Saturday, October 31, 2009

Hurray for Mrs Pam! (And Snowy)

Mrs. Pam just signed the guest book to wish Snowy a happy birthday. And I didn't even mention it in my earlier post!! Am I bad doggie mommy, or what?

Yes, Snowy turned ten today and we are so thankful to have him alive and happy after all the surgery trauma he went through two weeks ago.

Usually (when we're at home) we fold up a piece of cheese (we call it cheese cake), stick a candle in it and sing. Tonight though, we gave him a couple small bites of hot dog instead and hen sang to him.

He loved the hot dog. The singing? Not so much.

A Real Grown Up Now

We recently found out that when we move to Manteo, we will become Manteo-ers. We weren't sure if it was Manteo-ites or Manteo-ans but it seems the consensus is with the Manteo-ers. So now we know. And so do you!

On another Manteo note, our realtor called us earlier in the week with a housing glitch. Turns out that the renters who are currently in the house had signed a contract saying they had sixty days (not thirty days as we had thought) to move if the house was sold. Which would mean we couldn't move into the house until the first part of January! Which would mean uprooting from Smithfield and living in Manteo in temporary lodgings all the way through December. And with Christmas being that month and Nathan being home--that was just a very non-inspiring thought.

So I spent the week worrying over it (on and off) and yesterday the realtor called again and said it had been worked out so that we could still move December 1st! Woo-hoo! See? Worrying pays off? (just kidding)

I had mentioned in an earlier update that there was a possibility that Steve might move to Manteo by himself during the month of November with Sarah and I just continuing to go on weekends. However, he talked with a couple leaders at the church and they said to just go ahead with the way we're doing it now. With a big family holiday in the month of November, and Nathan being home from college, and the task of getting everything ready to move, Steve will have his hands more than full in Smithfield taking care of the thousand "guy details" he's so good at.

As we were traveling here to Manteo today, we stopped at Wendy's for lunch. I got the hamburger off the value menu and then did something I had never, ever done before. Do you want to know that was?

Well, then I'll tell ya!

I refrained from removing the tomato and lettuce (which I always do) and I ate the burger with them still on! I feel like a real grown up now. And it was actually pretty good!

I'll close out with a few pictures of our favorite spot in all of Manteo--the bookstore! It's in the downtown, waterfront area and is beautiful and quaint and well stocked. Sarah and I have decided that we may just stay there all day, every day, and forgo school and housework entirely. Think anyone would notice?

Of course, we might possibly leave the bookstore every once in a while for one of the other "local attractions."

It's great bein' Manteo-ers!

Friday, October 30, 2009

Congealed Sloppy Joes And The College Dude

Well, after my busy blogging day yesterday (featuring three posts and 9.5 billion pictures) I'm sorta "news deficient" today. I slept eleven hours last night which was quite lovely since I'm a little headache-y and nauseated today, probably from the dual flu shots yesterday.

I allowed Sarah to get a later-than-usual start on school since she was also exhausted. Right now, she and Snowy are hard at work at taking a brief break. Can you tell what a tense and uptight dog Snowy is? The poor guy just needs to learn to relax already!

I so appreciate everyone who has dropped by the site and rejoiced with us on our good news from yesterday. It really was a wonderful day! I'll have a few more Duke pictures and news posted on Sarah's site over the next couple of days since "Sarah Smith Day" here at Smithellaneous is now officially over.

This morning Steve called our real estate agent to lower the price on our house yet again. We are now $30,000 less than what we started listing it at. Oh well. You do what you have to do!

The College Dude called me last night--oh happy day. Whenever he calls, I drop whatever I'm doing and put on my College Dude Listening Ears. Last night, the thing I dropped (figuratively, not literally) was dinner prep. I let the sloppy joe mixture just sit and congeal on the stove because congealed sloppy joes are a good trade off for a College Dude Conversation.

Nate is still working on finding a job, without a whole lot of success. He interviewed two weeks ago for a position having to do with tutoring but hasn't heard back yet. Unfortunately, the job would only provide 2-10 hours of work a week, which isn't quite as much as he needs but it would still be better than nothing.

I asked him last night if he wanted us to post his electronic drum set on Craig's List and he said that he would. So in a little while, I'll take off my Homeschooling Hat and put on my Craig's List Poster Hat and see if I can rustle up some moola for him.

He said he's getting all A's and B's at school (which is good for a junior, when the classes get a lot harder), and he's going to church faithfully and moving into some leadership areas there. He sounds happy and busy and very much invested in the life he is making for himself there.

