2nd Annual "Art for Jack"

The 2nd Annual “Art for Jack, Celebrating Children’s Art” family art event for Jack’s Angels Foundation is scheduled for Tuesday, May 20th, 3:30pm at the High Desert School in Acton, CA.  The event includes art workshops for children beginning at 4pm, musical guests, a magic show, “Jack’s Young Artists” –performances from local young artists, art exhibits, auction, raffle, and a special presentation from Center Stage Opera–whew.  That’s quite a bit!  Admission is a suggested donation of $5, and event proceeds benefit the “for Jack” DIPG research fund at Children’s Hospital Los Angeles.  Art for Jack 2015 is slated for Sunday, May 3.

May is brain tumor awareness month!  Brain tumors are the leading cause of cancer-related death in children, yet remain one of the least-funded areas of cancer research.  DIPG, a pediatric brainstem tumor with virtually no survivors, is responsible for 80% of pediatric brain tumor deaths each year.  We believe that finding solutions to DIPG in scientific research will invariably represent advances in our understanding of cancer and medicine.  Roughly 300 families are afflicted with it yearly in the U.S. and face the certain death of a child.  Raising awareness for this unacceptable reality will hopefully aid in bringing about change in the allocation of research funds at the federal level, where only 4% of the National Cancer Institutes allotment for cancer research goes to pediatric cancer.  Working in concert with others, this is one of our goals.  Equally important is that families feel they have a living contribution to make to the research, aside from autopsy–which is extremely valuable, but very sad and lonely on its own for the family.

Our hope is to find a home for the “Art for Jack” traveling gallery  that features children’s art, as well as a coffee house/collectibles store to serve as a home for our foundation and it’s activities, and as a forum for other charities with activities that we share and/or support.  The proceeds will benefit DIPG research and fund awareness raising events, which in-turn also fund research.

www.curesearch.org, American Children's Cancer Organization, The Lyla Nsoulis Foundation for DIPG Research, "Focus on Children's Cancer" Conference, 2014, National Institutes of Health

Jack's Angels, a Santa Clarita Valley Story

Our family moved to the North East Santa Clarita Valley in December of 2008, just shy of 2 months past the Marek fire October 12 of that same year, when we unfortunately lost our home and 2 lifetimes of acquisitions combined. We felt very fortunate to find such a beautiful place to live, though 25 miles from our former home, in a completely different neighborhood and demographic. Sophie-Marie was just 2 ½, and Jack all of 6 weeks old when the fire tore through Lake View Terrace, and the Marek wilderness, taking our home in Kagel Canyon, and blowing over into the adjacent canyon claiming several mobile homes. It was one month before, and so was eclipsed by, the Sylmar fire of Nov. 14, 2008.

My husband Barry worked in the construction business as a general contractor and painting contractor, and lost tool sets for several different trades in that fire. We’d been unable to buy insurance for our belongings due to the location where we were renting. We’d just completed a new playroom for the kids, and an art studio for all of us… all vaporized. Needless to say, we had difficulty making ends meet over the next 2 years, on and off County assistance, and Section 8 assistance, and I still thank God for that assistance. We also had to let some friendships go that we thought would be forever, and finding a new niche in Agua Dulce has taken quite some time. I was a confirmed stay-at-home mom, but tried very hard over the course of these times to start home businesses and a new MOMS Club, neither of which were successful endeavors, but we tried very hard.

Sophie went to Bright Horizons preschool in Acton, and I’d cart Jack along with us, who wanted so much to go to school but he wasn’t old enough yet. There’s something I must say about Jack; during the time after the fire when we didn’t know where we were going to live, he would greet me each morning with the most amazingly huge smile! There was something about that little guy that kept me going. I loved my Sophie so very much, and she was struggling with night terrors and all sorts of difficulties you can imagine a toddler would have at losing the only home she ever knew. But Jack the infant was that constant reminder that everything was ok, and the only thing that mattered was that we were together and that we loved one another.

Jack was a robust little baby boy, and then as he grew past a year, past 18 months, he seemed much more “slight” and careful than other boys his age. I honestly didn’t get a lot of opportunities to compare, but something seemed a little off to me. We switched doctor’s offices and at 2 years his blood was found to be low in iron. We got it back up, after being very creative with eggs for a while ( I knew he wouldn’t take the medicine), but still he was slight and he was still not wanting to eat much other than nursing. I was concerned. After another 6 months, I was worried that my very articulate little man’s speech seemed to be less agile than other boys his age, after observing another mom and her little boy at my daughter’s gymnastics class. I had a very sinking feeling in my stomach. He began having fevers with no other symptoms except headache, and they’d go as quickly as they came, so the office would say not to bring him in unless he had a fever for more than 48 hours. He started limping and getting scared at looking up at the ceiling from the shopping cart, and finally his speech was slurring…I demanded an appointment Monday Oct. 24 2011 and the doctor had me take him directly to Children’s Hospital Los Angeles, which of course I did. I was glad to have the neurological notes from my doctor to give to the emergency room staff. He was put immediately on the neurological testing track, but it was 5 days before we could have the MRI. All the tests in those 4 days prior showed nothing definitive.

About half-way through his MRI on Friday, October 28, 2011, I got a call from his doctor that had been attending his case throughout our stay; he wanted me to come back up to the room. I had gone down to the meditation garden in front of the hospital. I ran up to the room. Both he and his colleague that had been taking care of us said, ”There is a mass in his brainstem, and we wanted to be the first to let you know because all of your doctors are going to change; you’ll be with a whole new team. We didn’t want you thrown into a new situation without hearing word from us…We can’t say what it is yet, but we do know there is a mass.” For both, their eyes were welling, and I knew that they knew exactly what they were talking about. I appreciated very much their preparing me, preparing me for the very worst.

