slippery slope

This has been an extremely hard week for Ezra. He started the week tired but smiling and talkative. As the days have passed, he’s been increasingly more tired, and the last 3 days he’s pretty much slept all day, with brief moments of being awake and talkative. We were slated to start chemo and the Nifurtimox trial today, and still are – but we wound up leaving early yesterday and asking to be admitted through the ER last night at Arnold Palmer, since he seemed extremely fatigued and uncomfortable. This is very unlike him – even during the treatments he’s had this year. During stem cell he was this out of it, but that was chemo induced.

On Tuesday Ezra’s platelets were 10 (10k that is – a normal range is between 150k-400k, for him 50k-100k is normal), which is low but he’s had that before. He normally gets platelets then, and they’ll jump up and stay that way a few weeks. By Thursday they checked him again and his platelets were 9. He got platelets again on Thursday, and last night they were 5. His hemoglobin count last night was 9 (normal range is 9-12 for him), and by this morning it was 6. This means his blood counts are dropping extremely fast, and the dr has scheduled an ultrasound of the stomach to see if perhaps he has internal bleeding. The dr doesn’t think that’s the case, but we are checking. If it’s not internal bleeding, it’s just the cancer taking things in way too fast. His heart rate is high and his oxygen levels are very low – he’s on a nasal cannula which is giving him oxygen.

The doctor says these are all signs of Ezra’s body shutting down.

This is /not/ an end-all, there have been cases in exactly Ezra’s situation where this chemo and trial drug quickly reacted and the patient got 6 more months of active, quality life before relapsing and passing. We are still 100% planning on starting the chemo (as long as the ultrasound doesn’t show bleeding in his abdomen – there would be no treatment available if that is the case), but Dr Levy has been clear that the chemo itself can push him over the edge of life since Ezra is very fragile right now. Not treating, however – without a miracle – would most likely only give Ezra days from the way he is looking now. He is in and out of waking and sleeping, and we are laying on the bed with him.

Please, pray – we aren’t ready for this.

faith and doubt

[long update, deal with it, I need to write ;)]

We are in Orlando, in a hotel which charges $12 a day for buggy “high speed” internet and $7.95 for a room service glass of milk. It’s got sweet art on the walls though, so I suppose they justify it. And don’t worry – we DO have a mini fridge which we promptly filled with a gallon of milk from Publix.

Checked into the hotel last night around 10pm, and after an alright night we spent most of today at MD Anderson and Arnold Palmer hospitals here in Orlando – which I have to say physically are incredible facilities. Beautiful architecture. By 10am we were at MD Anderson meeting with the radiologist, who has a name that would instantly double the length of this paragraph. 😉 He hadn’t had a chance to look at our scans, since us coming here was pretty abrupt, but the tumor on Ezra’s eye is the only one he’d be working on, and it’s obvious enough by looking at it what he needs to do. He said without looking at the scans he knows for a fact it will need 10-20 days of radiation, and will be able to tell us more precisely this week. That will be on a Monday-Friday schedule, of course, since drs don’t work on weekends, so a minimum of 2 1/2 weeks, max of 4 on radiation. It will be daily, with anesthesia, just as it was when we did it on Ezra’s abdomen at St Joes earlier this year. The radiation is purely for “comfort” as the trial we’re on should be working on the tumors, but the one on his eye needs to go down fast since it’s getting painful for Ezra. The radiation will not kill it, but will definitely shrink it.

After meeting with radiation we walked across the street and had a quick lunch in an extraordinary lobby made of rounded glass (imagine being inside a 60 foot glass golf ball) before heading over to the hemoc clinic here (hemoc means hematology/oncology – study of blood and study of cancer) to meet with the folks who will actually be administering the Nifurtimox trial we’re here for. We were in that room for hours, chatting, waiting, and chatting. The goal of the trial is basically one thing – giving us some extra time with Ezra.