When we finally hung up, I went on to eat my congealed sloppy joes with a happy heart. Nothin' does a mama's heart as much good as a long distance phone call from a much missed son.

He and Meagan will come home (very late) the Friday before Thanksgiving and will stay about ten days. I am going to work their poor little ol' fingers to the bone and when the week is over, they will flee with great relief back to Florida where their busy schedules will seem like nuthin' compared to what I am planning on putting them through. (Insert evil laugh here.)

Um, Nathan or Meagan, if you're reading this? I'm just kidding.

And if you're NOT reading this? I seriously mean it!

They will also get to go to Manteo with us the Sunday before Thanksgiving (as well as Steve's parents) for Steve's official installation service as the pastor. It will be nice for them to get to see the town and the church, and also nice for the church people to get to meet some of our family.

We'll probably have our Thanksgiving "unfeast" back in Smithfield on Monday or Tuesday evening and then on Friday, we're going to have Meagan's family over for lunch, since they're also visiting in the area from Florida.

Of course, in between all of that coming and going, we will be frantically packing. And also unashamedly overworking two certain college students who are (hopefully) not reading this post.

And since I've talked about the College Dude in this post, I'll post some picture of him--from past days-- at the end of this update so that we can all remember what he looks like. I realize he doesn't show up around here much these days so I think it's high time for another College Dude sighting. (There's one picture in particular that you MUST see as he's being kissed by an older woman. Not me.)

I'll close with a couple comments/questions that have come in.

After leaving a very sweet comment, Jenna from Canada added this postscript:

Q. I hope you don't mind me reading your blog since we don't know each other. I just sort of stumbled onto it- and was so captivated and encouraged by your words that I now read your updates daily!

A. Jenna, of COURSE we don't mind you reading the blog. We are thrilled to meet new friends from all over and are happy you've stopped by! Welcome to the Smithellaneous Family!

Q. Does Sarah have a bathroom up on the 3d floor? Is it a 2-car garage and is that the laundry room between it and the front porch. --Anon

A. No, there is not a bathroom on the third floor but that is sure something we'd like to add at some point, especially for when we have guests. In the meantime, she has her very own bathroom on the second floor. (Except of course when the Annoying College Dude comes home and then she will have to share with him.)

The garage is only one car. When we get all the moving stuff out of the garage, Steve has gallantly said that MY car could be one to be in the garage. Isn't he so nice?

And yes, the laundry room is between the garage and the front porch.


Alrighty. I'm off to have some lunch and get a few things organized for the weekend. We didn't travel to Manteo today (as usual) because of our long day yesterday. We'll head out early tomorrow morning.

Happy Friday!


Very miscellaneous pictures of Nathan

In Hawaii on Sarah's Make-A-Wish trip.

His very first "real" check from a real job.

The College Dude and his favorite dog.

On a missions trip to Ecuador.

High school soccer

In the studio. For his senior project, he wrote, recorded, played drums on and sang on a song.

Right before leaving for his junior year of college

Speaking to his youth group about his trip to Israel

Helping to stain the deck

On the Sea of Galilee.

About to be kissed by a much older woman. I LOVE the alarmed look on Nathan's face.

Thursday, October 29, 2009

The Boring Child

Okay. Leftover sloppy joes have been heated and consumed. (From paper plates.)

Steve is down at CVS getting a flu shot.

Sarah is doing the dishes.

Snowy is "helping" Sarah with dishes.

I am preparing to do a brief update before grabbing a book and falling thankfully into bed. (On a heated mattress pad, which is one of the world's best inventions since chocolate.)

But enough of all that trivial trivia. You're probably waiting to hear how the Day at Duke went. Well then, here is a brief, pictorial report.

The day started with a blood draw.

Followed by an eye appointment.

And a walk down a path . . .

. . . and down some steps to a different building

Then there was an elevator ride . . .

. . . followed by a walk to another building for her MUGA test injection

Which included more needles

And radioactive materials. (Which should just increase her natural glow.)

It also included a picture taken in the changing room by her goofy mother.

Then came the scan itself

And then a walk back to the first building for a hearing test . . .

. . . and pulmonary function test

Then it was on to radiology for a chest x-ray

From there, we walked to the treatment room to wait for her oncologist and nurse practitioner.

And wait . . . .

She took some pictures to pass the time. I was a handy target. (I think she calls it "revenge.")

