Posts tagged ‘cancer’
Write.
I’ve had at least twenty ideas for new blog posts over the past several months. But I’ve not been able to write them. Sometimes it’s difficult to form words around what my heart really wants to say. To go to the levels it takes to process thoughts enough to put them into sentences – much less sentences people can read.
But, I love being a writer. And I’m learning as time goes on, my place in this world is to be a writer. I don’t take the job lightly.
As a writer, I talk about the world as I see it. It helps me contribute and give back. It makes me process. And in that processing, it validates others.
Writing helps me cope with the loss of my friends. There’s been a lot lately. It helps me say farewell and leave a lasting tribute to them. It helps me remember the great things about them. When I can write about losing a friend, somehow the writing seals in the memories. Recently I said goodbye to my friend Belle. She was a writer, too.
Writing also helps me celebrate. I write a lot for work. I penned the celebration of the president recognizing Colorectal Cancer Awareness Month – something we didn’t expect this year. I wrote about my 14th “Survivor-versary.” I like to write about good things too. Life’s too short to stay focused on the negative.
So today, I write. Why today, I’m not really sure. Maybe it’s because my strength is gone after a long week of traveling and I lack the energy to do much more then string words together for a blog. Maybe it’s because a well of emotions sits heavy on my heart as close friends continue to battle disease and hug their loved ones for what they fear will be one last time. And maybe it’s because over the past several weeks as I’ve sought after my purpose and role God would have me play in this big journey – this big problem – called cancer, I keep hearing one constant word: write.
ADOPTION AFTER CANCER: INTERNATIONAL ADOPTION
A little while ago I kicked off a new blog series with a social worker and to-be adoptive mama friend, Nikki.
We kicked off our first post – Adoption After Cancer: What Are My Options?
Today, we introduce our second post and talk specifically about international adoption. If you have ANY questions, leave us a comment or visit Nikki’s blog to get in touch with her directly!
INTERNATIONAL ADOPTION + CANCER
Questions answered by Nikki DeSimone Pauls, MSW – September 2013
1. Can I adopt from ANY country if I’ve had cancer? If not, which countries are closed to me?
Countries open for cancer survivor adoptions depend on the type of cancer, length of time since the patient has been in remission, and again, that all important doctor letter. (See our first blog post.) The only country that was giving a firm “NO” to cancer survivors was Russia, but that’s not even an option for anyone now.
2. Are there any countries that cancer survivors have an “easier” time adopting from? What are some good options?
There are some countries that perhaps would be considered “easier” in terms of cancer survivors adopting. This includes most of the African countries and Haiti that generally have less stringent requirements of adoptive parents in general. However, if interested in adopting a special focus (aka. hard to place) child from China, agencies are having some success in getting “waivers” for their clients for all kinds of things, past history of cancer included. Colombia also has been pretty good in giving approval to families with a cancer history who have a favorable doctor letter. I think Russia would have been the only country that would have been too big of a challenge.
3. Is my wait time extended in international adoption because of my cancer history?
Absolutely not. If you are approved for adoption, regardless of your past history, you are now in the waiting line just like everyone else. Most international adoptions are pretty organized and the countries process applications in the order they are received, so they are just processing one after the next, not skipping over people due to health history or background.
4. What kind of physicals are needed to adopt?
This depends on what country you are adopting from. Some are pretty easy, such as Ethiopia, that is just a quick letter from the doctor that says “I have examined (name) and find her/him to be in good health and free of communicable diseases.” Some other countries, such as China, have more significant forms where doctors fill in blanks about health history, current issues, medications, and require tests for HIV and TB. Any cancer survivor should expect to prepare an additional letter from his/her oncologist about the cancer, treatment, length of time in remission, and likelihood of recurrence.
5. What types of documentation do I need to provide to internationally adopt as a cancer survivor?
You will have to comply with the medical form or letter as required by the country, and then will also need to provide a supplemental medical letter, as summarized in our last post about adoption after cancer.
