3.12.2009

Release.

What a day. A good day, of a sort, but a really difficult emotional day.


We've decided that a residential hospice is the right place for BF's mom.


After that great day she had two weeks ago, she's returned to the toxic, altered state that she was in previously, only now, her physical health has deteriorated even further. She was able to walk once she was helped to her feet then, but now she's completely wheelchair bound and BF can't even get her out of the wheel chair and into the bed. She's been at the skilled nursing facility where they've been attempting to get her some physical therapy for almost two weeks now and she hasn't made any progress, she's just getting worse. She's still refusing food, occasionally she'll take some juice, and her mental status has gone steeply down hill in just the last few days.


Last night BF talked to the doctor at the facility where she's staying. The doctor was basically calling him to let him know that his mother is failing to make any progress and because of that she can't stay at that facility any longer; there's no point to rehab if you're not going to make any progress and insurance won't pay for it. So this morning BF and I met with a nurse and a social worker from a local residential hospice.


It was one of the most difficult conversations I've ever had to have.


They tell you that you shouldn't think of it as giving up. That it's just changing our expectations of what the future holds, focusing on giving her the most comfortable, most peaceful final weeks that we can rather than prolonging treatment and extending what has become a painful, hopeless time. Part of me is able to see it that way. After all, it's what I would want for myself or my own parents. Another part of me feels like we're closing the book and that's heart-wrenching.


The hospice itself is a beautiful place. It's an old Victorian mansion that has been converted into a facility that houses up to eighteen patients in a very home like atmosphere. The living room is comfortably furnished, there is a nice big dining room, and several lounges. It doesn't feel the least bit institutional, it feels more like a boarding house. There is a four to one patient to nurse ratio around the clock and they have a doctor on staff as well. They have beautiful gardens and it's located in a nice, wooded area of Philadelphia. I know that this is the right thing to do for her, it's just also so very final.


By entering hospice, we are deciding that she will no longer receive blood transfusions, chemotherapy, or intravenous fluids. In fact she'll receive no care that aims to make her better at all - no antibiotics, no CPR, nothing. She'll die. The only medical care that they'll provide her will be with the aim of making her death as pain free, both physically and emotionally as possible. The provide antidepressants, general maintenance drugs, such as vitamin and mineral supplements, appetite stimulants if she's willing to try them, and morphine in various forms. The rest of her care will be in the form of counseling, music and art therapy, help with her personal hygiene, and any other support she wants or will accept. They will make her progress through the dying process and our part in that process as positive of an experience as it can possibly be.


Somehow it really hit home for me today. Whether it was the finality of the decision, seeing her struggle to get comfortable as she sat in her wheelchair, completely unable to reposition herself, seeing the nurse and social worker try to pull something out of her and getting nothing, visiting the hospice and seeing so many people so close to death, or all of the above, I'm not really sure, but by the time we started driving home I felt like I had been pummeled in the gut by someone quite large.


I tend to take a while to have things really settle in, to fully hit home. Always have. When my best friend died and the news came out of left field, I didn’t cry about it until I went to work the following morning and someone tried to talk to me about something that was just so normal that it seemed foreign. This month has felt very much like that first day. There have been so many ups and downs and uncertainties as to what lay ahead up until now that I don't even know if I could have felt the full impact of the blow. I was so unsure of how hard the impact really would be, of what I was really dealing with, of how to wrap my head around it. Today made the enormity of the impact totally clear and devastatingly real. I still don’t know how to react. I wanted to cry in the car coming home, but I want to be the one to lend support in this situation, I don’t want to be the one losing it and needing him to continue to keep it together in order to comfort me. There will be plenty of time for tears, now it no time to go breaking down. And I’m not a good crier anyway. After the first ten seconds or so I start thinking about how useless an act it is and how stupid I feel. I know I shouldn’t, that everyone cries and everyone needs to, but I’m also a bit of a control freak, especially when it comes to having a firm grip on my emotions.


Then to add to the pressure of the day, we were uncertain as to whether or not we could afford for her to stay at the hospice. In addition to their fees for the care itself, which insurance companies cover, there is an additional and not insubstantial daily rate for room and board. We could cover it for a time, but not for long, and the last thing we'd want would be for her to have to move out in the last days or weeks of her life, or to have to go into massive amounts of debt to cover her end of life expenses, after all, we still have funerary expenses to pay for and any other out of pocket expenses, such as co-pays and durable medical equipment. So our silver lining today was a call from the business director at the hospice telling us that not only had our fabulous social worker already arranged all of the paperwork necessary for BF's mom's admittance to the facility, but that her health insurance will cover her stay in full since she is under sixty-five and that all of that paper work had also been taken care of.


