipientThis past summer Alex’s kidney function had slowly declined to almost the level it was when he needed a transplant in the first place. We were stuck in the transplant swamp slowly sinking. He was trying to participate in marching band practice and went to get certified as a lifeguard. That ended in another ER visit with no new answers. He would come home and fall asleep for hours. He began to complain of back pains that were so severe he couldn’t stand or walk. He was only able to walk a few feet at a time. I remember telling his nurse on one of many calls I made that it seemed he was slowly dying. We went to the emergency room 3 times in a matter of 3 weeks this past august because his pains became so severe he couldn’t stop screaming. He could only get relief lying down. I wondered how he would even be able to start school in a couple weeks.

On the third ER visit the two doctors there took us very seriously and were determined to figure it out once and for all. By this time Alex could hardly walk. A series of tests revealed there was a blood clot in his abdomen extending from the pelvis into his new kidney and all the way up the vein part way back to his heart. Within 10 minutes of the diagnosis Alex was on a life flight to Iowa City for emergency surgery. I had begun to accept that Alex would probably not live to be an adult, so all I felt was extreme relief. It finally all made sense. There is a famous transplant surgeon who wrote that transplant patients are like Puzzle People and the key is make all the pieces fit. It felt like we had the last piece, now we just had to make sure it was put in place in time to save him and his kidney. In the end he needed 4 surgeries in 12 days to clear the clots. He had to miss the entire first week of his first year in high school. During one surgery they revealed that Alex was born with a narrowing in the main vein from his organs back to his heart. That was what was causing all these problems. They were able to perform an angioplasty to partially widen the narrowing. It is not known when it will start to narrow again. He will probably need a stent someday and he will have to be on blood thinners for the rest of his life. He has had to give up contact sports and we worry about him falling or getting in a car wreck, but they were able to save this transplanted kidney.

Alex has recovered from all the illnesses and surgeries, and I am happy to report, he hasn’t had to go back to the hospital since August. His kidney function is stable at about 40% which is plenty to go on for several more years. HIs medications have been reduced to only the normal anti-rejection meds that all transplant patients must take. He is working hard to get good grades in school. He has traded being on the basketball team to being on the bowling team. He has embraced his love of music and is part of the percussion section for his high school marching band. He hopes to be well enough to travel with his school marching band to Dublin for the St Patrick’s Day parade next spring. I pray that he will be able to go. He dreams of being a normal kid.

For me, I keep myself sane by going for runs with friends and by myself almost every day. Getting outside in nature and with friends is a way I can feel like a normal person. I admire the Streakers out there who get it done no matter what the day brings. I hope to be able to run every day till Christmas and meet the goal as well.

Pat RyanPat turned 50 in 2021 and was told that it was time to start yearly colonoscopies.  Pat went in for his first colonoscopy the summer of 2022 and was told that he had a large tumor in his colorectum that was likely cancerous.  A biopsy confirmed this suspicion and Pat began a journey of cancer treatment immediately.

Pat Ryan

At the time he was diagnosed with a stage 3 tumor that was not believed to have metastasized (spread beyond the original site).  Pat worked with doctors at Mission Cancer in Des Moines to receive a comprehensive treatment plan which included chemotherapy, radiation, and surgery.  His treatment began the summer of 2022.

In April of 2023, Pat had surgery to remove the tumor.  During surgery, it was discovered that the cancer had metastasized to Pat’s abdomen and the lining of his diaphragm.  Pat’s cancer progressed to a stage IV diagnosis.  Pat began chemotherapy again.  He was accepted as a patient at The Mayo Clinic in the summer of 2023.

Pat qualified for a fairly new treatment for cancer of the peritoneal cavity called HIPEC.  He received that treatment in August of 2023.  He returned to Mayo in November of 2023 and found that his cancer had spread to his lungs, abdomen, and into his diaphragm muscle.  Pat had surgery to remove all visible cancer tumors and the right side of his diaphragm replacing it with Gortex and mesh.