When Jack’s beeper went off I ran as fast as I could through the corridors carefully avoiding the others walking quite casually, to radiology where he was waking up; the nurse, seeing my panicked look said, “oh he’s just fine, just fine…” which, to all appearances was true, but knowing of the mass made it impossible to drop my internal panic. The next thing I knew I was in a small room with about 12 doctors and nurses for the diagnosis announcement. DIFFUSE INTRINSIC PONTINE GLIOMA, “Yes it’s cancer”, though somehow that comment didn’t register very well. We were told that radiation therapy could prolong his life, but eventually the tumor would rebuild and at that point of “progression”, there would be nothing more they could do. No chemotherapies to date had changed the terminal outcome, but some showed promise of prolonging life in conjunction with the radiation, but not without side-effects. None of the chemos suggested appealed to me. We decided right away to move forward with radiation, which would require that Jack be sedated daily for treatment, so plans were made to surgically insert a portocatheter, or “port” as we came to know it. I let the doctors know that I didn’t feel right moving forward with chemotherapy at that time, but we were not closing the door. I didn’t find anything suggested as a possibility at that time, written down by the nurse on my picture of Jack’s brain with “Diffuse Intrinsic Pontine Glioma” written on it also, worth the horrible side effects in possible benefit. We were putting quality of life as our priority, and radiation could possibly buy us some time. The doctor team assured us that our decision was the best possible one for our son.

That night I searched wildly on the internet for DIPG. What I found did not reassure me. What I found was that there were no survivors, and I continued to search for the next year, not wanting to believe that was true(though NOWHERE did it say that) and came up, each time, with the same answer. The doctors told us that there were no known common denominators for DIPG. Immediately, I began mercilessly scouring the past in my mind, actions I’ve taken, hair dyes I’ve used, past dysfunctions I had had, looking for the cause. There were no questionnaires, no forms, no opportunities to give blood or DNA to be studied. There was no active research of this kind taking place at the hospital! 2-300 children a year diagnosed in this country, median survival time 9 months post diagnosis—hence they all die, and I’d never heard of it. Of pediatric brain tumor mortalities, DIPG takes roughly 80%. And I’d never heard of it! I began to think that, you don’t hear about the cancers with which the medical profession has no success. This is unacceptable considering the children and families suffering year after year! I thought, maybe it was because I was 41 when I had Jack. “No,” the doctors told me, “age doesn’t seem to be a common denominator here, nor does diet, ethnicity, or socio-economic status.” So, clearly some research had been done, but entirely not enough.

On that day of diagnosis, I called my husband frantically with the news of a mass and that he needed to come down to LA with Sophie for the diagnosis. We didn’t even have money for gas at that point, but our dear friend Katrin loaded up her kids, Barry and Sophie and came down. Friends from church also came to support us. My friend Michele came to visit me that night, and the night after. Both these two ladies began a wave of community support for us that we will never forget. All those being so supportive were “Jack’s Angels” to me. That night, I vowed with every fiber of my being to be in service to God, and asked him to “put me to work.” That I knew, I somehow knew, that there was good in this blackness with absolutely no hope, seemingly, and I was determined to be open and willing enough to find it.

The doctors seemed very open to our exploring alternative therapies, understanding that we must be in complete communication about it so that nothing would interfere with the radiation therapy. They conceded that indeed, there was so much they didn’t know, and would be grateful to learn of some natural therapy that could help. However, they could not recommend anything. So, thus began our quest to be experts on naturopathic therapies—QUICK!—within 9 months, or however long we had…another very unfortunate position in which to find oneself. Of course, we never became experts, but became much more aware of the need for there to be a little more nature-reverence in medicine, and more research into holistic therapies. The two worlds are necessary for a new and more evolved understanding of medicine, and nature.

I wish I could tell you that we found the one thing that could help. I wish I could tell you that I didn’t believe in a God that allowed little children to die. I can tell you that life is much, much more than I had ever allowed myself to imagine, and that it is good. Today, I can tell you that I am grateful, so grateful for the time that I did have with my Jack, and that sometimes people only come into our lives for a short time, relatively speaking, and we don’t always know why immediately. I know today that Jack woke me up to life. I had been praying for a stronger spiritual direction, yearning for it; while this tragedy didn’t appear to be an answer to that prayer, it was indeed part of the celestial equation that continues revealing itself to this day, and for the rest of my life.

We began our brave journey down the 14, to the 5, to the 170, to the 101 into LA each day for 6 weeks starting Nov. 7 2011, after our first session while in the hospital November 4. I joked with myself saying, “If we survive the traffic like this for 6 weeks, our odds of survival will significantly increase”, but then I’d stop smiling, knowing statistics don’t work like that, but it was worth a shot. Jack was not feeling well. “No. No. No!” He would say all the way down. When a technician asked him a question, he’d say “No.” I wondered if I’d ever see my happy little boy again. The steroid medication he was on to control the brainstem inflammation made him extra irritable as well, and demanding French fries at 2am. After about 2 weeks, slowly, he started smiling again. He started to say “Yes!” to the technicians, and liked getting his number checked before his radiation treatment. “James-William Demeter, 1869499” forever etched in my memory also. Jack had a follow-up MRI Jan. 11, 2012 showing a 50% reduction of the tumor. The doctors were elated, “We have some time,” they said.

