Wednesday, May 20, 2009

Fox News

For Houston people...Maura's story will be on Fox News at 9:00 tonight right after American Idol.

Tuesday, May 19, 2009

In Lieu of Flowers...

In lieu of flowers, please consider donating to one of the following:

Sarcoma Research
MD Anderson Cancer Center- Donations
PO Box 4486
Houston, TX 77210-4486

(Please write "In memory of Maura de Souza " in the memo portion of the check or include a note with that information.)

OR

The Maura Cassiana de Souza Music Scholarship Fund
c/o SHSU University Advancement
Attn: Rhonda Ellisor
Box 2537
Huntsville, TX 77341

(Please make checks payable to SHSU University Advancement with Maura de Souza Scholarship Fund written in the memo portion of the check, or include a note with that information)

We love both these choices. One, the brainchild of Maura's voice teacher at SHSU, honors her and keeps her memory alive even past our own lives. The other, an efficient way of giving straight to clinical research, may someday find more effective treatments and a cure for this rare cancer. Maura loves sunflowers, but I know she would approve of these alternatives.

Funeral Service-Tentative

The memorial service is TENTATIVELY scheduled for Saturday at 10:00 a.m. at Spring Baptist Church.   I will post tomorrow for sure after we've talked to the funeral home. 

Ultimate Graduation

It's finished. Maura is in heaven, certainly singing already. She left this earth surrounded by family and friends, with Handel oratorios playing in the background. God bless those of us who remain. We suffer because we miss her. She is in perfect peace and happiness and joy. Thank you, God.

In My Weakness I Am Strong

A year ago I could not have imagined the grace that I--that we all have received, allowing us to let Maura go. There is much sadness but no fear. Thank you, Jesus. We are ready to give her to you.

Brasil

Abracos e beijos a parentes e amigos do Brasil. Agradecemos as oracoes e lembrancas. Agradecemos a voces por acompanhar nossa jornada.

Monday, May 18, 2009

Concert

An impromptu concert came about during visiting hours last night. The house was filled with friends, teachers, and relatives. Maura had rested most of the day and became very alert--very, very alert--just before they arrived. The began to sing upon her request--opera arias, choral pieces, guitar solos, hymns,whatever she asked for. She asked for some Sonic sweetened iced tea and took a few sips. After about 90 minutes, her energy waned and people began to say their goodbyes to her. It was a beautiful evening.
The over exertion caused a bit of a pain crisis and anxiety, but that was soon addressed. She slept peacefully most of the night. She has had a few brief periods of wakefulness, but mostly, now, she sleeps.

Saturday, May 16, 2009

Home

Got home early this afternoon. The whole living room has been converted into Maura's room, complete with the necessary hospital bed and equipment. She has a perfect spot where she can see all that is going on. Such a relief to be home! Please call Kara first, if you intend to come see Maura. She will have the latest info on visitation. For many reasons, we must severely limit the number and length of visits. Thanks for understanding that her family needs time with her.

For those who don't know what has happened: Maura's kidneys shut down last week after her tumors returned with a vengeance. There are no more effective treatments that she can take. Anything done now would prolong her suffering, and she does not want any extraordinary measures taken. She is at peace; she is not afraid to die; and she is absolutely sure that she will soon be in Heaven. Amazing grace, for sure.

Friday, May 15, 2009

Hospice

Maura will go home tomorrow with wonderful hospice care in place. Family and friends will surround her 24/7, and Bianca can snuggle up to her at the foot of her bed. 

By the way, the Houston Dynamo came to visit Maura yesterday and gave her a signed ball and a T-shirt.  Frankly, she looked stunning, was her usual charming self, and I think they were all quite smitten with her. Pictures later.


Graduation Day, The Movie

Tuesday, May 12, 2009

Graduation Day Part 1

It became quite clear that Maura would not attend graduation this coming Saturday at Sam. The party and moonwalk are also cancelled. 
But Sam Houston State University is amazing, and especially amazing are some of the faculty and administration of the Department of Music. They brought graduation to Maura, complete with cap and gown and honor cord, processional and Pomp and Circumstance, faculty and admin in regalia, a commencement speaker, conferring the degree of Bachelor of Music, her framed diploma, and  a choir song to close.  It was the best graduation ceremony I have ever attended. And it was one of the happiest moments of my life to see the outpouring of love and support from so many. I didn't count, but it looked like about 30 people who crowded into Maura's hospital room and spilled over into the hallway, not to mention the hospital staff who came to witness the event. Maura was very happy and said so many times.
 And then we got into trouble. A few minutes ago a hospital administrator walked into our room and read us the riot act about visitation policies. I need to learn how to curse.
 