Pat RyanPat will spend the next 6 weeks healing from surgery before starting chemotherapy again in January 2024.  Pat is supported and loved by his family.  Laura is the principal of Heritage Elementary in Ankeny.  They have three kids, Jake, Payton, and Paige who are all going into the medical profession.  This cancer diagnosis has changed many things for their family.  What it has not changed is their faith in God and their positive outlook and sense of hope for the future.

Pat Ryan FamilyPat Ryan

Joe is an outgoing, family-oJoe's Storyriented, caring individual with a strong faith. He will be 40 years old in November. Prior to his medical emergency, Joe worked as an associate at Summit Middle School in Johnston, IA, where he was known as the autism whisperer. Joe’s large size, booming voice, and gentle personality were a winning combination when dealing with anxious youth and he was well loved by students and coworkers alike. Joe’s family calls him superman because he isn’t supposed to be here—he has beaten death at least twice—but despite all the medical struggles and setbacks, he just keeps pushing through. He has a loving wife, Nicole, and an 8 year-old son, Nate. Nicole has been Joe’s primary caregiver since his injury, and has made tremendous sacrifices in order to keep their family together. She recently started work at the airport part time, after a four year work hiatus in order to be available for Joe. Nicole battles depression, anxiety, PTSD & caregiver burnout from the trauma of Joe’s injury as well as the added responsibility as a caregiver to a dependent adult and their child. These past four years have not been easy, but she rallies around Joe, Nate, her family and friends. Nate is a typical 8 year-old who has shown resilience in the face of his father’s medical battles and losses. Nate was just four years old when Joe collapsed in front of him and was hospitalized with tubes coming out of various parts of his body. Although this was traumatic, Nate seems to be adjusting to his dad’s status fairly well. He is very active and enjoys swimming, Roblox, Pokémon and car models. He is interested in basketball, and loves to help others.

Joe's StoryIn November of 2018, Joe collapsed at home and was rushed to the ER. He complained he had a severe headache and felt nausea for a couple days prior to his collapse. He went to urgent care twice and both times was treated for migraines. Forty minutes after his 2nd visit, he collapsed in front of his wife and was unresponsive. 911 dispatched EMTs; when they arrived, Joe was resuscitated & intubated on the way to the ER. A shunt was placed to relieve pressure on his brain and a CT scan confirmed there was a golf ball sized tumor on his pituitary gland. Doctors advised the next course of action would be determined when Joe woke from his coma. After 3 days, Joe was still unresponsive. An MRI confirmed he had suffered 2 massive strokes (brain stem & occipital lobe) as well as mini strokes throughout the brain. The doctors determined it was a fatal injury & less than 25% chance of survival. Nicole was automatically granted power-of-attorney and had to make a difficult decision for end-of-life services. It was decided to wait until after the Thanksgiving holiday to allow the family to enjoy one last holiday with Joe. However, God had other plans. A few days later, Joe started responding to the neurological tests. With a new lease on life, Joe’s medical team decided to surgically remove the tumor. A month after surgery, Joe was transported to Madonna Rehabilitation Hospital in Lincoln, NE, then to On With Life in Ankeny to continue inpatient therapy. In order to help cover medical expenses & loss of their incomes, Nicole sold the family’s townhome and found an ADA accessible home for her and the boys. Three months later, Joe was able to go home, but his physical and medical needs required a full-time caregiver. Nicole was unable to seek employment as she became the primary caregiver.

Joe's StoryA year into his recovery, his doctors recommended to dissect the residual tumor left after initial surgery. Unfortunately, there were several medical complications requiring Joe to be life flighted to U of Iowa Hospital. They implanted a plate as well as a shunt to regulate the cerebrospinal fluid. Then, COVID happened. Visitations were restricted or prohibited which was devastating to everyone. Joe & Nicole were able to connect through Facetime as she needed to be home with their son. After many medical facilities and some unfortunate events, Joe was able to return home after a 430-day absence. Unfortunately, Joe had lost all the skills he had regained the year prior and had additional medical issues, including fine motor skills, cognitive deficits & a compromised swallow. He requires a feeding tube and is forbidden to have solids & liquids due to high aspiration risks. Although he eventually was approved for the Brain Injury Waiver, the family suffered major financial hardships; which left them basically destitute. It also caused added stress on the family, especially Nicole. She fell into a deep depression after exhausting all possible resources available.

