I created this blog in order to write about my sister’s struggle with brain cancer, as well as the trials and tribulations faced by her family members as a result of this disease. I’m finally sitting down to do this.
I was moved to write today as I’m feeling angry and hopeless. Angry at this disease and the chaos it creates, not only for the people who are diagnosed with it, but those who are close to them. Angry that funding for research is not readily available, those of us who care about this cause have to go begging for donations. I try to do what I can in order to combat this feeling of hopelessness. I’m raising funds for the Seattle Brain Cancer Walk which happens on May 3rd. I’m also heading to Washington, DC on May 2nd in order to take part in the National Brain Tumor Society’s event “Head to the Hill.” We will be advocating for increased resources for brain tumor research, among other concerns. I will also take part in the largest brain tumor/cancer event in the county on May 3rd, the Race for Hope in Washington, DC.
It feels like it’s not enough. Today I’m feeling like it’s just a drop in the bucket. I’m feeling overwhelmed by the sad legacy that my sister’s disease has created. Let me give you a synopsis of my sister’s situation.
My sister Catherine is a year and one half younger than myself. She is the second of three daughters that my parents had. Our relationship started out with me taking the role of being her protector and almost “spokesperson” for her when we were very young. My parents used to call me her lawyer as I always spoke for her and told them what she wanted or needed. She bossed me around gleefully as I dutifully tended to her every need. Then our youngest sister was born when Catherine was about seven years old. Juliet’s arrival created a change in the family dynamic, Catherine was no longer the baby. From early on, she was very jealous of Juliet, and often rather violent towards her. There was an incident when Juliet was only about three years old where Catherine slammed her fingers in the car door, I believe on purpose. When I was old enough to babysit us when my parents would leave the house, I often had to physically get in between Catherine and Juliet in order to keep my youngest sister from getting pummeled by Catherine. Things got worse in middle and high school when Catherine was diagnosed with scoliosis and had to wear a back brace to school.
Catherine has always been a difficult person to love, and looking back after her brain tumor was discovered, we all wonder if perhaps she may have had this tumor for many years. At the very least, she probably had an underlying personality disorder or mental illness her entire life. She lied often, stole things from my and my youngest sister’s rooms, wrote her name on the things she pilfered from us, and often tried to pit friends and family members against each other. (She was often successful in this endeavor – she managed to create a wedge in the relationship between her first husband and his brother that lasted for years until the brother was told of her proclivity to turn people against one another.)
When I was about 19 and getting ready to move out of the house, I was at a punk rock show in Seattle when a mutual friend of mine and Catherine’s approached me and asked me how Catherine was doing. I said “fine” and she said “oh because she told me she was going to kill herself by taking a bunch of pills.” This was news to me, and this was the early 1980s so there really were no cell phones. I had to find a pay phone and call my mother. It turns out my sister had taken a bunch of Sudafed. My mother took her to the emergency room. Over the course of the next three days she made two more similar half-hearted attempts to kill herself. One was an overdose of Tylenol, the last was an attempt to cut her wrists with a Daisy safety razor. I believe Juliet found the bloody tissues in the garbage can and alerted my mother. This third attempt resulted in her being held in a psych ward for a few days. Somehow she convinced the counselors there that nothing was wrong, and soon she was released.
My sister continued to have a troubled existence at my mother’s house. I should mention that the year I turned 19, our parents got divorced. My father was now mostly out of the picture, living in Hong Kong. Catherine had a combative relationship with my mother, always blaming her for everything while at the same time living under her roof and not working or contributing to the household. A few years into her twenties (I’m not sure of the exact year) one of our Aunts on my father’s side had offered to let her live with them in San Jose, California. I’m pretty sure my father orchestrated this, and it did get Catherine out of the house. She did find a job at a Sears there doing customer service phone work. This is where she also met her first husband.
Eventually my sister Catherine moved to Reno, Nevada. She had a son named Matthew. I started to visit them in the 1990s, after she divorced her first husband. Our relationship was still rather volatile, but I wanted to maintain a relationship with my nephew. One one visit in particular, I had spoken to her prior to arriving, and she had told me that while I was there I could use her car if I drove her to work and picked her up. I agreed, as this seemed like a great idea since I would be taking care of my nephew while she was at work. Once I arrived she said “I don’t know where you got the idea that you were borrowing my car. You can take the bus.” I was flabbergasted. It was the week after Christmas, it was below freezing in Reno. Her child had the sniffles. The thing is, she was so adamant that I could tell she truly believed that she had never offered me the usage of her car. I would’ve rented one had I known she would renege on the offer. After a pretty intense argument, she finally relented and let me use it. But not before she warned me “don’t expect us to change our routine just because you are here.” From then on, any time I visited I got a hotel and a rental car.
I’d only see Catherine occasionally throughout the 2000’s. She remarried and had another son, Taylor. Taylor and Matthew are about 10 years apart. When Matthew was graduating high school in 2010, my mother and I both went to Reno for his graduation. We noticed a marked change in her behavior and appearance.
Another bit of back story – Catherine had a history of dating men with substance abuse problems. One of her first boyfriends was a teenage alcoholic who I remember having to drive to the hospital once when he was having the DTs. She also dated a heroin addict for a time. When we saw her for her son’s graduation, it wasn’t much of a stretch to assume that she was perhaps taking drugs.
My mother stayed with her, and noticed her home was in disarray with not much food in the home. Her hair was so tangled and snarled that my mother had to take her to a hair salon and have someone spend about three hours combing out the snarls. Catherine just swore and yelled the entire time.