Now we have a day or two of down time until she is released from the rehab facility, at which time she will be taken directly to the hospice house. They have a shared room for her to stay in right now, but as soon as one opens up, she's going to be moved into a private room where we and the other people that loved her and have been touched by her life can share in her final days.


It was an awful day and a positive step forward at the same time. We've been released from the uncertainty of the last month and a half and now will enter a less hopeful, but more solemn, peaceful, and certain stage in this grieving process.


It was an especially good day to meet with my new therapist for the first time. She has specialized experience in dealing with chronic illness and grieving, so it was a big relief to see her shortly after we came home from the hospice. I’m hopeful that she’ll be able to help me to navigate this difficult time and the difficult times that will be coming over the next few months.

3.11.2009

Bellezza Rosa

I dyed my hair. Red, like, really freaking red. The picture doesn't even do the intensity of the color any justice. It’s awesome. I figured that with all this shit going on now and with the probability that I will need to shave my head (or suffer the trauma of waking up to chunks of it on my pillow – I think not!) sometime in the near future, that I should enjoy it now. I haven’t had hair this wonderfully unnatural a color since I was seventeen and it was violet. It’s definitely much more me than the blonde was. It makes me feel younger, more fun, more alive. I know that probably sounds silly, but I don’t go to parties, I don’t drink, I don’t do drugs, I’m rather frugal, and I’m so frequently limited in what I can do. It’s nice to have the freedom to do exactly what I want; something so simple and so enjoyable when there is so much else that’s a mess.

3.06.2009

One Step Closer

No hard answers, but closer to what I want. The pulmonologist wants a repeat of my pulmonary function tests and my six minute walk test. The last six minute walk was done wrong. The point of the test is to see how many feet you can walk in six minutes, back and forth in a straight line. The idea is to do as much as you can without feeling like you're going to pass out. Good is as close to 400 feet as possible. When I did the last test, the tech did it wrong. She made me stop every time my Sp02 dipped below 88%, which was every thirty seconds, so the distance that I could walk was essentially cut in half. So we'll repeat the walk, repeat the measurements of my lung function and oxygen diffusion. Then she wants to do a repeat VQ scan to rule out any clots in my lungs that might be affecting the pressure. After that we'll be repeating the right heart catheterization to get a true measure of my pulmonary blood pressure. It's usually a simple outpatient procedure; they thread a catheter into the femoral vein through an incision in your groin and thread it up and into your heart where they use a balloon to measure the pressure. Being on blood thinners presents a complication. Coumadin, the blood thinner that I take, takes a while to build up in your system, though I can get it out of my system quickly so that I could have the procedure without a major bleeding risk, I would be at risk for a clot after the procedure. If I was already in the hospital, they would just give me intravenous heparin, but if I want to keep this outpatient, I need to get insurance approval for Lovenox, a subcutaneous injection of low-molecular weight heparin that would work like a bridge until we could get the Coumadin back to therapeutic levels.

From all of the new tests, we should have a good handle on where my pressures are and how stable the disease process is. If it's still unstable, we may need to switch from the ambrisentan and sildenafil that I'm now on to a either Flolan or Ventavis, drugs that are delivered by an infusion pump, infusing through a semi-permanent venous catheter implanted in my chest. Hopefully we won't have to go there though. I'm not really looking forward to taking care of a port or having to deal with a 24-hour a day infusion. Though I'll have to get a port for the chemo anyway, so it's not

At the same time I'm going to see a hematology-oncology doctor and head of the transplant team at Jefferson. The pulmonologist sees no reason that we can't start the chemotherapy before we get the pressures under control to see how well I tolerate it. If I do tolerate the chemo well and we can get the hypertension under control, then there doesn't seem to be any reason that we can't go ahead and do the transplant. It was great to talk to the doctor yesterday. She very clearly understood why I would want to go for transplant rather than just the high dose chemo and while we couldn't make that decision before she has some more empirical data about where things stand, I'm confident that we'll get there.