Jack slowly got his strength back, and he was tapered off his decadron (steroid) medication during radiation therapy or “RT”, thank God. A local charity adopted us for Christmas, making it magical for both the kids. Neighbors in the community donated Disneyland tickets to us, which we enjoyed. As soon as I could, I enrolled Jack in preschool, because I knew how much he wanted to go to school, and loved the playground. A childhood friend sent Jack a tiny violin, after learning that he wanted to play. Jack loved that violin until the end. Friends raised money for us so we could afford to do different naturopathic therapies. A local N. D. and D.A.O.M. offered their services to Jack for free, and an osteopath as well. The goodness of people around us overwhelmed us, and renewed our love and faith in our fellow human beings.

Jack enjoyed a few good months of fun and play, but always, the reality of his condition was a constant source of anxiety. By that April and May, I was sure that the tumor was reorganizing. He started getting a little weaker and then, at the very beginning of June, I saw it. I saw him drag his leg. I asked him to run again and I didn’t see it, but I knew I saw it before, and I became consumed with worry. The next week or two was his last time in school. He had a day or two, separated quite a bit, of fever. The doctors said they couldn’t move up his MRI unless he were admitted to the hospital, and it was slated for the 27th. He only had a few days of school left. I couldn’t take that away from him. His last week he fell twice, breaking his heart, and mine. I think it bothered him because he knew what was happening. I took him to Acton Park one last time, that he could go; that was June 14 for Sophie’s kindergarten class graduation party. He enjoyed the park so much, but I could see that he was getting weaker, and would drift off. Within 4 days I had to help him climb the stairs at Canyon Country Park, and 2 days later I took him to the hospital, and he wouldn’t be attending summer preschool. So, less than a week after school got out he could barely sit up.

This was the official news of the dreaded, “Progression” phase. We asked how long he had; they said, “weeks”. They put him back on decadron, which made it possible for him to walk and play again, though temporarily, so he could go on a Make-A-Wish Disneyland trip for a weekend. Two weekends later was a musical benefit that we’d been planning and then, when progression started, I abandoned and my friend Suzan completely made it happen. We were trying hyperbaric therapy to control the tumor, but it was too late. Hospice started coming to visit, for which I became more grateful as it seemed he was showing signs of being near the time. He had one near bout of respiratory difficulty, recovered after much sleep, but then entered respiratory failure at 6pm July 29, 2012. I had gone out to get him some chocolate cake, which he had requested, so I took Sophie with me to do some shopping. I felt uneasy the whole time we were out. I called as we were on our way home, and Barry told me he was “sleeping”. I had seen a newspaper in my mind’s eye with obituary notices on it. I had just bought him balloons and giant twisty flowers; we came home and he started throwing up. He seemed very upset to have dirtied his shirt(Jack was very neat) and demanded another one, which I replaced in a frantic scramble, and then he asked to go upstairs. We had imagined he would want to be up in the bedroom, where he met the angels a few weeks prior. They had come to gently tell him that he would have to come with them. Jack took his last breaths at 6:40am, Monday, July 30, 2012, and was born into the Light, after being surrounded by family and friends in prayer and love.

At the time of his diagnosis, and the selfless acts of kindness that proceeded from strangers and friends in the communities of Acton, Agua Dulce, and Santa Clarita, I had made the decision to one day start a foundation called “Jack’s Angels.” It took me a few more months to get moving, when I realized that no one was going to do this for me just because I had the idea!—no, I had to take action on my idea. So, we incorporated and then applied for 501(c)3 status in Feb, 2013, receiving acceptance on April 17 2013, one month prior to our first scheduled fundraising event for Children’s Hospital Los Angeles. For that application, I did some research into the question of, “How can one directly give to specific research, for a condition like DIPG?”—especially if one’s amount of money is modest, as it would have to be in our beginnings. I discovered another foundation for DIPG and finding the cure for all cancer online, that I was not able to find a year prior when Jack was diagnosed. I was thrilled to see the interest they were gathering, and the monies they were collecting for various clinical trials. I immediately inquired about donating a percentage of our start-up (which was very modest), just to set a percentage precedent of what bottom line we would give to research on a yearly basis. I found there was no way to guarantee that money would go to research, but to their yearly symposium—which is very important, mind you, but perhaps better suited to those foundations with substantial endowments. I wanted whatever money we could raise to directly affect research and to help it move forward, so I went to the doctors who have watched DIPG’s pass through their hospital for decades to answer my biggest questions.

So where are the greatest challenges to research, and what could we possibly do to help effectively, being of modest means in our beginnings? I interviewed Dr. Girish Dhall, and Dr. Jonathan Finlay at Children’s Hospital Los Angeles for insight. What they reported was that the hospital lacked funding for the personnel infrastructure necessary to process and carry out some clinical trials, that federal funding has taken some serious cuts and that the hospital relies heavily on the private sector for this funding. Clinical trials will cover the patient, but for efficient research, this infrastructure element is essential to progress, and for developing new research protocol.  Biopsy sampling, autopsy sampling, field research, cross-referencing sampling from families for genetic research, all requires funding, and jobs. With this information that was readily apparent, I felt confident in moving foward with the idea of giving to our local children’s research institution in a DIPG fund for specific research in pediatric brain tumors.

In beginning our organization, our articles of incorporation stress three principles, that A. we raise awareness and funds for DIPG research, B. we support the afflicted, C. that in raising awareness for DIPG, we support the arts and education for children in the local community. I personally believe that each one of us contains a very powerful consciousness that has the potential to be a significant force in the world, and that we are here to collaborate with those forces to find solutions and new ways to approach our challenges. Perhaps we will never be a financial giant, but if we can encourage others to organize around the country to start research funds at their local/regional research institutions for pediatric brain tumors, the leading cause of cancer-related death in our children, we will have helped begin to affect change in those statistics, and hopefully, the experience of the families of DIPG diagnosed children, that there be hope for survival.  We would also like to see an increase in use of diagnostics for children’s cancer, that it not be a last resort, not for our children.