6. Would you recommend me look into international vs. domestic — or does cancer history impact that at all?
This comes down to where you feel more of a connection. It’s nice that we have a choice in this day and age on where and how we can complete an adoption and a cancer history does not prevent a person from one or the other.
7. Do cancer survivors have an “easier” time adopting one method over another?
I would say that perhaps domestic adoption would be “easier” for folks with a history of cancer because they are being chosen by the birth parents. An individual with a cancer history adopting internationally might have to gather more medical letters or documents to present to the country for approval, or get a medical waiver, whereas, if a birth parent domestically choses the family, she/he may not be concerned about the health history. All this to say, I certainly would not rule out international adoption, it just may result in more hoops to jump through.
8. Do other countries understand cancer like the U.S.? Anything we can do in a home study to help the process go smoother?
I think with medical advancements in other countries, we are all starting to understand cancer better. However, there are some developing nations that still do not understand quite as well as we would like. It is through people adopting from these countries that we can advocate for our cancer survivors and teach these countries the great medical advancements and successes we have in 2013!
9. Does it cost more to adopt internationally if I’ve had cancer?
Absolutely not! When you begin an adoption process, your agency should provide you with a fee agreement and nothing should deviate from that. The only potential additional cost to a cancer survivor would be if you have a doctor who charges you $25 or $50 to write this supplemental letter. Some doctors offices charge extra for letters or paperwork processing. But, regardless, you will not be paying extra money to the agency or country due to your health history.
10. What if my cancer returns when I’m in the middle of an international adoption? What if I’m doing post-placements?
This is a tricker question and has three variables.
1) If the cancer occurs again while you are waiting for the adoption, my advice would be to put your status on hold and focus 100% on your treatment. If you are a cancer survivor and reading this, you understand better than I do how important it is to keep your “head in the game” with your treatment. Focus on getting rest, eating right, keeping your strength up, praying and giving what you can to your work and your families. To put an adoption in the middle of that…I would say that’s the variable that can wait and the responsible thing for everyone involved is for you to put your application on hold.
2) If you are in the post-adoption phase of your journey, God bless you! You are then running around after a toddler, trying to bond with your new child, in between chemo, getting drained and trying to get some rest. Bless your heart. Your mom or best friend is going to be more helpful in this time than your social worker will be! But seriously, other than you dealing with your health and crazy life situation, your adoption should not be affected as it has been finalized and that child now is just like a biological child.
3) If you are in the post-placement phase of your journey (meaning the adoption has not yet been finalized) I can’t venture a guess how the judge or commissioner in your municipality would handle this. This is going to be a question for your legal counsel. I once went to court for an adoption finalization with a family who disclosed, under oath, in court that the reason the mom didn’t travel to adopt the child is because she found out about her breast cancer about eight weeks before she was set to get on a plane to adopt internationally. Her husband went by himself and she blamed her staying home on her hectic work schedule. I believe the perfect “0” my mouth made for a solid 30 seconds showed the judge my complete and legitimate surprise when the mom made this disclosure during the hearing! The judge approved the adoption, but he was not happy. However, he felt that removing the child would do more harm to the child who had been in this couple’s home for six months. Which, is absolutely true and of course, agreed. So that’s just one example, but certainly not exhaustive of all the possibilities. Consulting your attorney is going to be key if this situation presents itself.
11. Are there any groups or agencies that are “cancer survivor friendly” in regards to international adoption?
Again, for most international adoptions, getting a waiver is going to be necessary. When you are researching agencies, ask them their thoughts about how likely it would be that they could get you a waiver. Most ethical and compassionate agencies will process this for you before you have even applied with them or paid a penny. It is a fine request for you to ask this of them before you start paying.
12. Why do some groups have a waiting limit on how far into remission cancer survivors must be before they can apply?
I think that’s to do with our thoughts as social workers and adoption professionals about safety for the family. Adoption and parenting are hard enough in and of themselves. Battling cancer is hard enough in and of itself. Trying to make all that happen together is almost unimaginable. Trying to bond with your new child, while dealing with cancer treatment, or being in-and-out of the hospital during those formative months of attachment certainly add an extra layer that we would all prefer not be there. With sufficient time and a strong letter from the doctor, it shows the family is more set up for success out of the gate.