I'm really excited. This was the first time that I got the indication that this was not only a definite possibility for treatment, but that if this is what I want then we can probably make it happen. It was also nice to talk to someone who really seemed to be familiar with all sides of the argument here. I talk to so many doctors that are very familiar with one of my diseases, but this one was familiar with all of them and has treated other people in very similar situations. She understands that when you're living with a prograssive, eventually terminal disease, that you're much more willing to risk it all for the glimmer of a cure. It was good to talk to her about how difficult it is to be able to back up these treatments with multiple studies because of the numerous disease process variations and how so many of us are willing to be the test subjects for the hope of a cure. Five years ago, this diagnosis would've elicited a shrug from most docs. All of the treatments are new. All of them are experimental. No one has enough experience with any one treatment for this combination of disorders to do any more than make an educated guess about the outcome. But that's comforting in many ways. None of the docs that I'm seeing act like gods. None of them are afraid to say "I don't know" or that they'l have to sit down with their colleagues and talk it out. I feel much more comfortable with other people that can admit that they're often fumbling around in the dark too.

And as it turns out, I still have a life that doesn't involve any medical terms. Last night I sat on the phone for a couple hours with a good friend of mine. She and I have been incredibly close since we were in junior high school. We were inseparable throughout our teens. About six years ago she went away to college in Boston into an intensive five-year psychology program at Northeastern University. We haven't seen much of each other since then. She finished her bachelor's last year and has moved in to a nurse practitioner master's program at Columbia University. I'm thrilled for her success, but I do miss her a lot. So it was really good to get to chat for a while. It's nice how effortlessly we always slip back into the old "us" after not speaking for months at a time. It's good to really feel that we'll be friends for our whole lives, no matter where they take us.

After she and I got off the phone, BF and I went out to dinner and then to the midnight showing of Watchmen with my brother and a bunch of his college friends. My brother isn't a college student, but his best friend goes to school at one of the local universities and he's always there. He eats in the commons. He hangs out in the lounge. He uses the gym. It's like the whole college experience without learning anything. It was nice to go out with a bunch of kids and sit in a movie theater until three in the morning again and the movie was awesome.

We've been doing a lot lately. Going out shopping, to the movies, to dinner. It's really refreshing. It's amazing how much difference a change of scenery has made in how I feel. Last week I was able to go food shopping on my own, something I haven't done in a year or more. I've been cooking, cleaning, moving, and going out a whole lot more than I had been. It's a nice boost. I'm still having bad days. I was exhausted after going to the pulmonologist yesterday and I've been having intermittent bad join pain in my hands, shoulders, hips, and knees. I've been having more good days though. I don't know that anything has changed medically, but I'm in a better place, a better situation, and really, when you have to do something sometimes it just happens. Not everyday, but some, and that's certainly better than none.

2.27.2009

Scatterbrained

I am a planner. Big time. When I get something stuck in my head that isn't happening right now, I plan everything I can about how I want it to go.

One of the problems I've been trying to plan around in my impending chemotherapy or stem cell transplant. See, I want to go to school, but out of the classes I need to take for a degree in digital design, almost all of them are in-person and whichever medical treatment I go with, my immune system will be compromised and I'm thinking that being in a college classroom would be a big mistake until I'm strong again. So I've been exploring my options and looking at the course availability over the summer and fall of this year.

The local community college has a large number of courses available in an online format. They also have a certificate in web development. While it's a subject that I know little to nothing about, I find that interesting in and of itself. I'm an analytical person and the challenge of facing a wholly new subject is pretty exciting. It would also be a good pairing with the digital design degree, allowing me to branch out into web page design. A major plus about the certificate program is that about half of the courses that I would need to complete are available online. This would mean that by combining the two programs I could take classes solely online until the end of 2009. A huge relief for my organizational mind.

So I've been online for the last few days figuring out what that schedule would look like and how it would all work out. When I was working toward my first A.S., I was taking four classes per semester and working 35 hours per week. I figure that if I'm doing all of my work from home, I should be able to manage four to five classes per semester and since they're online I'll be able to keep up with my studies from a hospital bed, especially since I'll have so much down-time on my hands.

Right now I'm waiting on word from my adviser at the college. They can't grant me any financial aid until I get my program switched from general studies, so I'm waiting for someone to switch that and then to find out what kind of aid package they can offer me. My first time through this, my parents and I made little enough money that my entire A.S. was paid for through grants from the state. Now, I have absolutely no income, so I'm hopeful that I can get grants again. I'm just anxious to know. Registration for the summer and fall semesters starts on March 9th, but tuition isn't due until April 28th, so I can just register before I have any answer and then wait for a decision. It's both nerve-wracking and exciting. I really hope that I'm able to go back. I do so little physically right now and it would be so nice to feel like I'm achieving something again. If I can start this summer and if I'm well enough by next spring to go to school in person, I'll be able to graduate in May 2011 and if I'm planning to go into business for myself I should be able to start working on that well before I actually graduate.