The Michael Hoefflin Foundation supported our family throughout Jack’s last months with us and after his death. They continue to be a pillar of support in our community, not just for us but for so many families affected by childhood cancer. The Hoffmann Hospice, a non-profit group, continues to look after my Sophie in weekly grief support groups. I was also very, very pleased, just before “Art for Jack”, to make the acquaintance of Lisa Solis DeLong, local author and public speaker, who is starting “Justin Time Children’s House”, a community of support for grieving children and their families. We hope to participate with them in a supportive way in our community.

As political as I will ever get–and honestly appreciative–is to mention how, in our very modest beginnings, supportive the local officials of Santa Clarita and Agua Dulce have been. In planning “Art for Jack, Celebrating Children’s Art” last May, I joined the Santa Clarita Chamber of Commerce, which I found an incredibly progressive and successful group, and very supportive to Jack’s Angels and all the other non-profits that are part of this Santa Clarita Valley, and exceptionally numerous at that. Like me, they had never heard of DIPG before, though the degrees of separation are narrowing fast. Many who are just learning about DIPG are wondering why they hadn’t heard of it before, as I asked myself. Mayor Kellar of Santa Clarita was kind enough to welcome our Foundation’s event to the greater Santa Clarita area. He made an appearance at the event and spoke kindly of us at the following City Council meeting. I am very glad I made it to that meeting; I was thoroughly impressed with our City Council, not just in their experience and expertise, but in their governing from the heart, always in light of that experience. It made me think we need a little more of this in Washington.

Jack’s Angels is planning art classes and musicianship/choir workshops for 2014. Jack has given me the gumption to move forward to create programs to support the arts for children. It’s what I want for my daughter, would have wanted for him, and what I’d like to see continue into the future for children. We are fortunate to have an Arts Council in Acton/Agua Dulce that supports the beginnings of a community orchestra; we’re fortunate to have a community opera company, Center Stage Opera, but still lacking a reliable children’s choir. I thought we should work on supplying them with one, while supplying children with the basics they can use for learning an instrument, ensemble playing, singing, etc… Our art teacher Heidi Vaughn taught art at the Buckley School in Sherman Oaks for over 32 years, and will be starting classes for us this January, location and schedule to be announced at www.artforjack.org . Our fundraising event for this season will be Sunday, Nov. 24 at West Ranch H.S. Performing Arts Center, 4-8pm, with classical artists, young performers, and finishing off with contemporary and rock and roll artists. Information will be posted Monday, October 7th for that event, and sponsorships are available for this event as well at www.musicforjack.org.

I almost cancelled this concert three times; this last summer was very hard going through July, and then August 30th was Jack’s 5th birthday. He died one month shy of his 4th birthday. There were cancellations and illnesses. But, here are all of these amazing artists, still willing to show up for our cause, and another chance to raise funds for the DIPG research fund at Children’s Hospital Los Angeles. I cannot, not try, at the very least, to move forward being personally aware of children dying of DIPG right now, and families suffering the same trauma that changed our lives forever.

Thank you for your attention to those afflicted by this uncompromising disease; today, there may be as many as 300 in our country.

 

Focus on Pediatric Cancer

 

Naithan Sizemore

Naithan Sizemore

FOCUS ON PEDIATRIC CANCER 

Sunday, March 02, 2014, by Rebekah Sizemore

 

I decided for the Month of March, in honor of Naithan, that I would try to get as much information about pediatric cancer, research, and funding to all that I know. To increase awareness and knowledge in hopes of helping other children. So here is my first post. 🙂 Please share with as many people as you want.

NCI budgets approximately  $200M to pediatric cancer. That is about 4% of their budget.

This number was cited often.
Pediatric cancer research in the US is heavily dependent on NCI funding. There is growing philanthropy (eg SU2C), but it remains small compared to NCI funding. There is little industry (pharmaceutical) investment. Because of this funding model, pediatric cancer is disproportionately hurt by US federal budget cuts to NIH. Adult cancers have significant industry and philanthropic investments to buffer NIH cuts.

The previous comments were taken from another DIPG parent who actively attends meetings about pediatric cancer. What he brought back from the recent meeting held at NCI (The National Cancer Institute – located in Bethesda, MD at the National Institutes of Health) are heartbreaking. There are so MANY cancers in the world, many of which affect ONLY children. The majority of pharmaceutical companies do NOT invest in pediatric research. I agree that pediatric cancer brings a whole different ballgame to cancer research…you are asking parents to “test” on their children. That “test” (clinical trial, untried meds, etc…) may NOT save their child. Many parents are willing to make these decisions regarding their own bodies…but are very hesitant when it comes to their child and this makes perfect sense.  I’m not sure how to fix this yet, but there needs to be a way to bridge the gap between adult and pediatric cancers, and there definitely NEEDS to be more equal funding!! I was astonished to see that only 4% of NIH (The National Institutes of Health) funding goes to pediatric cancers. It breaks my heart. How many of you realize that The American Cancer Society, which “celebrates birthdays” provides even less than 4% of their yearly intake to children’s cancers?? That includes Relays for Life, Coaches vs. Cancer, Making Strides Against Breast Cancer, etc…all of those are wonderful, absolutely wonderful fundraisers that give less than 4% to children.

We need, as a society, to recognize that ALL cancers are deadly, ALL cancer patients need HOPE…and right now…that isn’t happening. Let me tell you a story, a small piece of our lives….

