You will have significant experiences.
I hope that you will write them down and keep a record of
them, that you will read them from time to time and refresh
your memory of these meaningful and significant things.
Some may be funny. Some may be significant only to you.
Some of them may be sacred and quietly beautiful. Some
may build upon another until they represent a lifetime of
special experiences.
- Gordon B Hinckley

Tuesday, March 31, 2015

Turning Point...

Dear Family and Friends,

Zac turned the corner today!  His pain is under control on oral pills, he’s getting out of bed almost independently, and he accomplished the tasks needed to meet discharge criteria.  Woohoo!!!  He walked the halls of the entire unit four times.  He did so well that physical therapy released him to get up on his own after his first session.  That means no rehab facility.  Woohoo again!!!  We spoke with our case manager and started making plans for equipment and home health visits once we leave.  As long as his bowels continue to wake up, I’m thrilled to say it looks like we will be home by Friday!  I’m so excited!!!  I’m equally proud of Zac who really worked hard to do what needed to be done.  

We still don’t have the pathology results, but continue to pray the tumor is benign.  Tomorrow should bring the new MRI results, which will tell us exactly how much tumor remains and how we will plan to treat it.  We pray that so little is left that radiation won’t be necessary.  We also pray that Zac’s bowel will resume its normal function tomorrow so that he is finally more comfortable.  I’m just so happy that we are so close to coming home, I’m counting the minutes until I can hold my boys and cover them in kisses.  

Believe in Miracles,


The Bollinger Family

Monday, March 30, 2015

Brutal...

Dear Family and Friends,

To quote Zac, today was “brutal.”  He spent most of the morning in an incredible amount of pain.  Through that pain he did stand up twice and even sat up in a chair for almost an hour.  But it was hard on him.  He was moaning, crying, and shaking as he moved.  When he coughed, he screamed out.  As the day wore on, it became evident that his bowels have yet to wake up from surgery.  That has left him feeling distended, bloated, and very uncomfortable.  This evening I convinced him to walk about 10 feet, as walking is the best thing for sleepy bowels.  He did great, with less shaking and less moaning, but he’s still very uncomfortable.  Overall he’s making progress.  I’m proud of him for working through the pain.  

He was referred to the pain management team today to see if they could get him more comfortable.  They tweaked some of his meds and I’m hoping that tomorrow will be better.  I also hope tomorrow will bring less bowel discomfort.  He has orders for his follow up MRI as well.  He declined having that done today due to his pain so hopefully we can do it tomorrow.  He should also start physical therapy.  I pray that tomorrow brings more comfort in all areas of his body.  I pray that tonight brings him good rest.

Today several friends came over to watch our kids, with their own kids in tow, and another friend stopped by to clean our bathrooms and vacuum our floors.  My dad said it was such wonderful sight to see all these women and kids running all over our house, making sure our needs at home were being met.  He texted me that we have such amazing friends.  I know we do.  I’m so thankful for all of you, for everything you are doing to lift us up.  We couldn’t fight this fight without you!

Believe in Miracles,


The Bollinger Family

Sunday, March 29, 2015

Post-op Day #2

Dear Family and Friends,

Post-op day #2 brought more pain for Zac.  The nurse increased his medication dose and he’s feeling a little better.  The nausea still comes in waves and now he’s battling wicked heartburn because he’s had to lie completely flat for two days.  He transferred out of ICU after noon.  He now has his own room, which is much quieter.  He got a few good naps in today.  His vital signs have been perfect and his blood pressure is the lowest it’s been in a year..a testament to how much pain he was in before the surgery.  Overall I think he is doing very well.  Tomorrow morning he will sit up for the first time and hopefully stand.  From there, we will literally take it one step at a time.  

Zac’s mom and brother left today.  His dad left yesterday.  My mom and I remain at Tiverton House and spend most of the day at Zac’s bedside.  We are discussing a trip home to see the kids, but all that depends on whether this looks like it’s going to be a longer hospitalization.  I feel like we will have a better idea after he tries to get out of bed tomorrow.  

He was a little tearful today thinking about all the prayers and support we’ve been receiving these past two weeks.  He reiterated that he just doesn’t feel worth it but I assured him that he is.  Thank you all so much for continuing to check in with us.  We miss home but know this is the best place for us to be.  

Believe in Miracles,


The Bollinger Family 

Saturday, March 28, 2015

Pain Control...