Also on the exciting and hopeful front, I'm going to see the new pulmonologist next Thursday to find out if I can have the transplant. I'm really amped up about it. I really hope that she agrees with me and everyone else in my life that this is the way to go. I want it so bad that I've been dreaming about it. It's going to be weird. I've been reading a book about autologous stem cell transplant and it certainly isn't going to be easy. I'm still trying to think about the not-so-bad side effects and the end result instead of focusing on the painful, life threatening side effects and complications that could arise. It's great to have so much support around me, too. So far no one has told me that it sounds like a bad idea or questioned why I would be so anxious to risk my life in this process. They all seem to understand that I would rather die trying to reclaim my life than to spend the rest of my life in the uncertain, sick, unfulfilling body.

Lots of hope this week.

BF's mom is in the hospital again, but she's doing much better than she was last week. There were a couple of days there where we didn't know what we were going to do. Her mental status had severely deteriorated; she wasn't able to help take care of herself, she didn't know when or where she was, and she wasn't recognizing people who she sees all of the time. When we went ot visit her yesterday it was like seeing a wholly different person. She's eating again and despite some mild confusion, she's nearly her old self. Of course she's still sick and we have no idea how long this will last. We're trying to figure out what the best option would be for her care. We would love to have her come home with us, as was the original plan, but things have gone downhill so very fast that neither BF or I are sure that we can give her adequate care in our home. We found another option that's pretty great though; there's a great local hospice that is so different from a nursing home and has a great philosophy of care just a few minutes away from where we're living. For now we're not making any decisions. She's going to enter a nursing facillity for a few weeks of physical therapy and at some point during that period we're going to evaluate where she stands and decide where she can get the care that she needs.

I'll check back in soon. For now, it's 4 am and I should probably sleep.

2.18.2009

9,131 Days

I'm twenty-five today.

Birthdays have never been much of a big deal for me. Not since I was a kid anyway. Dinner with family or a few close friends. No parties, no big fuss. I don't like gift-centered days in general. They make me uncomfortable. My brother and I were talking about materialism the other day and how little we both care about stuff. Maybe it comes from growing up at the lower end of the economic spectrum. Maybe it comes from the lack of emphasis on posessions in our parents' homes. I think that most of it comes from how people centric our family is. No one ever pushed us to reject things, but the people in our lives and the experiences that we shared were always so much more important.

I have to say, I think it's a pretty nice way to live. I get far more out of giving gifts than receiving them and when I do receive them I often get more enjoyment out of the sentiment behind the gift than the object itself.

I have been searching for some direction for the last few months. Since I finished my degree I've felt incredibly unproductive. I've also been searching for a career that I can build without being hindered by my illness. After all, even if the bone marrow transplant happens and is successful, I still may never be able to teach. The pulmonary hypertension might not be stopped by the BMT and there will always be a chance for my MCTD to reccur and knock me off my feet again. So with all of this in mind I've been examing my interests, talents, and jobs that I could do from home whether I am sick or not. After doing a lot of self-examination and consulting with my friends and family, I've decided to go back to school to get my A.S. in Digital Design. I've always been artistic. I was never dedicated enough to really develop that talent, but I did some pretty good work in high school and I really enjoyed it. Since high school I've done some work toying around with text and graphic layout and design for more crafty-type things and it's come together pretty well. More than that though, it will give me the ability to create something tangible, which I find extremely fulfilling, and it's something that I can either do for someone else from my home or even use to start a home based business.

So I'm planning to start taking classes at the local community college starting this summer.

But tonight when we got home from a long day of hauling stuff from the old apartment and doing some grocery shopping, my artistic aspirations were the last thing on my mind. BF unloaded the last of the packages from the car and then told me to close my eyes and put my hands out. When I opened them I found one of the most awesome gifts I've ever gotten. It's a professional drawing tablet for graphic design and software to give me everything I need. It's an incredible gift. Supremely expensive and very cool in and of itself, but that's not the part about it that really touched me. It was how much confidence he has in me, to spend so much time researching what would be the best iteration and talking to various people to find out whether it was the best tool to get me started. It was so thoughtful and so uplifting. Without saying a word he managed to show me how much he supports and believes in me.