Joe was eventually moved to a group home after a psychotic episode in his sleep left Nicole severely injured. The decision was made to place Joe in a group home with a higher level of care and attentiveness that Nicole is unable to provide. Even though Joe is no longer in the family home, Nicole and Nate play an important part in his recovery, as does his extended family. He still keeps his spirits high and is determined in his recovery thanks to his faith & the love he has for his family.

Joe's Story

photo of Estella outsideOn October 13, 2018, we welcomed our sweet Estella Jean into the world.  She was seemingly perfect in every way.  We adored her; our other kids adored her.  She was meeting her milestones, smiling and rolling over.  She was perfect, or so we thought.

On February 26, 2019, our world came crashing down.  Estella was just 4 months old.  I got home from work, and Estella had just begun acting strangely.  Her right eye was pulled almost backwards, her head was stuck over her right shoulder, and although she was breathing, she was otherwise unresponsive.  We rushed her to our local ER, and were immediately taken by ambulance to Blank Children’s Hospital in Des Moines.  By the time we got there, she was back to her normal self, with no sign of what had just happened. Both her MRI and EEG came back normal, so we were sent home after 48 hours with no answers, only hope that this would never happen again.

That wishful thinking didn’t come to fruition, and over the course of the next 5 weeks, we would replay this scenario 5 times.  We spent most of the month of March of that year in the hospital.  She endured blood draws, MRIs, CT scans, EEGs, genetic testing.  I have memories of sleepless nights, countless tears, frightened phone calls.  I have memories of watching ER staff prepare crash carts and oral airways, of ER doctors telling me they expect her to stop breathing at any moment.  Memories of stroking her cheek and saying goodbye.  Memories of pleading with God for relief from this nightmare.  Memories of wishing for something, anything to show up on a test so we know what is going on.

Estella in StrollerWe were told at that time that she had “intractable seizures” and that we were to rush to the nearest ER as soon as her symptoms started.  At this point, these “seizures” would last anywhere from 25 minutes to 2 ½ hours.  ER staff would give Ativan dose after Ativan dose, trying to get her out of these episodes to no avail.  We would hold her, completely and utterly helpless.

In May of 2019 we got Estella’s genetic test results back. It showed a De Novo mutation on the ATP1A3 gene.  What did this mean?  De Novo means “new,” so neither my husband or I are carriers of this mutation.  It was a random event that happened at conception.  Based on this mutation, Estella was undiagnosed with “intractable seizures” and instead diagnosed with Alternating Hemiplegia of Childhood (AHC), an ultra-rare neurologic disorder that affects literally 1 in 1 million people.  AHC is a disease that has a “poor prognosis.” It is known as being one of the most complex neurological disorders known to mankind.  It is described as having 7 neurological diseases in one: paralysis like Stroke, seizures like Epilepsy, low muscle tone like Cerebral Palsy, neurodegeneration like Alzheimers, dystonia like Parkinsons, behavior issues like ADHD, and difficulty learning like Autism.  It is a disease that causes episodes of paralysis, dystonia, nystagmus, and decreased levels of consciousness.  It is a disease that causes intellectual disabilities, behavioral disorders, gait abnormalities, and movement disorders.  It is a disease that is robbing my child of her life.

Estella's 3rd birthdayAt her baseline, she can crawl and cruise furniture, sign words and play with her siblings.  But if she plays too hard, laughs too long, is too silly, gets too excited, swings too high in a swing, takes too long of a bath, gets too hot or too cold, stands too long or gets too upset about something — she goes into an episode.