The full trial runs 6 months, and is cancelled any time the tumors start growing again. It runs in 3 week cycles of a week of chemo, 2 weeks off. The trial drug, Nifurtimox, is taken 3x daily throughout the entire thing – just the chemo requires us to be in the hospital. We’d be getting chemo Oct 18th-22nd (next week M-F), Nov 8th-12th, Nov 29th-Dec 3rd, and again in late December. Again, this trial has shown promise in many kids with worse situations than Ezra’s – giving children with only weeks to live an extenstion of 1-2 years on life. Still, there is no one who has had this aggressive of a relapse and survived longer than that.

I struggle to find reasons for this. I wish I could tell you I have an unwavering faith which constantly assures me everything will be “alright” and Ezra will be healed and live til he’s an old and ornery man. But that is not my state of mind. I know God doesn’t always heal – and I don’t know why. I prayed with every fiber of being I have Price would be healed, and today he waits for us to see him again in eternity. I prayed for years for my best friend’s father, who laid in a coma for 3 years before dying one night. With the same hands and mouth, I have prayed for people who had been blind for years and seen their sight restored. I have seen the lame walk after praying God’s healing in their life. I don’t know the reasons God heals some and brings others home, but I ask Him every night and every time my eyes or mind touch on my son to heal Ezra. I cry when I’m driving and see a billboard of a father and son. Commercials showing kids play make me change the channel. I find myself thinking of all the things my dad and I did growing up and wondering if I will have those moments in the role of a father.

There’s a guilt that comes with this dance of faith and doubt. In Mark 9, there’s a story of a father who’s son is “possessed with a spirit which makes him mute” – and brings his son to Jesus for healing. In verse 22b, he says this: “if You can do anything, take pity on us and help us!” 23And Jesus said to him, ” ‘If You can?’ All things are possible to him who believes.” 24 Immediately the boy’s father cried out and said, “I do believe; help my unbelief.”” That’s where I’m at. I KNOW God can heal. I’ve seen it, I’ve heard it – I’ve even been the vessel He moves through. But I also know God sometimes DOESN’T heal; not here at least. Not the way we may think – this “genie in a bottle” mentality we developed somewhere along the way. I don’t believe it lessens who He is, and I fully believe God is as consistent, powerful, and good today as He’s always been – I just think we misunderstand sometimes what we’re promised. Eternity is ours, yet the earth is cursed. I may not get to know Price here, but I will see him again. With Ezra… I pray for miracles. The thing is – I feel guilty sometimes with this doubt. Should I believe constantly that God will heal my son here? Or isn’t it better to constantly believe He is who He is, and whether I live 2 years or 102 years I will gain eternity at the summation of this life? I feel as if I’m saying my goodbyes to Ezra, and I feel guilty for feeling this way. My faith in God feels unchanged – my understanding of life, eternity, faith, and entitlement feels different.

So why tell you? Why do you care? I don’t know. It’s personal. You may judge. You may think less (or more, I dunno) of me. But I want you to feel what I’m feeling. I want you to know it’s ok to be hurt. It’s ok to not understand God and still know He is good, real, and attentive. Hurt hurts. I can see pain in my wife’s eyes, and it makes me be even closer to her, even more attentive to her need and letting her know she isn’t alone. God does this same thing to me – I am the father in Mark, saying “I do believe; help my unbelief.” It sums up my moment.

I know God can heal. I pray for it throughout every day. I’m trying to be transparent here; I want other people with these same struggles to know you’re not alone. You’re not alone following hard after God and having hard patches along the way. Robyn said early on in this – if the end result is heaven, our sadness is simply in not knowing those we lose more here before we get there.

Anyway I’ll stop… I usually try to put a nice cap on these updates, but I don’t know… I’d rather just tell you what I’m feeling. I long ago stopped worrying about if it fits in a box – I just know my heart is after God. The lessons we learn along the way we just have to pray we use effectively to become better while we’re here.

subscribe

Some of you who prefer to read our blog over the CarePages (I include more photos since it’s easier to do so on the blog) have asked for a way to subscribe to updates – I’ve added a “subscribe” option on the top right menu where you can enter an email you’d like updates mailed to!