It’s September 4, 2012. Our whole family is in the ER at The Children’s Hospital of the King’s Daughters, Naithan and I have been there since 10am…it is now 8pm. Two doctors walk in with a social worker. One doctor I know, he used to treat Naithan for his migraines…the other doctor…I have never seen before. He does not introduce himself yet. The doctors ask if Josh and I will go with them and they promise that Megan (the social worker) will stay with the kids.

I am so nervous! We came in thinking that Naithan had a possible concussion! What the hell was happening? What couldn’t they tell us in front of our children? We follow them to a small room and they shut the door. We all sit on couches and the other doctor finally introduces himself. His name is Dr. Owen and he is the pediatric oncologist on call that day. Wait!?! Did you say “oncologist”

YES. We have to tell you that we did not find any signs of a concussion but the MRI showed a tumor. A brain tumor. Cancer. It is in Naithan’s brain stem. At that time I still thought the brain stem was at the base of the brain, where your neck meets your head (boy was I wrong)

Okay, okay, cancer, a tumor, okay. Let’s go to surgery…remove it. NOW.

No, we cannot. This tumor is inoperable. It is in his brain stem…the middle of his brain. The part of his brain that corrals of the nerves that operate the rest of your body. If we remove it we may remove healthy, functioning cells.

Picture this….dump some oil in some water. The oil is the cancer…the water is your healthy, functioning cells. Cells that tell your heart to beat, your lungs to work, your body to breathe, etc…
Now, remove the oil. Do not touch or remove any water. What you remove may tell your heart to stop beating.

Okay, Okay…I understand. No surgery. Chemo?? What do we do from here. How to we cure him.

The next thing we were told broke me. Simply broke me.

There is no cure.
Less than 20% of diagnosed children are alive within ONE YEAR of diagnosis.
Less than 1% of diagnosed children are alive within TWO YEARS of diagnosis.
Maybe 5 children have survived this diagnosis [to five years]. (I found only 2 in my research)

I looked at Dr. Owen and said some of the most painful words ever…

“Are you telling me I won’t see my son turn 13 !?!”

And then I was told that Naithan may not make it to 12.

At that point, I could take no more. I needed them to leave. I needed to regroup, I needed to think, I needed a break.

What followed was 14 months of intense research, learning more about chemo and radiation, remaining hopeful while slowly dying inside, finding time and time again that slow steps had to be taken because that med had never been given to a child, or hadn’t been tested yet, or hadn’t just…whatever. Learning procedures for adults were out…but not children.  Learning that there are SO many chemo drugs for adults…and so very few for kids.

Learning that although DIPG has been known about for 30 years…there is still NO cure. No definitive steps for success.

Meeting other DIPG parents, reading about and meeting their absolutely amazing children.

Meeting other cancer parents, with other types of cancer. Some curable…many not.

I’m not asking anyone to stop supporting your cause…I’m only asking that you consider children’s cancer research also. And if you want to help children’s cancer research…please, please make sure that your organization is REALLY helping pediatric cancer research. 

"Art for Jack", supporting DIPG research at Children's Hospital LA

Art for Jack, “Celebrating Children’s Art” May 11, 2013

 IMG_3106A first event for Jack’s Angels, a charitable organization supporting awareness and research for pediatric brain tumors, was held at the Agua Dulce Women’s Club in Agua Dulce, CA on May 11, 2013 from 1-7pm.  The event included free art workshops for children, magic shows, musical entertainment, silent auction, and art sales from professional, student, and child artists.  Jack’s Angels goal for 2013-14 is to establish a DIPG research fund at Children’s Hospital Los Angeles.  DIPG, or Diffuse Intrinsic Pontine Glioma, is a pediatric brainstem tumor with virtually no survivors, the median survival time with treatment being 9-12 months.  “DIPG”, says Janet Demeter, President of Jack’s Angels, “is responsible for 80% of pediatric brain tumor deaths.  May is brain tumor awareness month; most do not know that brain tumors are the leading cause of cancer-related death in children, and remains one of the least funded areas of cancer research.”  The event, and the foundation, was created in honor of James-William “Jack” Demeter, born August 30 2008, and passing away from DIPG July 30, 2012, missing his fourth birthday by one month.

1ChAThe event was inspired by a gift from art teacher Peggy Marrone and many of her students at the Agua Dulce school in the Spring of 2012, while Jack was still alive.  Jack attended the preschool there for 10 weeks until he succumbed to tumor progression.  Demeter recalls, “He absolutely loved school; loved learning, loved the bus, loved the whole experience.  It was one of the highlights of his life.”  Mrs. Marrone’s gift was some 65 paintings, now the “Under the Sea” collection, viewable at www.artforjack.org.   “I was committed to creating the first event as a foundation to be dedicated to children’s art, because of this beautiful gift,” Demeter explained.

Thanks in part to Jack’s Angels membership with the Santa Clarita Valley Chamber of Commerce, the event received a good amount of attention.  Kindly, Mayor Kellar of Santa Clarita visited Art for Jack.  Kristen Rasmussen of the Foundation at Children’s Hospital Los Angeles paid her respects; and many of the wonderful residents of Acton, Agua Dulce, and Santa Clarita volunteered to help, participated in some way, or donated to the raffle, bake sale, or purchased art.  Notable volunteers included Katrin Glasgow, Michele Brett, Heather Norman, and the students of Vasquez High School, and KBosey1Paraclete High School, among others.  Art donations from the Agua Dulce Elementary School, Paiz Carnewal and the students of Vasquez High School, Paraclete High School Students, and Roberta Patterson and her students contribution of Angel block prints from Millikan High School, Long Beach, were just some of the highlights of the children’s and student art displays.