Catherine by now was also divorced from her second husband, and living in housing on some sort of public assistance. She had always been a very tidy person, in fact she used to hoard bars of soap much to our amusement. My mom was very surprised to find her home in a messy state. She also seemed very confused about many things, and looked wild-eyed. She also began to blurt out strange things. When we all left, she would call my mother and younger sister on the phone and continue with her odd tales. She spoke of having “dizzy spells” and brushed them off as no big deal. She also took delight in tormenting Juliet with crass and inappropriate conversations, so much that Juliet soon began to refuse to speak to her.
Early in the year of 2011, my husband and I flew out to Reno. Our plan was to meet up with her oldest son Matthew and possibly go visit Catherine and perhaps try to persuade her to go to a clinic or a doctor. Once we landed, our plans were thwarted at is was snowing heavily. There was soon more than a foot of snow on the ground, and my sister’s home was a few miles outside of town – not easily accessible. We did meet up with Matthew, and he thought that Catherine would not be receptive to a visit – it was also unclear as to whether or not she would actually answer the door. He was pretty sure she would refuse the offer of a medical visit.
It turns out that my sister did seek out some help during this time. She visited Nevada Mental Health services, but somehow they took no notice of the tremor she had in one of her hands and wrote her up a prescription for some anti-depressants. She also had a history of never liking to go to the doctor, which complicates things when you suspect something is wrong.
In early March of 2011, I received a phone call around 4:00 a.m. in the morning from my sister Juliet. She said that Catherine had collapsed, and was being airlifted to UCSF from Reno as she had a large mass in her brain. We scrambled to find a flight and hotel to San Francisco that same day. It turns out, she had a seizure (or as she called them, dizzy spells) and had fallen in her home. Her second ex-husband had come by for a visit, and when he knocked on the door, she said she couldn’t get up. He couldn’t find anyone to open the door, so 911 was called. The protocol for when someone has been passed out is to do a CT scan, and that’s how her brain tumor was discovered.
Once she reached the hospital at UCSF, they did a biopsy and found that her tumor was malignant. It was determined to be an ogliodendroglioma, stage four. It was 6cm x 6cm in size, enmeshed in her frontal lobe between the two hemispheres. Had she not collapsed and been given a brain scan at the emergency room, it’s doubtful she would have ever been diagnosed. She was on the verge of being evicted from her home for nonpayment of bills. It also turns out that her place was by now so filthy that neighbors were complaining about the stench emanating from it. She would have ended up homeless, wandering the streets of Reno, and would have most likely died there.
My sister’s surgery and subsequent month-long stay at USCF was the start of her, and the entire family’s, long journey through the aftermath of her diagnosis, treatment, and care. My sister Juliet and I took on the role of finding the best treatment options and long-term care for her. We looked into the possibility of her returning to Reno, that did not look like a viable option. UCSF told us that they would just turn her over to a homeless shelter upon release. Returning her to Washington state looked like the best alternative. Juliet arranged to stay in the Bay Area until Catherine’s release, and I contacted Seattle Cancer Care Alliance who hooked us up with a plan for her future care to take place at UW Hospital.
The plan was that once in the Seattle area, my sister would live at my mother’s house with Juliet and my mother. When my sister finally arrived after her release from UCSF, things did not go well. A couple of days after Catherine’s arrival, Juliet could tell that something was wrong. Catherine was very agitated and combative, more so than should be expected. Juliet called her care team at UCSF and was advised that Catherine should be taken to an ER immediately as she might have blood clots. This is where it became evident that my sister could not live at my mother’s house. Catherine refused to go, and was screaming and yelling and threatening to physically hurt anyone who tried to take her to the hospital. She swore she was never going back there. 911 had to be called, and several sheriff deputies ended up having to physically restrain her in order to get her into the ambulance. It was not a scene that anyone wanted to repeat, and it was heartbreaking for Juliet and our mother. Thus began an extended stay at the University of Washington hospital – she indeed did have several blood clots in her legs.
I should point out that right before and after surgery Catherine’s behavior was alarming and erratic. She swore constantly, using a tone that I can only describe as straight out of the movie The Exorcist. She threatened to kill me a couple of times, and said terrible things to her care givers. This behavior continued during her stay at the UW Hospital, but began to lessen somewhat. Juliet began the search for a place for Catherine to live during this time, and this was not easy. We had to find a home that not only took Medicaid/Medicare, but also specialized in dementia care. Catherine’s tumor was only 2/3 removed, the other third remains in her brain as it was enmeshed with her brain tissue. She has suffered permanent brain damage as a result. She has short-term memory problems, and will never be able to live independently again. She cannot care for her youngest child, and at times even has problems remembering his earlier years. This makes sense as she most likely was already experiencing the effects of this tumor shortly after his birth.
These days Catherine lives in a nursing home facility north of Seattle. Her prognosis has been up and down. Originally she was not expected to live through the year of 2011. Mentally, she had given up in the months after her diagnosis. She did agree to participate in the 2011 Seattle Brain Cancer Walk. After that event, she decided to try radiation therapy. She underwent that for several weeks, losing patches of hair and sometimes having to be reminded what she was going through. For the past few years she hadn’t experienced any new tumor growth. This year, it appears that her MRIs are showing possible tumor growth. She has also become noticeably more depressed and lethargic over the last six months.
I plan to post more about this as there is so much to say. This is just a small slice, and a synopsis, of what she and we (her family) have been going through since March of 2011. I thank you for taking the time to read this.