With all of the awful stuff that has happened this year, it was exactly the gift that I needed. I may be facing the loss of a dear friend and an uphill battle for my own life. I may be broke and drowning in debt, but I am so blessed to have this man in my life and such a wonderful and supportive family surrounding me.. This is also something of an anniversary for us. Three years ago today he kissed me for the first time and we both fell hard. Looking back, my life without him was so empty and gray. Now I have love and hope for a long, happy future.

It's a pretty great birthday

2.17.2009

the gray one hates it.

The gray cat hates our new apartment. She's taken to yowling at anyone who gets close and isn't clearly trying to pet her. She's not an especially pleasant cat under normal circumstances, but she apparently hates change in a rather large way.

Tough. Everything's changing here. Constantly. And if the humans don't have a say in the matter, the cat most certainly doesn't.

We moved on Sunday. Three men, a box truck, and me. I felt utterly useless. I can't carry a chair, let alone a box of books. My doctor is always giving me her " c'mon, you're kidding" look when she tests my muscle strength. But the guys kicked ass and got us about 70% moved in. We have our old apartment for a month still, so we're in pretty good shape. I hate living among boxes and our couches are in that missing 30%, but the gray cat and I will both live.

On another front, BF's mom's prognosis has gone from bad to worse in the last week or so. The doc's revised her previous two year estimate to a quarter of that. We've got a hospital bed coming tomorrow and we're trying to get things set up as best we can to be as comfortable as it can be for her. She's still staying with my dad & family. It's actually been nice to have her there. We've been having big family dinners every night and hanging out a lot. It's sucks though. It just feels generally surreal. She's dealing with it well, but her health is very poor. BF is taking it well, but it's a lot to deal with. Home hospice is a lot to come at you out of the blue. I just hope that we can get a little bit of our life back here. All of this flux isn't good for any of us.

The orange cat, on the other hand, loves our new place. She's made herself thoroughly at home and has even stopped attacking the gray one. It's good to see somebody settled here. Especially that little feline fire ball. She breathes life into all of us. I'm hoping that she can give a much needed dose of levity to all of us.

2.09.2009

Family.

Have I ever mentioned how amazing my family is? I don't know what I'd do without them.

BF's mom was discharged from the hospital. They sent her home to her second story apartment when she is hardly able to stand by herself, let alone get up the stairs. Her building has no elevator, so when BF got her home, they weren't able to get upstairs. It was a few moments of panic as to where she could stay. We also live in a second floor walk-up, so she couldn't stay here and the earliest we can move into the new place is next Sunday. My mom is a nurse, so the first thought that I had was that she might be able to stay there, but my mom's bathroom is on the second floor, so that was immediately out. But then I called my dad and my step-mom. Even with four kids in school and a baby at home they were able to set up their sun room as a spare bedroom and she's staying there until she can get moving again or until we get into the new place, whichever comes first. I'm so grateful to them for being so helpful and having such open hearts. They set things up for her with almost no notice and have been cooking and helping and just being awesome.

We spent the evening over there tonight and it was just such a joy. Little boys running around. Adults chatting away. I couldn't imagine living without them. I love them all so much.

2.08.2009

Drama

I got my first anonymous post today. Highly entertaining as it was so specific that it couldn't possibly be left by anyone but BF's former sister-in-law, who goes by Caustic Cupcake online. So I figured that since she decided to make her communication to me public rather than just emailing me like an adult, I might as well make sure that everyone else gets to read it too.

If it's been three years and all of the resentment has been put behind you, why are you posting this entry?

I seem to recall the little boy's mom saying something similar about time having elapsed when you cried to her in a letter about how traumatic it was for you to have to see the Dreaded Aunt. Maybe you should give credit where credit is due.

Better yet, maybe you should drop all grudges and think of the boy first- and be grateful that you are so lucky to get to have him in you life and to love him, have him love you, and see him change and grow every day.


Now that is one caustic Cupcake.

So in exchange for her sweet comment and as a big thank you for being one of my most frequent readers, this one's just for her:

That was about as anonymous as the bright, shiny, new nails that you left under my tires. And it was just about as purpose driven.

#1. I never ever said I'd put that bullshit behind me. Why would I? You're still just as mean and nasty as you were then and last time I checked, if a dog bites you, the smart move is not turning your back and pretending it's no longer there. You drove an hour both ways to go to my house and put nails under my tires! And the last thing I heard from you on that subject was not let's see if we can put that behind us and be decent to each other because we both love the same little boy and we don't want to hurt him. No, you threatened me (2 years ago. There was still a little red Honda in that driveway until August '06 and you didn't pull that stunt until more than a month after I moved in) and then you gloated about it on your blog.