An article was written in the Los Angeles Daily News Friday, May 10, 2013, about Jack’s Angels, the event, and the need for pediatric brain tumor research.  Dr. Girish Dhall of the neuro-oncology department at Children’s Hospital Los Angeles contributed to the article, and was instrumental to the idea of Jack’s DIPG research fund.  Although the generosity of those who participated in the event was heartfelt and significant, the needed amount to open the fund was not achieved.  However, because of the Daily News article written and the awareness from the event that was raised, the Mod Hatter’s of Acton donated the proceeds from their golf tournament later in 2013 to help Jack’s Angels open the fund.

img447.1Jack’s Angels would like to continue benefiting the fund with events that benefit art for children.  Also, Jack’s Angels gives special packages of encouragement including art materials to those afflicted with DIPG.   Raising awareness for the cause while promoting the arts for children in the local community remains a priority for Jack’s Angels.

Jack's Story

Jack’s Storybaby1.0

Jack, James-William Gregory Demeter, was born a healthy baby boy, 7 lbs-7oz, 22”, a Saturday Night little man at 11:36pm, Aug. 30, 2008. Our Sophie-Marie was nicknamed “Boo” for the little girl in Monster’s Inc, and Jack-Jack was for the little guy from The Incredibles. Needless to say, we were Pixar fans. Actually, Jack was named for my grandfather Marsh, James Randall Marsh, known as Jack by his friends. I never got to meet him; he died a year before I was born. But I will always remember the emotion that welled-up in my father whenever he would speak of his father, of what a beautiful person he was. I’ve felt that way about my father since I was a child, so it just made sense.

While adjusting to the new routine of nursing/napping into the wee hours, one evening, after a long day for my husband of brush clearing and then driving out and back to the desert as a favor to a friend, he woke me around 2am to the sound of helicopters and a crazy tension in the air. I looked out the window to the southeast to see an ominous orange glow beyond the ridge. Between us and that fire, there was nothing but dead brush and ticks just waiting to be burned. I knew.

dcp_0014Barry and I were older than most couples that get together to start a family; neither of us had children or had been married, but we each had a lifetime’s accumulation of riches in “cool stuff”. So, when Sophie-Marie came along in 2006, our lives were changed forever for the good, and then 2 ½ years later with Jack, even better. However, we were renters and could not get any company to insure our property, due to the fire hazard zones. We were right up against the Angeles Forest in a canyon that had burned 30 years prior. Barry was in construction and had tools for several construction trades, and mechanics tools from when he had worked as a mechanic. We’d also just put together an art studio, since we both had art in our backgrounds and desired to explore that in our current lives, and with our children. We had also just created a wonderful playroom with all Sophie’s favorite music and toys, with preparations for Jack. We’d acquired horse equipment and had 2 horses. It was all vaporized that early morning, Oct. 12 2008. Jack was 6 weeks old.n513785823_1895233_8864

We spent 10 days at my father’s house and then 5 weeks in a friend’s guest studio, which was an adventure all on its own; we remain grateful to our friend Eloise for letting us stay with her and her 5 horses. During that time of uncertainty, tiny Jack would greet me each morning with an enormous smile. There was something special about this little guy. While my sweet Sophie struggled with night terrors and understandable fears and emotions for a 2 ½ year old who had lost the only home she ever knew, Jack the infant appeared very calm and serene, giving that feeling that ‘everything is really all right’. He continued to be that sweet, happy baby with a huge smile. My concern for him grew over the time he was about 20 months to 2 ½; there was nothing obviously wrong but little things that my gut told me were somehow significant. For example, when he was a baby, I noticed(when at my friend Patricia’s house) that my little baby didn’t seem as vivaciously ‘present’ in his energy as her little baby boy, approximately the same age. We attributed it to personality. Patricia always appeared to be in love with him and very protective of him. He was very present—I just don’t know how to describe very well these nuances of vitality, of manifested energy. It’s like something in him was distracted, but I didn’t know by what, at that point.

100_2371Blessed by the charity of friends, strangers, and family, we managed to survive through finding another place to live, though it was 25 miles away and a much different type of community. It was beautiful and rural, like we wanted.  Five acre or more plots, yet no playground or any kind of cohesive community structure immediately available to new families.  We moved into our current home, “Jack’s house”, in December of 2008. As Jack got bigger he started crawling a little late, around 10 months, and then started walking at 13 months. This isn’t that terribly unusual, but his sister had developed a few months earlier. However, she didn’t do much crawling until after she started walking, so it was hard to judge at that point. When Jack was 18 months old, I switched pediatricians becausedcp_0032.0 the office was not what we wanted—unresponsive, unpleasant technicians, too many patients for this doctor. Jack hadn’t developed much of an appetite beyond nursing; I was concerned about his appetite and his weight and the new doctor discovered his iron was low. So we got that to improve through creativity with eggs. He was also slight in his physique, seemingly, compared to his peers. This could be attributed to personality or individual characteristics rather than something “being wrong” with him, but it didn’t sit well with me. Other than those things, he was a happy, smart little boy who loved drawing, painting, and books. Jack could sit with books for long periods of time. And Jack loved the playground, and the beach whenever we got to go.