Dear Family and Friends,

We’ve made it through the first day after surgery.  Zac has been in a lot of pain.  He has been very reluctant to move, as pretty much everywhere in his body hurts.  He is feeling overwhelming soreness.  After a very rough morning, he was able to treat his pain using a self-dosing machine.  After a few hours of being reluctant to give himself medication, he understood that he was better off using more of the medicine than less.  He’s been far more comfortable this afternoon.  He has been nauseous with any movement.  The nurses have been turning him from side to side to keep his skin from getting pressure points.  I’ve been gently encouraging him to do his pulmonary hygiene.  His incision is much larger than I expected, approximately 8-10 cm!  It’s also higher on his back than I expected, from about his mid back downward.  Fortunately, he has been cleared to move out of ICU tomorrow.

I spoke with the surgeon at 5:30am, just after I got back from the hospital.  He was unable to remove the entire tumor, as several nerves were too involved with the tumor tissue.  Therefore, he is 90% confident that Zac will require radiation.  On the good side, preliminary pathology results found no cancerous cells.  The surgeon feels that we are almost definitely dealing with a benign ependymoma.  Thank God!  In other good news, Zac has already regained sensation to his left foot which has been numb for several months.  I hope his symptoms continue to improve as his back heals.

Last night, not 30 minutes went by without my receiving a text, email or message of encouragement.  It was as if I could feel all of you waiting with me.  Your words helped those 12 hours pass just a little bit quicker.  Thank you for taking the time to care about Zac and our family.  You continue to humble us!  

Even with the news that Zac will likely require radiation, I continue to pray that he will defy the odds and that the tumor will not require that treatment.  I pray that each day Zac becomes more comfortable and more mobile.  I pray for our children who are desperately missing their parents.  I pray for our families who are feeling the emotional strain.  I pray that soon we will be home and recovering from this time in our lives.  I thank God for this amazing support system that He has built for us.  

Believe in Miracles,


The Bollinger Family

Complete...

Dear Family and Friends,

Zac is out of surgery and in the Neuro ICU. Initial reports state that the surgeon feels he resected most of the tumor. They will do a scan in a few days to see if there are any small stragglers. They removed four lamina, the back of the spine, on four vertebrae and did not replace them.  The surgeons tells us he will be in a good amount of pain. He's moving all extremities. The pathology was inconclusive (because of the pathologist, from what I can gather) so we have to wait for the pathology results to find out exactly what the tumor was. He has been extubated and is breathing on his own.

All in all it was a 12 hour surgery.  I'm hopeful that the scan result later in the week will show no remaining tumor. We are so thankful to God for answering our prayers and caring for Zac. Thank you all for praying for him. And thank you for showing your endless support with calls, texts and messages. They lifted my heart more than you can imagine. We love you all!

Believe in Miracles,

The Bollinger Family

Update #3

Dear Family and Friends,

Hour 10 with at least two to go. All we know is he's "fine."  We are hoping this prolonged surgery means the surgeon is making a huge effort to get the entire tumor out. We've sent all the "parents" back to Tiverton House and Zac's brother and I are sitting in the lobby watching people come and go. We continue to turn our eyes to Heaven praying for a miracle.

Believe in Miracles,

The Bollinger Family.

Friday, March 27, 2015

Update # 2

Dear Family and Friends,

Seven hours down, two to go. The OR just called to say one more hour of active surgery before they will start closing (meaning stitching him up). We are officially the last people left in the surgical waiting room, which closes in an hour, when we will be booted to the front lobby.  Such a long, rough day. But we are still praying for complete removal with no complications!  Love you all!!!

Believe in Miracles,

The Bollinger Family

Update #1

Dear Family and Friends,

Zac has been in the OR for 4.5 hours.  The first two hours of that time were spent prepping him for the actual surgery itself.  He had an arterial line placed to monitor his blood pressure, was intubated to help him breathe, was turned over on his stomach and was prepped for the procedure.  We just got our second update saying that everything is “fine” but that they still have “a way to go.”  We are holding down the fort in the surgical waiting room, just us and another family.  We are hoping he is done before midnight.  We continue to pray for complete healing and a successful surgery!

Believe in Miracles,


The Bollinger Family  

He's In...

Dear Family and Friends,

Zac just went into the OR.  He got bumped so we waited the better half of the day for his surgery to start.  But he’s in now and that’s what matters.

The last thing the neurosurgeon said before he went in was that there is a less that 50% chance that he will be able to remove the entire tumor.  He told us that we should prepare that Zac will require radiation.  I’m asking for specific prayers that the surgeon is able to remove the entire tumor.  God has answered our prayers before and I have complete faith that He will do it again!  We are hoping for a miracle as we show the surgeons that prayer has the power to heal.  