Currently, Estella’s episodes are lasting about 4 days every 2-3 weeks.  During an AHC episode, Estella becomes trapped in her own body; her brain no longer has any control over it.  She is mentally aware of what is going on, but at 3 years old, does not understand why it is happening.  Every AHC episode is different, and it can change from minute to minute.  Without a moment’s notice, she can become paralyzed in one arm, two arms, or her entire body.  She can develop dystonia in any or all limbs of her body, and scream from the severe pain this causes.  She can lose her ability to swallow while she’s eating or drinking because of muscle paralysis.  She can lose control of her eye movements.  She can lose her ability to vocalize.  Episodes can last for minutes to days at a time, and we don’t know how long it will last until it is over.  Every episode brings the risk of skill regression, seizures, brain damage, respiratory arrest, and sudden death.  Every episode is terrifying.

Estella in living roomThere currently is no effective treatment or cure for AHC.  We give medications to treat the various symptoms of AHC, but not AHC itself.  Since it is so rare, there are only a few doctors in the United States that specialize in AHC.  Estella’s doctor is in North Carolina at Duke University, and we make a weeklong trip there every year for her to be evaluated by her AHC team.

Every day Estella wakes up, we have no idea what her body is going to hand her that day, but she does not let a good day go to waste!  Estella has endured more physical suffering in her 3 short years than most people do in a lifetime.  But her strength and determination are inspiring, and we fight every day to give her the best life we can possibly give her.

My name is Maria, and I am a 46 year-old mother of 4 children. I was born in Brownsville, Texas and I moved around a lot when I was younger because of domestic violence and ended up in Florida as I got older, where I had two of my daughters. In 2007 we left to start a new life in Kansas where I had two more beautiful children, a boy and girl. My children mean the world to me and are a very huge motivation for me to get up every day and do my best. Even if it’s been very hard for us, we do it as a team.

The year 2020 has been a rollercoaster of a year for us for sure. Before I was diagnosed with either Fibromyalgia or Crohn’s disease, no one really had answers for what it could be. Most times I would be sent home with just

medicine to handle the pain and no answers. Really it was just constant doctor appointments, hospital stays and long nights with an inflammation in my legs that felt never-ending. It made it very difficult to complete daily tasks or even work. Not being able to go to work was very hard for me financially and also because I had so much love for the small children I would care for at my job.

In June 2020 I had one of the worst and best days of my life. I was diagnosedwith Crohn’s Disease. It felt amazing to finally have an answer for all the symptoms that I was having. That also meant I would be closer to having control of my life again. I started Stallera but before receiving the shot I was having panic attacks and expecting the worst outcome to become real. I had prayed day and night basically; fortunately, I went through with it and did not have a bad reaction. The medication helps manage the flare-ups for the most part. I will continue to receive the treatment every 8 weeks. The downside is it makes me feel very tired and I can’t enjoy activities with my children like I would like to but I thank God every day I get another minute with them.

In March of 2018, we received the devastating news that Ben has leukemia. Our world fell apart.

Ben had gone in for a physical to check his blood pressure, and mentioned that his stomach was sensitive to the touch. He had taken a hit to the stomach while coaching wrestling, and we wondered if he’d injured his spleen. The doctor ordered some tests and an ultrasound. We were expecting to hear that he needed some medicine for high blood pressure and possible treatment for his spleen. Cancer was the last thing on our minds.

Instead, we got a call that Ben has leukemia. Those next few weeks seemed like an eternity as we waited for an oncology appointment and the results from a bone marrow biopsy. We then learned that Ben has Chronic Myelogenous Leukemia (CML).

We were flooded with sadness and fear and uncertainty. Questions about the what-ifs of our future kept us up at night. Ben has always worked, while I stayed at home with our five kids. Could Ben keep working? Would I have to start? What would insurance cover? How would Ben get to his appointments? How would the kids adjust, who already were adjusting to new schools and friends after our recent move to Ankeny?

Regarding treatment, the doctors were initially optimistic and prescribed target chemo with a daily pill. They thought Ben, at only 39 years old, should respond well and his cancer would be easily controlled.

Unfortunately, cancer is unpredictable, and it didn’t take long to figure out Ben isn’t the norm when it comes to leukemia. There are five treatment options, and he has failed four of them.