The doctor and nurse practitioner arrived. Conversation ensued. An exam was done. Results were discussed.

Then it was time for the annual picture with Sarah and Dr. Driscoll

The day ended with Sarah and me both getting double flu shots.

Please try not to be TOO jealous of the "Michelle Obama Upper Arms" that I'm displaying.

Some comforting hand holding went on during the getting of the aforementioned shots. I comforted her and then she comforted me. We're a pretty good team in that regard.

And the medical bottom line from the whole day? Do you really want do know? You do?

Okay then. Here it is.

Dr. Driscoll said that Sarah is one of his most boring patients ever! As he flipped through all of her results from the day, this is what we heard.

Blood work: Perfect

Eyesight: Perfect in one eye, better than perfect in the other

Pulmonary Function Test: Improved markedly from last year; in fact, Sarah has made it up into the low normal range after being way below normal for seven years.

Chest X-Ray: Normal

Hearing: No change. (Which is good because post-transplant change is usually NOT for the better.)

Heart Test: No change. Another MUGA is not needed for at least two years

Hormone levels: Perfect

And the most incredible news about that? Dr. Driscoll said when looking at her current hormone levels that he wouldn't be at ALL surprised if she is able to conceive children after all. We were told for seven years that she wouldn't be able to, because of the damage to her ovaries from chemo.

THAT happy news brought tears to this mama's eyes, just like it brought tears to my eyes when were told before transplant that she would be infertile.

Basically, Dr. Driscoll just said that she is doing fantastic, is happily normal, and completely boring. (In a medical sense, of course.)

So with no huge medical issues to discuss, he sat and chewed the fat with us for a while, reminisced a little about transplant days, asked how Nathan was doing, inquired about Steve, and just generally treated Sarah like the wonderful "non-patient" she is!

I am thrilled beyond words to have a medically boring child sleeping under our roof tonight. I am happy that we get to end Sarah Smith Day with thanksgivings.

Now bring on the heated mattress pad and the book. The mother of the marvelously boring child is headed for bed . . . rejoicing (and yawning) all the way.

As Sarah Smith Day Winds To A Close . . .

We arrived home a few minutes ago after being gone for "only" eleven hours! We're pretty well exhausted.

I'm catching up on some e-mails before making a quick supper; eventually this evening, I will get back here to do a brief update on the day. (A longer update and pictures will follow in the next day or two.)

Thanks so much for all of you celebrated Sarah Smith Day with us! What a treasure her life has been and what a blessing it is to have friends (both met and unmet) who are so willing to rejoice with those who rejoice.

Thank you for the comments, the prayers and the thoughts sent our way today.

More soon . . .

Sarah Smith Day

As many of you know, almost seven years ago Sarah was admitted to Duke Hospital for a bone marrow transplant. She had Stage IV Neuroblastoma, a pediatric cancer with a dismally low survival rate. In fact, it's so low that to survive even seven years is almost unheard of.

Now I do realize that this is not
Sarah's blog. I also realize that this blog is usually reserved more for general Smith Family news. But today, as the writer of the Smith Family blog and as the mother to a certain Smith princess, I am hereby declaring today to be Sarah Smith Day and declaring this blog to be (temporarily) Sarah Smith's Spot.

And why is that? Because today is a big day. Today Sarah is going through her seven year anniversary, post-transplant studies.

And may I just say that being post-transplant is a really wonderful thing when you consider what it's like to be "mid transplant." Here's a photo to illustrate that particular experience. Not so fun.

Today's post transplant studies will include extensive blood work, a hearing test, an eye test, a pulmonary function test, a physical exam, and a check up with her oncologist.

The most challenging part of her day will be when she undergoes a heart test called a MUGA study. Here are a few pictures from her MUGA last year.

First she will be given an injection of a “tagging agent" called pyrophosphate that highlights her red blood cells. After 30 minutes, she'll be injected with the radioactive tracer which emits signals that can be detected by the specialized camera (gamma camera).

The reason for this test is that the massive doses of chemo she received can cause long term heart damage; therefore, it's especially important for her heart function to be checked on a regular basis. (Her doctors have already noted some heart damage which is why she has to have this more extensive heart test.)

So while Sarah and I are away from home twelve hours on this important, scary, tiring day, I'd like to leave you with a few "vintage" writings from her treatment years in addition to some pictures.

I'm doing that for two reasons: the first reason is that some of you may not have come here to Smithellaneous via Sarah's cancer page, so you may not be fully aware of her history.