Believe in Miracles,


The Bollinger Family

Thursday, March 26, 2015

Friday It Is...

Dear Family and Friends,

Zac’s surgery is a go for tomorrow at 7:30am.  He is on the OR schedule so it’s a for sure thing.  Please keep praying for a miraculous outcome.  We are “excited” to get this tumor out and start the healing process.  

Tomorrow will be a long day and I will update once I know the outcome.  Thank you all for your unending love!

Believe in Miracles,


The Bollinger Family

Wednesday, March 25, 2015

Praying for Friday...

Dear Family and Friends,

We have a date and time…kinda.  Zac has been scheduled for surgery on Friday as an add on case.  This means that they can take him to the OR anytime after 7:30am.  However, he doesn’t have a specific OR time dedicated for him.  In order to do his surgery there needs to be a cancellation or other surgeries need to be completed ahead of schedule.  While none of that sounds very promising, the doctors assure us that there is almost always a cancellation.  If they are not able to perform the surgery on Friday, then it will be pushed back to Monday, as this type of case isn’t something they want to perform on a weekend.  Harumpf!  

The chief of neurosurgery has selected two spinal specialists at assist in the case.  By all accounts, each are very experienced without being too experienced (if you catch my meaning).  All of Zac’s pre-op labs and tests are normal.  The surgery will last a minimum of eight hours.  Upon completion, he will be transferred to the Neuro ICU, where he will stay for 1-2 days.  From there the length of his stay depends upon how quickly he recovers.  

Zac is in ok spirits.  Today he seems calmer than yesterday.  He’s asking for legos to build and we got “patio privileges” ordered so he could walk outside with me.  He’s taking the same medications he was on at home, nothing more, so his pain level is stable.  His mom and my mom are here with us.  His older brother came this afternoon and his dad just arrived as well.  We had been staying in a hotel until today.  We’ve now moved over to the Tiverton House, where we will probably stay for the rest of the hospitalization.  Depending on how prolonged that is, we might bring the kids down.  

I must say that I am overwhelmed by the love and support we’ve received.  We have AMAZING friends and family.  For all of you who have picked up our kids, cooked a meal, sent a text, donated money, offered a place to stay, offered a hand to hold, said a prayer…I’m just overcome with the feeling of love from all of you.  I feel guilty because you’ve all already done this for us once…and I feel like we need to stand on our own two feet…but that just sounds impossible right now.  I can only be apart from my kids because I know what loving hands they are in.  I was telling Zac’s aunt today about the arrangements that we’ve made to care for things at home and she commented on how blessed we are to have so many helping hands around us.  She is right…we are so, so lucky in knowing all of you.  Thank you!  You continue to humble our hearts.  

We are praying that the surgery actually takes place on Friday.  We continue to pray for a miraculous outcome.  We also pray for the boys, who both are throwing up with the flu, and my dad who is caring for them.  

Believe in Miracles,


The Bollinger Family

Tuesday, March 24, 2015

Surgery Pending...



Dear Family and Friends,

We have arrived at UCLA, one of the cleanest and prettiest hospitals I’ve ever seen.  Everything is new, well thought out, organized and did I mention clean?.  The neurosurgery department is equally efficient and detail oriented.  Everyone is friendly and helpful.  The grounds are beautiful.  The buildings are modern.  The neighborhood is full of medical students running around in their scrubs and apparently is very safe.  

The chief of the neurosurgery department has taken an interest in Zac’s case and will be heading Zac’s surgical team.  He is bringing in his “spine specialist” to assist in the case as well.  As of yet, we do not know who that surgeon is.  The neurosurgeon came very highly recommended by so many people here and at home.  From the desk receptionist to his physician’s assistant, everyone has been beyond complimentary of his skills.  He is a calm, matter-of-fact sort of man.  He agrees that Zac’s tumor is likely an ependymoma.  It’s not the largest he’s ever seen, but he does feel it needs to be taken out immediately.  He has reiterated what the previous neurosurgeons have said, that he hopes to remove the entire tumor.  However, its location might make that very difficult so radiation is still a definite possibility.  He also reiterated that most ependymomas are benign, so we are hopeful that is the case.  The surgery will be long, followed by 5-10 days of hospitalization here before Zac may be transferred to an acute rehab facility to heal the rest of the way.  It all depends on how much of the spine the surgeons have to access to take the tumor out.  

We are staying in a hotel tonight then are moving to Tiverton House (like a Ronald McDonald house for grown ups) starting tomorrow.  It’s cheaper and very close to the hospital.  Parking here is $12 per entry (that’s $5 more than CHLA!).    But the neighborhood is walkable and nice.  