Please pray for all of us as we go through some difficult days. God is gracious and kind. We plainly see how much Maura is loved by so many.

Monday, May 11, 2009

Change of Plans...

Please be in prayer for Maura. She has been readmitted to the hospital. We'll update soon.

Sunday, May 10, 2009

Graduation Plans

Maura graduates from SHSU on Saturday. Although she is pretty sick right now, as of today she plans to participate in the ceremony and walk across that stage. She has earned it!
Afterward, there will be a celebration at our house, and, at Maura's request, a moonwalk. So, all of her friends and all of our friends and relatives, please stop by early Saturday afternoon to congratulate Maura! Come dressed in bouncing clothes! Those of you with kids, bring them.

Mother's Day

Thank you, God, for the gift of this day with Maura.

Thursday, May 7, 2009

Power

God's power, prayer power and Dr. Benjamin's power.  Not days later , but only HOURS later, approval from both the trial directors and the insurance company came and Maura started chemo last night while still in the hospital.  She'll be hooked up to the chemo until tonight. Should be discharged tomorrow. Pain seems to be under control for now--she's not pain free, but her pain is at a tolerable level. 

Roller Coaster (Thanks, Jim)

Wednesday, May 6, 2009

Change of Plans

The doctor came in this morning with a slightly different plan. He is first recommending Maura for a Phase 2 trial of a drug that will knock down her platelets, but at least today's platelet level is just barely high enough to qualify for the trial, so he's going for it. Maura is optimistic. The research nurse came in to get consent forms and explain the protocol. The nurse practitioner came in to discuss lifestyle changes, eating, nausea and pain control. She gave Maura a boot camp pep talk. Maura will be discharged tomorrow, and, if all goes well, she might get her first treatment next week. Thanks for the prayers. Keep 'em coming. 

Tuesday, May 5, 2009

Rock and a Hard Place

CT results are in. Not good news. The short version is that the tumors are back with a vengeance.  Maura once again has ascites, fluid in her abdomen, caused by the recurrence of the tumors, which leaves her abdomen uncomfortably distended. She is in pain. There are no more acceptable options for chemo that can be safely given to her without killing her heart or her kidneys or her bone marrow.  Dr. B will seek to put her in a program that is an experimental drug that should not ruin any vital organs but might have some effect on the tumors. 
It's not the best time for visitors or phone calls. Give her a few days.

Waiting

We're still in the ICU because no bed is available on the unit where Maura needs to be. She had a CT-scan last night. Results today. 

Monday, May 4, 2009

ICU

Because of abdominal pain and bloating, Maura went to the E.R. at M.D. Anderson on Sunday afternoon. She was on the verge of being discharged after a diagnosis of a severe infection when her blood pressure plummeted to a level that didn't worry us much (we've seen a lot worse), but did worry the ER doc. So he transferred her to the Intensive Care Unit at about 2 a.m. this morning. what a strange place the ICU is. The large rooms are utilitarian without any of the decorative flourishes that you see in other hospital rooms that desperately try to make you feel less sick through interior design. Five team members received Maura into the room, hooking her up to a heart monitor, an IV, and a pulse/ox monitor, changing her gown in one semi-fluid movement, getting her chart up and running on the computer, placing orders for various and assorted antibiotics, tests, and patient supplies. Sleep is apparently not one of the components of "care" in the Intensive Care Unit. Despite the hour, the nurse would wake her up to ask questions for the chart, and she received visits from the x-ray tech, the respiratory therapist, the phlebotomist, the IV therapist , the lab, again, an ICU doctor, another ICU doctor, the EKG tech, the nursing care assistant, the lab again...No, sleep was not on their agenda. But they took good care of Maura. Thankfully, Maura does not need to stay here tonight. She will be transferred to a regular room as soon as a bed opens up. That means she really isn't in critical condition and that we can sleep better tonight.