Fast

I’d like to pass along an email I received today from Marilyn, a lady at our church, about a fast this weekend for Ezra. Robyn and I will be fasting tomorrow and we’re asking folks to read over the below email and fast and pray as you can. I have seen first hand God’s power to heal and although I have also seen moment He doesn’t, I know our prayer and fasting is effective and powerful. Miracles still happen!

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This is the email Marilyn sent out to all the small group leaders:
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I am sending out an urgent prayer request for our precious little Ezra Matthews, son of Kyle and Robyn…some of you might not know the handsome young man who plays guitar and sings on Saturday night…well that is Kyle.

Ezra has been battling cancer for a year now and he was doing great…until September ….it has returned more aggressive than the first time and they are now giving Ezra 2-3 months to live unless our Lord…the Great Physician, The God who heals… does a miracle…….so we are proclaiming this weekend as a weekend to pray and fast for baby Ezra to be healed miraculously!!! please choose one day or all three days of the weekend to fast and pray.

Sunday is 10/10/10…this happens once every 1000 years. Interesting tidbit…10 is the number of perfection of divine order…completeness.

Also John 10:10 says “that the thief comes to rob, kill and destroy but Jesus says..I have come that they will have life and that more abundantly”…so ladies I’m believing that Sunday is a time for God to bring about a miracle for Ezra… Please join me in praying for this precious family!! Love you all…Marilyn

This is the email I sent out to the MOPS steering team and Mentor Moms:

You can do an Absolute Fast which is no food, just water or do water and juice.
You can do a Daniel Fast which is no breads, sugars, meats, wine (or alcohol) and drink only water
You can do a Partial Fast which is where you pick one, two or three challenging things for yourself to give up like maybe coffee and chocolate?
You can also add fasting TV and/or sleep to allow more time to pray but if you pick those I would encourage you to do that along with fasting some sort of food as well.
The point is to sacrifice. And to pray for Ezra everytime you think about what you are sacrificing.

The Scripture I read last night was from Ezra 8:21,23 ” I proclaimed a fast, so that we might humble ourselves before our God and ask Him for a safe journey for us and our children with all our possesions…So we fasted and petitioned our God about this and He answered our prayer.” ( He was asking for protection from their enemies so they wouldn’t be attacked on the road and the Lord granted it to them.)

Orlando

Just a quick update on the Nifurtimox trial in Orlando.

We have been in contact with Dr Eslin there all this week discussing options, as well as the drs in NY, at All Children’s, and at St Joes, and we have settled in on a course of action including that trial. I just booked a hotel in Orlando (yahhhhh, insurance doesn’t cover THAT, ha) – we’ll be going there for 5 days starting Sunday night and have appointments Monday starting at 11am. Robyn’s mom and step-dad fly in Sunday morning, and we’ve got 24 hour nursing here as well, so they will watch Charley while we are there. The trial is done at MD Anderson in Orlando, and requires they do their own scans – so this coming week we’ll just be repeating the scans we’ve already done this week, and meeting the drs to discuss scheduling and Ezra’s case, etc. Come the following Monday (the 18th) we’ll begin the chemo that is associated with the trial, as well as taking the Nifurtimox. The Nifurtimox is simply a pill – according to the trial he’ll take it daily for 6 months. The initial chemo is in addition to the pill, and only lasts a week, 5-10 hours each day. We’ll get a hotel again that week, and be home this coming weekend in between.

This week while we’re in Orlando we’re going to try and do Disney World on Friday. We’d like to do as much fun stuff with Ezra as we can. If any of you have any hookups at Disney World or know of any cool things there we can pay extra for or arrange for that a 2 year old would like (breakfast with characters? stuff like that) please let us know. We’d like to do some stuff to have a ton of fun with Ezra while we get this trial started. We will do the parks again the following week while we’re there – maybe someone knows a deal we can get on annual passes? If this trial does work, he’d need a weekly clinic day in Orlando at MD Anderson.

The trial has been proven to prolong life up to 2 years in cases like Ezra, when effective. We are praying God does a miracle, and there’s always a chance some new treatment could come out in the time this may give him. As it stands, there’s still no cure for his current situation.

We are tired, and we are praying to God for a miracle. We ask you keep doing the same… and we so appreciate all the support pouring in.