Zac is holding up.  He is noticeably nervous.  He keeps saying that he feels like he’s in a dream state and he’s waiting to wake up.  He is tired; exhausted physically and emotionally as the pain of the last year has taken its toll.  We are excited to know that pain will be coming to an end soon.  All his pre-op work has been done today so we are ready to go as soon as the surgeons are.  We are hoping for tomorrow but there was mention of the goal being before the weekend.  I can’t imagine having to wait that long, but we have no control.  At least he’s admitted now and has access to medications to make him more comfortable and help him sleep.  I will send out an update as soon I know something concrete.  

Zac has been truly touched by all your attentiveness and prayers.  He’s a man of few words, but he did tell me that he doesn’t feel he deserves so much kindness.  As his wife, I feel that he deserves so much more than I can give him.  Please keep your prayers coming.  Please ask that the spinal surgeon would be the perfect one for Zac’s condition.  Please ask that the entire tumor would be removed and that it would be benign.  Please ask for radiation to be unnecessary.  Please ask for no additional injury to his nerves.  Please ask that Zac would understand how worthy he is of prayer and support and complete healing.  We love you all so much.  

Believe in Miracles,


The Bollinger Family

UCLA or Bust...

Dear Family and Friends,

For the second time in our lives we have rushed to LA with overpacked suitcases in the dead of night.  The similarities between this experience and Everett’s hospitalization are eerie.  We have arrived at UCLA with an appointment scheduled at 8 am tomorrow.  After that appointment we should be given a surgery time for (hopefully) the following day.

Today we spent hours in the offices of two neurosurgeons who both agreed that this tumor is too extensive to tackle at home.  They also both agreed that the removal of the tumor can’t wait much longer.  We were given the recommendations of UCLA, Stanford and UCSF, all with equal standings and ability to remove this tumor.  UCLA returned our call first.

Zac’s pain has been steadily increasing over the past few days.  He’s been having more debilitating back spasms.  We are relieved to be here. 

The outpouring of love and support from all of you has humbled us.  From the meals, to the childcare, from the prayers, to the texts just to check in, from the gifts, to the donations…we are so blessed to be surrounded by such generous people!  Thank you, thank you, thank you!  You have once again touched our lives in a way that has made such a difference.  We appreciate you!  

Please keep us in your prayers tomorrow that we will be given the perfect surgeon to successfully remove the entire tumor.  I will update again when we have a surgery plan.

Believe in Miracles,

The Bollinger Family



P.S.  I apologize for my little temper tantrum in my last email.  I think I just needed to vent.  

Friday, March 20, 2015

What We [Think] We Know...

Dear Family and Friends,

Today has been a not-so-great day.  Zac had another MRI, with contrast this time, of his brain, thoracic and lumbar spine.  I failed to mention, to anyone I guess, that he needed to be checked for tumors in his brain.  Thankfully, his brain is clear.  Praise God!  His thoracic spine is also clear!  The tumor on his lumbar spine, however, is larger than previously thought and will take an extensive surgery to remove.  The surgeon prepped us that it will be very difficult to remove all the tumor, so radiation is likely in Zac’s future.  

The surgery will require several teams of surgeons to work eight hours or more to remove all of the tumor.  All the neurosurgeons here have offered to help on the case, which is pretty awesome.  As best we could tell, they would work on it in shifts.  However, these types of tumors are rare and the neurosurgeons here haven’t seen many.  While they feel confident that they could do the surgery, they might not be the best choice.  Therefore, we are seeking treatment at a university hospital.  The neurosurgeon here is working on the transfer of care this weekend and we hopefully will have a plan by Monday, if not before.  Again, time is of the essence.  If we were having the surgery here, the plan was for Tuesday.  So we know wherever we go, it will be this coming week.  We have no idea the duration of his hospital stay or the length and intensity of his recovery.  There are risks which I dare not even mutter quietly to myself.  

The flood of emotions that have come with this is overwhelming.  All these emotions from Everett that we’d boxed up and put away in the back of our minds are suddenly drowning us.  I feel like we just need to breathe but can’t find enough air.  I hate this!  I hate that this is happening to our family!  I hate that we are going to be separated from our children and that they feel the tension in our home.  I hate watching my husband suffer and try to be strong!  I am so, so angry.  And so, so, so scared.  I am strong.  He is strong.  We are strong.  But I DON’T WANT TO BE STRONG ANYMORE!  I want to ball up in a corner and cry and pretend that this isn’t happening.  I want to yell and scream and curse and punch something until it hurts as badly as we do.  I don’t want to do that part of our lives over again.  We were just getting back to the good stuff.  We have worked so hard to overcome, physically, emotionally, financially.  I don’t know where we will find the energy to do it again and yet I know we have to.  We have no choice.  