The bottom line is, you can see there is a lot of gray in this area. But talking with your agency, being honest, and having a cooperative oncologist are going to be key.
Cancer is very common now and everyone is becoming more knowledgeable about it. It is no longer the firm “no” that perhaps it once was in the past.
Stay Tuned…
Have a question we didn’t answer? Leave us a comment! And stay tuned for our next post – adopting domestically after cancer!
Jesus Doesn’t Fix Everything
I was “officially” diagnosed with Lynch Syndrome last week. At first, it didn’t phase me. But as the days went on and I took time to review the paperwork, it began to really sink in.
The implication of living with a known genetic disorder is enlightening yet heavy. It’s good on one hand – aggressive monitoring for me and preventing disease in family members is a plus.
But it’s also hard – loss of a ‘normal’ doctor-free life and a reminder of a journey paved with loss also knocks at my door.
I’ve taken the past week to let it all sink in. Rather than brushing it to the side as if it’s “no big deal” (my pattern in the past), I’ve really tried to be introspective with my feelings.
Especially my faith.
And then today, a sermon came along and stopped me in my tracks when the preacher said:
Jesus Doesn’t Fix Everything – But He Does Help us Through It.
Come to Me All Who Are Weary
I grew up in a Christian community that like it or not – carries unspoken rules on how we handle trials in our lives. It’s part of the gig – which I would never trade. But, there are a few things I would change.
It’s typical for us to respond to trials thinking if we pray hard enough or have enough faith, Jesus will take away our situation and fix everything. As Christians, we put a smile on our face and say we’re trusting God without really letting ourselves grieve.
Rejoicing, encouragement and joy through trial is certainly part of the journey. God meets us in our despair and provides hope – so I’m not saying this doesn’t happen.
All too often though, Christians spit out quick verses like nicotine patches, hoping they’ll take the deep grief away. But ask any smoker – those patches don’t always work. And sometimes, our loss or sorrow is so deep, we need more than a quick devotion or verse to get us through.
Jesus says, “Come who are weary…” not “Come … although you’ve got yourself already pulled together.”
Struggling with Faith in the Midst of Trial
Jesus wasn’t immune to grief or sorrow – in fact he was surrounded by it. So while he might not “fix” everything, he does provide what we need to get through it.
A holy perspective on any trial will change everything.
Today, “Terror in Boston” is scrolling across my television screen. I have friends suffering from marriages falling apart, children getting sick, deep depression taking hold, and checkbooks bouncing.
Lots of tears. Lots of cancer. Lots of pain. Lots of fear.
Trial is something we will all deal with at some point.
If you’re looking for hope or guidance on how to get through trials, I suggest taking an hour and listening to the sermon below. There comes a point when reciting verses and plastering on a cheery smile won’t hold you through some of the darkest days.
And hearing that it’s OK – and how to still have faith in the midst of it – was a game changer for me today. I pray that others will also find this extremely encouraging and helpful.
No, Jesus doesn’t fix everything. But, he loves us and will help get us through.
Trial & Jesus
1 Peter 1:3-9
Mark Driscoll – Mars Hill Church
Listen to the audio here: http://marshill.com/media/trial/trial-and-jesus
Wanting the miracle and preparing for the fight | Faith and Cancer
Long time no post. I know… I’ve been busy.
But today’s revelation is blog worthy.
For some of us, God miraculously removes our cancer. For others of us, we have to fight.
Both roads are equally part of His plan.
Both roads are good.
Jerichos and Ais…

Graphic from The Avenue Church
We talked about Joshua of the Bible today at church.
Most of us know about Jericho – Joshua’s squad marched around the city and the walls fell down.
But just a few chapters later, there’s another city, Ai, which God also told Joshua to seize.
Except this city didn’t fall like Jericho. Joshua had to follow God’s strategic plan for Ai to conquer it.
As my pastor explained, “Sometimes God gives us “Jerichos” in our life – our challenges can be tackled with ease and creativity. Other times, God calls us to “Ai” – our challenges must be faced with strategy and toil.”