Ben can never complete a round of treatment as his good numbers drop too low and it becomes too dangerous to continue. He has had some blood transfusions but doctors are conservative with them, knowing a bone marrow transplant is around the corner.

But a transplant comes with many complications, so the doctors want to make sure they know we have exhausted all our options. With a transplant, they take you to the brink of death and then bring you back again. A BMT comes with a long negative list, including potentially not surviving the transplant, possible transplant failure (sometimes the transplant doesn’t take, so no cure), the body fighting the transplanted cells and vice versa (painful and possibly debilitating graft vs host disease), the risk of causing a secondary cancer, and so on.

Then there are the logistics of a transplant — Ben and I would have to move to Minnesota for at least three months, living in a hotel near the hospital. We would have to line up care for our kiddos at home and have them come visit on the weekends, when possible.

On top of all that, it is a frustrating battle of helplessness, exhaustion, vertigo, bone/joint pain, medical bills and various other side effects – we don’t ever get a “break.”

As a family, we are trying to find our new normal. Ben has a positive attitude and continues to work. I am trying to figure out how to be there for Ben and the kids, and balance going back to work in addition to my home duties and endless appointments.

One of the hardest things is figuring how to talk to the kids about it and how to answer their hard questions — trying to provide comfort and security without making any promises.

Which is not to say there are no blessings within all the pain. We do have a new perspective of the gift of life, and on the importance of never taking a day for granted. We are reminded that we only get ONE — one life, one body, one shot at this, so instead of getting sucked into the negatives, we are pressing forward with the best we’ve got. Life is a gift that should be cherished, no matter the circumstances.

The journey is hard and the road is still very long, but we are grateful for the love, prayers, support and encouragement of our family and friends, and those people who barely know us.

Thank you for reading our story. If you would like to continue to follow along, we have a Facebook page where we share updates. You can find us at Life with the Lawrences.

Matthew Rodriquez

Everything began in December of 2107. Matthew was just like any other five years old, happy and so full of life. Like every morning, I sent him to school, but this time he came home from the bus crying hysterically complaining of a headache and the smell of the bus. He mentioned it made him nauseous and begged me not to let him go anymore. Like most moms, I reassured him it was going to be okay and tomorrow would be much better and sent him the next day. However, this time was different. Not only did he continue to go on and on about the headaches and the horrible smell of the bus he began to have fevers that lasted all throughout the night. Matthew mentioned his legs hurting, and I began to assume these things going on were growing pains. As the days went on I began to notice his loss of appetite, which was rare especially during the holidays. The following week was Christmas Eve, which we spent with family and friends. Seeing everyone so happy and cheerful I couldn’t help but notice my little boy feeling more down than usual, it was almost like I didn’t know who or what was taking over him. The fevers, nausea, and bone pain had me worried. I scheduled him a doctor’s visit and got in right away. They performed a normal check-up, where then they told me was normal and in range, it was most likely a virus going around. Something deep inside me told me it wasn’t just that, it couldn’t be!

I began to reach out to other doctors and they all told me the same thing, this began to make me more and more worried.  Not only did I know the little boy standing in front of them, I knew something wasn’t right, but I could also feel it in my heart. I begged the doctor to try one more time, they assured me they were the specialist and I was just the mother and there was nothing more they could do for Matthew. I said, run a blood test. They hesitated but the only voice I could hear was Matthew’s cry and yearn to say mommy help me, please help me my head and bones hurt. They proceeded with the blood test and I was expected to receive a phone call first thing in the morning. Only this time, I didn’t even make it to my driveway to the news that I need to take Matthew to the emergency room immediately. There, they continued to run tests. Shortly after, they told me Matthew has acute lymphoblastic leukemia- a childhood cancer. It was in that very moment that my whole life fell to the ground.