#2. I did not cry to anyone. I was pissed off and rightfully so. I had a major problem with your sister giving you my home address, email, and phone number without asking me if I was okay with it .

#3. I didn't have any problem with seeing you, I was perfectly willing to let the past stay there and to be just as cordial to you as I was to your boyfriend. You're the one who sent me a terse email, intentionally hiding your own personal email address, then showed up on my doorstep and refused to even say hello. That's not in that little boy's best interest. Your not interested in his best interest, you're interested in being a bitch. Every move you've made has made it perfectly obvious that you wanted to step on my toes as much as you could without being openly nasty. Passive aggression is still aggression.

#3.5 I don't even get this give credit where credit is due line. Who am I supposed to give credit to exactly? You haven't left anything in the past. Your sister was still wrong to give you my info without my say so. In fact, as far as I can tell I'm the only one who acted appropriately in this whole situation. (Besides being pissed about my personal information being handed over to someone who tried to flatten all of my tires, which I feel I was well within my rights to be, whether I went about it in the most tactful way or not.)

#5. Don't give me any of this bullshit about how I should just sit on my hands and be grateful that I get to spend time with him, as if that is some kind of right that you are conferring on me and have the ability to revoke. My seeing this child, loving him, watching and encouraging his growth, and being loved in return has absolutely nothing to do with you or with this situation. The only thing you're accomplishing with this immature crap is proving how bitter and vindictive you still are and showing how little interest you actually have in his best interest. I know, his mother knows, his father knows, everyone but you knows that this child is best served if the adults in his life can try their hardest to get along with one another. So he doesn't have to have two separate birthday parties every year. So he doesn't have to feel like a referee at his (insert sport of his choice) games. So he can have everyone he loves in one place without having any of them make him uncomfortable. The rest of us are doing that pretty damn well. We have all grown up and are living happier, more fulfilling lives than we were three years ago.

Why don't you join us?

I apologize for the sudden change in format here. I don't plan on making it a habit or letting this become that kind of blog. I certainly wish she'd just keep her mouth shut from here on out, which I doubt will happen, but I promise you won't have to read it if she doesn't. I'll get back to how insane things have been here and how great our new apartment is in short order.

2.05.2009

Well that was...

Interesting.

About two minutes ago, the little man left here to go stay with his aunt in NJ for a couple days while his mom is away on business. I was assured by BF's ex that her sister was under strict orders to be on her best behavior as all of our previous encounters have been openly hostile. And I couldn't say that she was a bitch today. It's just that I wouldn't consider refusing to raise her eyes above the little man's eyeline or not saying a word to me to be nice. In fact, it was rather rude. Oh well. Her boyfriend was nice. Said hi, introduced himself, even shook my hand, but he is a logic professor after all, and what logic is there in hating someone for something they did to someone else three years ago?

2.04.2009

So, we're moving.

BF's mom's got stage 4 squamous cell carcinoma. The prognosis is pretty crappy. It's awful. I don't even know how to express how awful. I feel like we were just getting to be close and now this. She seems to be doing well emotionally, but her health has gone down hill fast. She spent a week in the hospital, they let her out, and now, a week later, she's in the ICU. Her kidneys aren't functioning well and it's really doing a number on her. So, we're getting a bigger apartment and we're all going to move in together so that we can be there to help her. I'm actually looking forward to it. It's going to give us a chance to get to know one another much better and I won't have to worry about her being home alone with no one to give her the care that she needs.

So that's one part of my news. The other was supposed to be that BF got a new job and a big raise, but because of this whole situation with his mom and the move, we decided that it's not a good time to take on the stresses and demands of a new job. His current job made a great counter offer to keep him and he's been there for years, so the relationship is there and they're going to be flexible with time off and whatever else he needs over the coming months.

It's been a crazy couple of weeks. BF and I are both pretty stressed out. We're just trying to get everything in order so that we can deal with all of the issues that will surely come up. I feel awful for BF. He's going to have two of us to deal with now. His mom starts her chemo tomorrow and I could very well start with mine next month. We'll see. I think it's easier for both of us to handle because we've been living in the short term for so long now. I can't wait until the day comes when we can make real plans for the future.