And then it hit me.
This can apply to the fight against cancer, too.
Two roads to the fight against cancer
For some of us – our cancer experience is a Jericho.
God miraculously takes away tumors and cancer cells. The cancer goes away. We are healed.
For others of us, the road is not so easy. Roadblocks. Recurrence. Treatment. We put things in place to help us survive… which is not even a guarantee.
Even if we do not get dealt the Jericho, it does not mean that God’s turned his back on us.
We have to remember what “victory” truly means.
Just take it from Joey…
As a youth, I remember Joey Butler’s loud voice echoing through the old chapels at youth camp. I was saddened today to read an article in the KC Star about his advanced disease.
But just like God used him to encourage my young faith as a teen, I was encouraged today by his words now as a fellow cancer survivor:
“This circumstance [cancer] is teaching my family and friends to trust God,” he says. “This is not all there is. You know there’s more to come after this life. … This is not our final destination.”
For Joey, it seems that he didn’t get the road to Jericho when it came to his cancer diagnosis.
His cancer journey is more like the conquest of Ai. Aggressive treatments to fight the cancer have failed. I’m humbled by his response:
“Here’s what belief means: It means I put all my belief, all my weight, on Christ. I’m all in,” he continued. “I’ve had no regrets.”
But Joey knows that the “victory” in cancer for us Christians is not that we defy death.
Instead, it’s that we let God use our cancer journeys to save lives.
Even if those roads to victory look more like Ai than Jericho.
A Third-World View of Survivorship
Over the past several days, I’ve had the opportunity to get together with Taylor. While unknown to most of the world, those who’ve seen the documentary Rainbow Town know who I’m talking about. Taylor is one of the children featured in a film about a Liberian orphanage and is currently traveling around the United States. My friend Amy hosted him over the weekend and today he spoke at our church. As I’ve gotten involved with Rainbow Town, my heart’s grown for this amazing group of people in West Africa. Not only are they beautiful, courageous and strong. I’m convinced they’re some of the most faithful individuals on the planet.
Emotional roller coaster
I’ve experienced many emotions during the few interactions I’ve had with Taylor. I imagine this is common when you either travel to third-world countries or meet people from them. Guilt – I was born a “Westerner” and have “simple” privileges like cars and credit cards. Sadness – no child should have to live through war. Embarrassment – he must think we’re so lazy. (He walks 1 hr 45 min to school ONE WAY!) Excitement – his passion to be a pastor is contagious. Joy – God SAVED him! And most of all – humbled. Now that’s a survivor.
Defining Survivor
I am a survivor of cancer. And Taylor, he is a survivor of war. And while I certainly am not trying to liken our experiences – I do understand life-threatening situations that leave physical wounds, emotional scars and life-changing consequences. We both identify with the word “survive.”
The thing about Taylor though is that he doesn’t find his identity in survivorship. He’ll openly talk about being orphaned at birth and tied naked to a tree as a 4-year-old when rebels overtook his country; however, Taylor always ends with the point that God saved him. God had mercy on him and rescued him. No calls for pity. No room for tears. He shares his story to share about Jesus.
Finding Purpose in our Pain
Taylor’s story isn’t about Taylor – it’s about Christ. And that’s the way it should be. This teen has already found the purpose for his difficult life circumstances. He has no question about why he survived war, and what he’s to do now. And I’m rapidly taking notes.
I live in America where we process our feelings and talk about what happened. In the midst of it, we also get a “free pass” when it comes to our faith. We often aren’t pushed to lay down the pride and selfishness that can come with surviving something so awful. (After all – we do get a lot of attention and free t-shirts.) Instead, we can fall into the trap of self-pity and let ourselves off the hook. We think we’re acting like the Psalmist when we question God and blame him. However, for many of us – we can stay camped out at that place way too long, or never fully let God back into our hearts to do His work.