From that day forward, Matthew was hospitalized for days, weeks, and even months a time undergoing various treatments and studies. I knew God was by my side. I quit my job to be able to meet Matthew’s needs to the best of my ability while his dad worked two jobs full time. We had other children at home. Matthew is the youngest of five, two in college, a senior in high school, and last but not least my little nine-year-old girl. It was our family’s faith and strength that got us through those days. There just isn’t any words that could possibly explain what day after day felt and looked like for us, much less what Matthew underwent. But what I can say, and will proudly do so for the rest of my life is that Matthew is now cancer free. He is still undergoing various treatments at home and has limited the doctor visit twice a month for the next two and a half years. Despite that, it’s those individuals for whom I am thankful for- the doctors, nurses, and specialist that left an impact not only on me but Matthews’ heart as well.

The little boy that stands in front of me today is a train loving, silly, outgoing, sweet soul with God’s grace shining right through him. I am blessed to have my healthy little boy back and I will always have a special place for the families that have gone through any hardship and I will continue to pray for healing. Matthew is now 6 years old and in first grade. Although he may not admit it, he will always share a special place for all his wonderful nurses and individuals who have left such a big impact on such a little heart. We may still have a long road of recovery ahead, but with God’s grace and my family by my side, what seems like the impossible suddenly becomes possible. Thank you for joining us on Matthew’s journey.

-Janet Colin (Matthew’s Mom)

Joey’s Journey

Our family is one full of love, faith, and fun. Jim and I have been blessed with four wonderful children. In mid-October, 2016 we put everyone to bed in our typical fashion and in the early morning hours of Joey (5 ½ years old at the time) came into our bedroom to snuggle. Around 7 that morning, all of the sudden our bed started to shake. I thought Joey was being silly and I was preparing to tease him about making such a commotion. However, when Jim and I looked up, we quickly realized Joey was having a seizure. It was terrifying. As a professional in the world of special education, I have unfortunately seen children suffer seizures before – however, NOTHING prepares you to see your own child in this condition. We had put a seemingly perfectly healthy child to bed on Friday night and were waking up to a nightmare. We called 911 and were immediately transported to the hospital. The next few hours were a total blur, with Joey remaining in a post-seizure state for about 90 minutes, through blood draws and other various tests. When he eventually “woke up,” hearing his sweet little voice was an absolutely precious gift. All of the immediate test results came back “normal”, and we were told children sometimes have seizures for no known cause. We left hopeful this was the case for Joey.

Our hope that Joey’s seizure was a one-time occurrence disappeared, as the next four weeks brought about frequent seizures, ambulance rides, ER trips, EEGs, and a four-day hospitalization at Blank Children’s Hospital. On 11/10/2016, our deepest fears were confirmed: an MRI revealed Joey had a brain tumor. There really isn’t anything to prepare you to see such images or hear these words from a doctor talking about your child. Every piece of our world was thrown into immediate chaos – and yet everything seemed slow and surreal – all at the same time. Thoughts streamed in our minds: This can’t really be happening –  What kind of tumor is this? Will Joey survive? What will it take to make sure Joey survives this? How did this happen? Is this really happening? What will we tell our other kids? How will we all survive this?

We left the hospital on November 11 and headed home to try to figure out what we were supposed to do next. Joey’s neurologist had referred us to University of Iowa and Mayo. Appointments were made. Hotels were reserved. And, we slowly started sharing the news with our extended family and closest friends. We proceeded to have appointments in Iowa City and in Rochester. More tests, more bloodwork, more images, more of everything – including growing fear, became part of our everyday reality.

In addition to the amazing medical teams at University of Iowa and Mayo, we are blessed to have a pretty incredible school nurse in our support squad. Our school nurse, Keri, shared she had previously been a brain tumor nurse at St. Jude’s Children’s Hospital and made a request to reach out to her former colleagues to see if they would review Joey’s case and give us input. We readily agreed and felt blessed to have medical teams across the country reviewing Joey’s case.