The second reason I'm posting these things today is that I think it's always good to look back at where she's come from in order to appreciate more fully where she is today.

Today we celebrate a life that has been well lived and a life that will continue to be well lived. Welcome to Sarah Smith Day and thanks for celebrating her with us today.


This piece was written right after Sarah was diagnosed in May of 2002.

When Sarah was at home for three days (after chemo and before being re-admitted for an infection) we took her and Nathan to a kid's movie. I was so amazed at how different everything felt.

Before her diagnosis, I took her laughter for granted. She's always been such a fun, merry child and her happiness was a normal part of life. But sitting beside her in the movie theater, after having gone through two weeks of hospitalization, pain and uncertainty together, each smile and giggle was a beautiful treasure.

Her smiles before diagnosis were worth about a penny, they were plentiful and effortless. Her smiles after diagnosis are worth more than diamonds, not just because she's able to smile while walking a painful road but also because her smiles mirror her resilient and joyful spirit.

After the movie was over, I found myself watching the other children in the lobby. I noticed their strong tan legs, their shiny, healthy hair, their pink cheeks and I thought of the summer ahead for them, full of swimming, sleepovers, birthday parties, and camp outs.

Then I glanced over at Sarah with her awkward gait, painfully thin, white legs, pale face, dark circled eyes and I thought of the summer ahead for her--chemo, vomiting, limited time with friends because of infection, painful procedures and long hospital stays.

Right as I was thinking all of those sad, morose thoughts, Sarah caught my eye and flashed me her bravest, brightest grin; as she did, I caught a picture of the strong young woman she is becoming. Although I'd rather not see her go through the trials that are ahead I know that when she comes through on the other side of it, she (and all of us) will be changed.

While she's been hospitalized, we've had some special times together-- in the midst of the tears and trauma we've bonded more than I ever thought possible. At night, I crawl into the hospital bed with her, take the phone off the hook, get her blankie and we read a bedtime story.

It's amazing how cancer changes things. I remember (with regret) times when we were on the road, always frantic, always moving too fast and Sarah would say, "Mommy, will you play with me? Mommy, will you read to me?"

Sometimes I did stop what I was doing to play or to read, but there were many other times when the laundry to be done, the song to be written, the letter to be typed and the errand to be run called my name so loud that I neglected the important in order to do the urgent.

When she and I are tucked into that bed together, and all the wires and medical equipment are casting their scary shadow of uncertainty over our future together, story time becomes more than a book read together. Story time becomes sacred time. Every moment, every word, every breath is precious.

This was written following a 2-day visit to Duke.

Before Sarah and I left our hotel room for Duke yesterday morning, we sat side by side on the bed and read the Bible and prayed together. I chose to read the 23rd Psalm which starts with the words, “The Lord is my Shepherd.” Sarah and I took turns reading and discussing each verse.

As I looked at her dear little face beside me, lit from within by joy and a remarkable zest for life, I had to fight back tears when I got to the part of the chapter that says, “Yea, though I walk through the valley of death, I will fear no evil.”

I hugged Sarah and said, “You’ve spent so long walking through the valley of the shadow of death. I’m thankful you’re still here.”

We prayed together, our two heads bowed close together, our two hearts united by the awful, precious, indescribable experience of fighting cancer together side by side.

At the time that we prayed, we didn’t know how her testing results would come out; we did know however, that regardless of what happened, goodness and mercy would continue to follow us, all the days of our lives.

And even now, I remind myself that goodness and mercy will follow Sarah all the days of her life—no matter the number of days that are left. No scan or blood result or test can take that promise away.

A conversation after her relapse in 2006.

Sarah and I had an interesting cancer talk the other day. I was asking her if she understood why she had to continue taking her oral chemo even when her scans were clear. When she said she wasn’t real sure I explained, “It’s because the oral chemo helps to ‘mop up’ any very small cells that the machines aren’t able to see and that makes it less likely that you will relapse down the road.”

Very dry skin and lips were one of the side effects of that particular chemo.

She said, “It’s too bad we didn’t use that same plan the last time I was in treatment.”

I replied, “Well Sarah, we did.”

After that comment, a rather thick silence settled in the air between us and I could feel the implications of that statement hitting her like a bag of bricks. The inference was that we did the same thing last time that we’re doing now and yet the relapse still happened.

The further inference that I could see bouncing around in her brain was, “That means that no matter what we do now, I’ll probably relapse again.”