So, we trudge on.  We place our faith in God.  We pray and pray and pray some more.  We try to laugh.  We cry.  We hug.  And we shake that uncontrollable shake that comes from being so completely overcome that your body can’t process fast enough.  And we love.  We love each other so much and so hard that it is enough to make things better in just this one moment.  Because the next moment is too scary.  That’s the honest truth.

Please pray that the transfer happens quickly and that Zac doesn’t get worse while we wait.  Please pray that the doctors are able to remove the entire tumor so that radiation will not be necessary.  Please pray that it isn’t cancer.  Please pray for pain control.  Please pray that there is no additional damage from the surgery itself.  Please pray for strength for all of us.  Pray for faith and trust and peace.  Just please pray…

Love,


The Bollinger Family  

Thursday, March 19, 2015

When the Hits Keep on Comin'...

Dear Family and Friends,

Today Zac was diagnosed with a tumor on his spine.  Yes, you read that correctly.  A tumor…on his spine.  He’s been battling back pain for about a year, with a huge increase in pain in early January.  We attributed it to an injury at work and have been actively pursuing treatment via that avenue.  If you’ve ever dealt with worker’s comp yourself, you might know it is a SLOW process.  So slow that just getting physical therapy took three weeks.  Zac has been dedicated to the physical therapy exercises, doing them faithfully with no improvement.  For 10 weeks we’ve been begging the work comp company for a MRI of his spine.  They denied the referral three times.  Then, last week, Zac’s symptoms suddenly increased, taking him out of work.  He began experiencing numbness in his lower extremities along with other symptoms that I won’t go into here.  But suffice it to say, they were scary to see in someone so young.  On Monday, we finally got approved for a MRI.  And on Tuesday we got the call that he has a 10cm mass on his spine.  Yes, 10 cm…that’s huge.  

We saw two neurosurgeons today who feel that it is a ependymoma.  I have not done a lot of research on it other than how to spell the diagnosis.  But from what we are being told, it’s a tumor in the spinal canal, next to the spinal cord, but not in the spinal cord.  Zac’s is so big that it’s compressing his spine over the length of four vertebrae.  They are *typically* benign and can occur in the brain in children and are often found in the spine in adults aged 30-40.  The location of Zac’s is at T12-L4, which is fairly low on the spine.  This is good news for location.  At the end of the spine is a bundle of nerves where the spinal cord divides into lots and lots of small nerves.  This area is called the cauda equina (horses tail).  This location is good because rather than compressing the main spinal cord, the tumor is compressing lots of little nerves.  It makes the prognosis for functionality after the tumor removal much higher, but makes the actual remove of the tumor more complicated as it has to be removed from lots of little nerves rather than one big one.  

We have very little time for action.  He needs surgery ASAP to prevent further damage.  He already has weakness to his left leg which will likely be permanent.  Once the tumor is removed and biopsied, then we will know if we are dealing with a malignant or benign mass.  Removal of the tumor will be tricky as I said before.  It will have to be scraped off the nerves and if the doctor is unable to get all the tumor out, then Zac will have to undergo radiation to kill the remaining cells to prevent reoccurrence.  This radiation could be required even if the tumor is deemed benign.  We are tentatively scheduled for surgery a week from today.  But we are also seeking a second opinion just to cover our bases.  

So how are we???  Terrified!  But keeping things in perspective, this isn’t the worse thing we’ve ever been through.  We know how to navigate major medical issues and we know how strong we are individuals, a couple, and as a family.  I would be lying if I said I didn’t have one moment of “Why us?”  I’ve mistakenly been going through life thinking that we paid our quota on this type of stuff.  But clearly, that not how life works.  We have lessons yet to learn.  Life can always be worse and we will chose to be thankful for the blessings before us.  We are making a conscious effort to stay in the moment, not looking too far to the future or what scary things it could hold.  While it seems that we are often ending up on the hard end of luck, as Zac said after we got the diagnosis, if we used every bit of our good luck on finding each other and on the health and lives of our beautiful boys, then it has all been worth it.  

If you could once again hold our family up in prayer, we would really appreciate it.  We have already experienced a miracle and are hoping for another one.  I will keep the updates coming.  We are so lucky to have such friends.

Love, 


The Bollinger Family