The Wednesday before Thanksgiving we received a call from the brain tumor roundtable of doctors at St. Jude’s indicating they were accepting Joey’s case. What a mix of emotions this call brought. We were thrilled to know Joey would be taken care of by such a world-renowned team and hospital, and yet, this is a place nobody really wants to have to bring their children (other than to visit)! We scheduled flights and prepared to visit Memphis. Joey was subjected to many tests, further MRIs and diagnostic imaging, and we were transferred to LaBonheur hospital for surgery. Joey underwent a biopsy to help the medical team determine the type of tumor that had invaded our little guy’s brain. Due to the tumor’s location being so close to the midline of Joey’s brain and near so many converging blood vessels, the surgery needed to be an invasive procedure with the inherent risk involved. Nothing prepares you to kiss your baby, whisper “I love you”, and watch a piece of your heart be wheeled off for brain surgery. The biopsy surgery, thankfully, went very smoothly. Joey, an avid Star Wars fan, woke up in the ICU saying, “The force has awakened!” Joy leaped into our hearts at this!

After surgery and Joey’s recovery, we flew back to Iowa to celebrate Christmas with family while we waited for the biopsy results. Finally, the call came. The type of tumor Joey has is incredibly rare (less than 100 cases are currently reported), but thankfully it is slow-growing. Surgery was scheduled for right after Christmas and we tried to have a faith-filled and memory making holiday season together. I found myself taking pictures and videos of EVERYTHING. All four children are by the Christmas tree – click. Joey is looking at an ornament – click. The kids have on cute pajamas – click. Photo after photo – because we honestly didn’t know if we would have another Christmas with all four kids again. Would Joey survive this surgery? Would surgery be successful in removing the tumor? Would Joey wake up and know who we were? Would he be able to walk? Even if his body survives – will complications from surgery take the Joey we know from us? Unimaginable questions kept spinning through our heads.

Right after Christmas Jim, Joey, and I once again boarded planes headed to Memphis. Another series of tests and surgery preparations ensued. We once again were in the hospital praying, begging, and hoping with all of our beings that surgery would be successful. On 12/29/2016, Joey underwent a six-hour surgery to remove his tumor. Surgery was successful in removing the majority of his tumor. Joey recovered from surgery over the next few days in the ICU – and we know the talent of his medical team, partnered with the prayers of many, helped Joey during surgery and into his recovery.

While we don’t know what the future holds, Joey brings joy to our world each and every day. We pray for strength to handle whatever comes our way, and to try to not let the worries and fears of the possibilities overtake our lives. Concerns about tumor growth and future medical needs are daily fears that are impossible to ignore. Fear of uncontrolled seizures is ongoing. Due to the remaining tumor location – the fear of Joey losing his ability to walk and run, and just be a “regular” kid – is never far away in our minds. Joey’s tumor is on his motor strip, which means it impacts his right leg strength and functioning. Each time he trips or falls, as little boys tend to do, we wonder…..are those tumor cells causing problems, or is that just Joey being a six year old?
Joey takes daily medications and Jim, Joey, and I travel back to St. Jude’s every three months for a series of tests, MRI diagnostic imaging, and blood work. While were are blessed to have a medical “dream team” for Joey, each trip adds to the emotional, physical, and financial burden of this unwelcome journey. Each time we prepare for the trips, our emotions spike to high alert. For the weeks leading up to medical trips, we prepare luggage, we pack medications, we plan distractions to help Joey get through the medical procedures, and we brace ourselves. Preparing Joey for the trips is difficult, as he is fully aware of the procedures that are coming. He hates the needles, fights, and cries during IVs, and doesn’t like “going to sleep” (being sedated) for his MRIs. We prepare our other three children to have mom, dad, and Joey be away from home for a week. I leave work, Joey leaves school, and we take a deep breath. And, we pray, and we hope.

Being the parent of a child with a brain tumor opens the door to a club of families – a club that you wish you never belonged to. (Don’t get me wrong, the people in this club are amazing and incredibly supportive, but you still wish you weren’t a member of this particular club.) The other night, I read a message from another “brain tumor mom” in this club, which sums up our trips back to St. Jude’s pretty well:
“A mom I know posted today that her phone has rung 11 times since her child finished his MRI this morning. Each time, her heart stops, then starts when she sees it is not the call with results. Brain tumor families live through this every three months – praying they get a report of “stable”.

We pray and HOPE for the best for Joey’s future and nothing but reports of stable. We feel truly feel humbled and blessed, to have the support and prayers of so many people during this journey.