I’m thankful for the opportunity to have met Taylor. He’s showed me once again that there is purpose in survival that is far beyond ourselves. God works for our good and He loves us. No, life’s not always easy. And things aren’t going to be fair. But that doesn’t take away the fact that we are to fear Him and that He wants to use us. If we will just open up our hearts to Him, the journey through survival will make so much more sense… from any part of the world.
January 31 – Mae Day | Mae’s Adotion Journey
The big day had finally arrived. I hadn’t had a stomach full of butterflies like this since my wedding day. Except a white dress and borrowed veil weren’t part of today’s show. Today was something special all in itself.
For three weeks, time had flown. We’d gone from thinking we might be parents within the year just 30 days before to waking up and preparing ourselves to be in family court, adopting a 4-month-old baby girl in just a few hours. “The Lord works in mysterious ways” didn’t even begin to cover it.
Once the day for court arrived, time couldn’t have gone any slower. Our court date was scheduled for the afternoon so we tried to stay busy with cleaning the house and watching TV. Weather warnings continued to flash; ice and snow were about to hit. We prayed that everyone would make it to court on time and safely. Luckily, the courts stayed open and cancelled only their evening cases.
Adoption Court
After a long morning of lounging, we finally got dressed and headed downtown. Not knowing if we needed to dress formally or casually we decided to look nice to hopefully make a good impression with the judge. We left the house very early, not wanting to get lost or held up in the process. Once we located the right building, we got coffee. Two swirled hearts in our cups by the barista sealed the deal. This was a day of love.
Once inside the court building we filed through the security checks and made our way to the large waiting room that sat outside of several doors leading to small courtrooms holding family court cases. It was nothing like we’d seen on TV. It wasn’t fancy or fun, just stale white walls and old ticking clocks. And lots of chairs and people sitting around.
Over the next hour, everyone managed to arrive on time and things went just as planned. We all had separate meetings with the judge and were pleased when our time went very quickly. We even had the baby in the courtroom with us. She sat perfectly in her car seat, charming the entire room. We were granted temporary custody and were instructed to return in six months to make the adoption final. Anything the judge or our lawyer said after that was history. She was all ours.
Announcing “It’s Final!”
We snapped a few pictures and carefully made our way back to the car, trying not to slip on the slick sidewalks. A slow, careful drive home gave me plenty of time to text our friends and family that “Mae Brooke Burgess” was on her way home. Finally we shared the name we’d chosen for her. Finally she could come home. It was time to celebrate.
Even with the bad weather, all of the grandparents were ready to come see the baby. We had an hour together as a family of three. Mike and I showed her around the house, introduced her to the dogs and spent time in her room. Once everyone arrived, a night full of snuggling and pictures followed. Everyone was full of love for our new addition.
When Mae began to get tired, the grandparents headed home. It was just the three of us once again. We took Mae up to her room and changed her into her PJs, starting her first bedtime routine. Because we wanted her to feel as comfortable as possible, we laid her in her pack-in-play bed from Uncle Nick’s house. Daddy snapped a picture. I leaned down and gave her a kiss. And with that, we said goodnight to our daughter for the first time.
Read Last Year’s “Mae Day” post.
A Year Later….
Thank you to everyone who’s been following Mae’s Adoption Journey over the past month. What a joy it’s been to re-live the story of one of the biggest miracles in our life. I still shake my head that we became parents in three weeks.
This year has been the highlight of our lives. Mae is a beautiful, charming little girl who has a charisma to her that I stand in awe of each day. She’s naturally joyful, smiling all the time, and brings a smile to my face just about every minute of each day.
I didn’t know what the future had for me eleven years ago when I found out I couldn’t have my own children due to my colon cancer. And while the road to get to this place certainly wasn’t easy or “speed-bump” free, I do praise the Lord for the grace He’s given us, and for bringing this angel into our world.
My prayer is that our story shows hope that the Lord’s plans are good (and they often look differently than our own.) He can bring hope to ANY situation. If you trust in Him and follow His leading, He will have amazing plans headed your way. You too will have your own personal “Mae Day.”
The law of the LORD is perfect, reviving the soul. The statutes of the LORD are trustworthy, making wise the simple.
Psalm 19:7