100_3610Around the time of his third birthday, I noticed his speech was, seemingly, not as precisely executed as he was capable of doing. I became very worried about how ‘careful’ he was with himself physically. He had a few headaches and mysterious fevers with no other symptoms. The doctor’s office would say to not bring him in unless the fever had been present for more than 2 days, and it always cleared up. I took him back to the dentist to be x-rayed to make sure no decay had turned septic or was causing any kind of infection. He was generally irritable in the car. He suddenly became upset when looking up from a shopping cart—would start crying…and then, the last straw, he began to limp. When this did not improve and got worse, involving his right arm as well, we took him to the doctor who sent us to Children’s Hospital Los Angeles. That was October 24, 2011, and Jack was diagnosed from an MRI scan Friday, October 28, 2011 with Diffuse Intrinsic Pontine Glioma, or DIPG.

EEG test

EEG test

In the hospital he amazed the staff with his love of letters, numbers, and plane geometry. “Parallelogram” and “trapezoid” were part of the daily conversations and drawings. He could count well into the hundreds and knew his alphabet in English, French, and was learning it in other languages on u-tube. However, this didn’t last; I couldn’t believe how quickly his personality was disappearing. He was angry and uncomfortable, and only managed to enjoy playing occasionally during the first few days we were in the hospital.

Immediately Jack was put on Decadron, a steroid medication, and his agitation increased. He was to start radiation Nov. 3, and on Nov. 1 he would get his “port” or portacatheter surgically inserted. Those few days were hard. At the time I did not realize that the tumor was growing fast and he was not long from death without the radiation. I feared my Jack would never walk normally again. Then, after decadron, he lost interest in going to the playground. There was a playground at the hospital, and I would take him and help him get around; what struck me was the fear I saw in other children’s eyes(probably siblings of children in the hospital) at seeing his jerky gait and difficulty getting around. But Jack was determined to enjoy the playground, though dismayed that his body wouldn’t do what he wanted it to do, until a couple days later, and then he didn’t want to go at all. I began fearing I’d never see my son’s happy personality again.

Grandma's birthday, 11-15-11

Grandma’s birthday, 11-15-11

The first couple weeks of “RT”, radiation therapy, were difficult. I had to keep giving him decadron orally, wake him up without nursing, for he had to have an empty stomach to be anaesthetized for the RT treatments. He would just repeat “No, No!” all the way down to LA. It was 35 miles, but in morning Los Angeles traffic that could mean 1-2 hours. I had a running joke with myself that if we could survive 6 weeks of traffic like this, Jack’s probability of survival would increase at least 20 percent…yet it was just that, a “plaisanterie”—my mind goes to the French word—for it was just to please me, distract myself from the dark certainty in my gut that I was going to lose my son. I just didn’t know when.

Miraculously, Jack began to say, “YES” to the RT technicians and smile for them on the approach to the RT room. It was a smile that took substantial effort, and he didn’t want to let go of it once he got it on. He finished RT with flying colors, a certificate, to be followed by a trip to Disneyland out of our neighbor’s charity. Then there was a month’s wait to find out how effective the therapy had

Jack at Chili's to celebrate

Jack at Chili’s to celebrate

been from another MRI scan. He had begun to walk again on his own, and try to run!—but he would fall, because of the quick weight gain from the steroids and muscle weakness. I was so happy that our doctor tapered him off the steroids during the RT. He was unhappy while taking that medication, and didn’t resemble his normal self. I hoped he’d start looking and feeling like his old self again; gradually, he did over the next month. On January 11, 2012, his MRI scan showed a 50% reduction of the tumor. The doctors smiled, “we have some time”, they said.

Image0492We had worked very hard at supplementation with brain antioxidants at night and naturopathic/holistic medicine to help his body tolerate the radiation. However, we did not want in any way to interfere with the radiation’s affecting the tumor. We worked closely with our doctors for this purpose. However, Jack was very difficult to treat with therapies that involved swallowing things or eating things. Many of the chemotherapy protocols involve pills which he could not have taken. I couldn’t even get him to drink a decent amount of water, and getting natural treatments to a therapeutic level was a constant challenge that we were not able to effectively meet.

We were not opposed to considering clinical trials or chemotherapy, it’s just that at the time there wasn’t anythingImage0455 promising to consider—we relied upon our doctors to inform us and I wish I had heard about Dr. Souweidane’s clinical trial in time. In this trial the tumor is physically accessed and medicine directly deposited, with the hope of extending life. (see the page on Research) I was two weeks late in finding it. Patients couldn’t be beyond 12 weeks post RT. We considered a clinic in Germany but were without the means to afford it, involving hyperthermia and Rife technology combined. They had never treated anyone Jack’s age. We looked at as much as we could under the sun, and practiced Rife at home without any real direction or tutorial, but it seemed to have a positive effect on his vitality. We did ozone therapy in the ears, not the most effective method but the only practical one for a 3 year old. Jack would watch u-tube while he had his ozone treatments. We stayed as close as we could to ketogenic diet as we could. I made bone-broth soups with vegetables and made cookies from nut meats and stevia, and used our juicer as much as possible. Tough to administer to a kid without much appetite!

I must mention that Jennifer Wicher, N.D., D.O. Arsen Nalbandyan and D.A.O.M. Aram Nalbandyan donated their services to assist Jack. Dr. Wicher provided infusions and dietary/supplemental direction, and the Osteopath and Doctor of Oriental Medicine donated their services. I remain grateful for their help. At the end, Dr. Kochan in Sherman Oaks generously helped us at the very last minute, never giving up hope.

Image0440Friends immediately rallied around us for support. This was the inspiration for Jack’s Angels, as well as our Foundation’s name. The urgency and strong need to create goodness out of adversity came from that dark certainty of impending doom, no matter how much hope, prayer, self-analysis, positive thinking, came into our sphere, and I thank God for all of those things. The effect of the stressful feelings on the body can be likened to a car, imagining my little standard shift Honda pushed to sixty miles an hour in second gear—that level of panic, desperation, and adrenaline, forced to sit still and wait.