One thing I learned rather early on in this journey is that there are some conversations that cannot be painted a pretty color and tied up neatly with a bow. There are some conversations where a certain mommy is unable to come up with anything suitable to say. But it seems to be okay with the Princess; she senses the unspoken fears hanging in the air and acknowledges their presence; however, she doesn’t let them take root in her heart. She's just way too busy just living her life to do a thing like that!


This was written about two years ago.

Sarah had a friend over the other day who was looking at a collage of pictures on our refrigerator showing Sarah in all different stages of treatment..

I happened to overhear Sarah as she gave the official “collage tour.” In a bright and perky voice (sounding for all the world like a tour guide) she said, “Now, in this picture, I didn’t have any hair at all. In this picture, I’m wearing a wig, but I’m bald underneath it. In this picture, I have a feeding tube, which basically kept me alive.

In this photo, I’m about to go into transplant where they killed my immune system and made me miserable and I thought I was going to die. In this picture, the transplant is over and my hair is starting to grow back and it’s really, really curly.”

A couple of Sarah's "cancer looks."

Hat over a wig

Princess crown

And on she went in her explanation, as cool and calm and cheerful as if she were talking about the happiest subject on earth.

She’s very pragmatic about her journey and her experiences and very rarely does she sink into mopey, morose depths about it. She usually just looks the whole thing squarely in the eye and accepts it for what it is: a journey that no one wants to take, and yet a journey that has taken her to a place of wisdom and strength and maturity that an easier road would have bypassed altogether.


I wrote this following a round of tests at Duke that determined that Sarah was back in remission after her relapse in June of 2006.

After Sarah's big scan (the MiBG) in the morning, we had an appointment to meet with with Dr. Driscoll to hear the results. He had gotten delayed for about an hour and while we waited, I tried my best to stay calm. I finished a novel, reminded myself to breathe slowly, skimmed through two magazines, checked my watch, read another magazine, reminded myself to not stop breathing altogether and looked at my watch again. And again.

For those of you who have ever sat in a room waiting on important scan/test results, you know the wild mixture of fear and anxiety that races around in your brain.

When we were finally called back to the exam room, Dr. Driscoll greeted us, sat down, rattled some papers and said, “So let’s see here. Her hearing test yesterday was good; no change since last year, so that’s excellent. And let’s see what her blood work looks like.” (Rattled a few more papers) Okay, it all looks wonderful—absolutely perfect, everything’s normal.”

And all the while I’m about to JUMP out of my skin and scream, “The SCAN! What about the STINKIN' SCAN!?” (Because I'm calm like that.)

But thankfully, before I could get my “scan scream” wound up and ready to go, he looked at Sarah and me, grinned real big and said, “And also, the scan read absolutely normal. There is no evidence of cancer.”

Normal. Isn’t that a beautiful word?

I wasn’t sure what Sarah’s reaction would be, but she actually stayed pretty calm. She didn’t say a whole lot but just started grinning bigger and bigger the more Dr. Driscoll talked. And of course, Dr. Driscoll was doing his very best to “out grin” her so they were pretty cute together.

Sarah and Dr. Driscoll, the Duke oncologist who has treated her for over half of her life.

My favorite line of our whole conversation with him was when he said, “This whole thing is not logical; it just does not make sense for Neuroblastoma to respond to chemo as quickly as this did. Neuroblastoma usually has a reputation for being aggressive and fast growing.”

How wonderful to see something happen beyond the “wisdom of medicine!”

When Dr. Driscoll and the nurse practitioner finally finished with us and left the room, Sarah quietly slid off the examination table, took two steps across the room, put her little arms around me, and laid her soft cheek on my chest. We stood together in silence for a full minute, both of us aware that even one word spoken at a time like that would be one word too many.

It was one of the dearest moments of my life getting to share that hug with that precious child. In the sweet and serene silence, we celebrated the joy of love well shared and a battle well fought.


I'll close with a few miscellaneous pictures from her cancer years. (And beyond.)

A serious moment with Mom

A not-so-serious moment with Dad

Sarah and Steve were always good for providing their own entertainment.

Getting to see Snowy for just a few minutes after she had spent a month on the transplant floor. She couldn't pick him up because of germs and infection.

Having a serious conversation with one of her doctors.

Whenever I see this photo, I'm always amazed at the look of peace on her face.

A family bound together by the heartstrings.

Patient Snowy

The lovely young woman we're celebrating today.