Jack’s symptoms improved a great deal after RT, and we wanted for him to attend school. He had really been wantingDCIM100SPORT to go to school, always tagging along when I’d drop off Sophie-Marie at her preschools. The process was lengthy, but he attended the Agua Dulce Elementary Schools preschool program Stagefrom the end of March to mid-June. He loved school! He lit up the room! He loved the bus! He was so excited to get on the bus and greet his friends, with their name and the first letter of their names: “Hi! You’re ‘P’ for Patti! You’re ‘R’ for Rosie, and you’re ‘P’ for Paul,” he would say, and off he would go, while I went back to preparing medicines, the morning chores, and being ready to greet him with his fresh juice when he got back 2 ½ hours later. Part of me didn’t want to part with him, but another part knew it was good for him, and also good for the people at school who got to spend time with him. I hope to include some of their stories someday.

The light that had come back to Jack’s eyes in February, March, and early April began to dim, on and off. Though I wasDCIM100SPORT hoping our naturopathic and holistic treatments would help, and I believe they did help him to be at his best, I “knew” somehow his tumor was re-organizing. April’s MRI showed a stable tumor, but there was no detailed communication about the bright spot(blood vessel nucleus) that had returned, apparently. By the end of May he seemed weaker to me, and then it happened in the beginning of June. I saw him drag his leg. Just for a second, then again in 2 days. Then he had a strange fever. I called the doctors… he appeared to be fine the next day.DCIM100SPORT They couldn’t rush his MRI, scheduled for the end of June, unless he was admitted to the hospital. Jack had only a few days left of school, and he’d missed a day or two because of fever. I didn’t want to take that away from him. His last day of school was June 13, a Thursday, and then the next day was the Kindergarten class, Sophie’s class, picnic and playtime at Acton Park. This was his last trip to a park without needing assistance; I was terribly worried, though. He was so, so very careful, and his mind would drift off quite a bit. Within 3 days, Jack needed help climbing the playground steps and the next day, we took him to the clinic. He was starting to drool. They put him on decadron again, and told us we had “weeks”. I alerted everyone in social media circles that if they wanted to see Jack, “now” was the time; we had weeks left, maybe days.

DCIM100SPORTThe plan with the doctors was to keep him on the decadron for a Make-A-Wish trip to Disneyland. But a week later, Jack was not doing so well. We had had an opportunity, earlier when Jack was doing better, but they wouldn’t grant our first choice for him. The pressurization from the airplane, the stress of travel, no access to his natural treatments etc…would have been worth the risk to his health had he been able to have our first choice for him. The problem is, I had thought a long time about it and the idea came to me of what experience we could give Jack that would honor his life, that would be a once in a lifetime opportunity that any American would be proud to entertain, as well as bring some needed attention to his condition, for the other 2-300 kids that year diagnosed with DIPG, facing probable death. I wanted him to meet the President. And because the reps who came to visit us told us they’d never had a situation where the first choice wasn’t granted, I told my son that he would be able to meet the President. I wanted that so much for him, and he was so excited. I wanted to go back East and see family there anyway, family Jack hadn’t met yet. I feel I utterly failed him. Yet, as a parent, I was responsible for him in every way—he was only three. So, at their judgement that the wish was “inappropriate” for one his age, I was crushed.

Jack wasn’t feeling well for the Disneyland trip, but I must say that meeting the characters for an hour in theDCIM100SPORT Make-A-Wish lounge was a very special experience. At first I was fearing we needed to take him back to the room; he was not feeling well. But he warmed up to the characters, and they were so moved by that fact themselves. I could feel those little actors being emotionally rocked to the core, seeing our despair, then our joy, and clearly seeing that Jack was not long for this world. Despite my personal issue with the wish two months prior, I am still grateful to that organization for what they did for our family. So, needless to say, Jack was more comfortable eating club sandwiches and French fries in his room with Daddy than running around Disneyland with Mommy and Sophie. He was getting a dark shadow behind his eyes and I could tell he was uncomfortable, and the medication didn’t make it any easier on his moods.

StageAfter our weekend, which ended July 4th, we came home and again, I consulted Douglas-James Cottrell, a clairvoyant and healer who does some of his work in the style of Edgar Cayce, Deep Trance Meditation or DTM. I had consulted him in April and he gave very good advice concerning diet and supplementation, and also, a fresh perspective on his overall physical condition as being “electrically deficient”, among other things. Rife therapy and supplements seemed to greatly increase his vitality for a short while, and his quality of life. So this was one, last-gasp attempt to find hope. Dr. Cottrell seemed very hopeful about possible therapies toStage research for this condition, and suggested hyperbaric treatments to stabilize the expansion of the tumor. We tried this with great hope, 2 weeks later, but it was apparent to me that it was too late. Other successes with gliomas have been noted early on in treatment, and as an adjunct to radiation. Dr. Cottrell had never seen a tumor like this before. I’m thinking that it would be good to collect more data from this kind of source, as well as others. Science is largely inspiration, and you never know where the next great idea is going to come from, directly or indirectly. It would be imprudent to ignore a possible wealth of information from a completely different perspective.

StageFinally Jack said, “the submarine’s not working, Mommy” and yet, we took him back one or two more times. The therapy was to be 5 x a week. We helplessly watched his condition deteriorate to respiratory failure. He went into labored respiration one Sunday evening, the 29th of July, and he died in my arms, at 6:40am the next morning, 7/30/12.

There are many details left out here, to be filled in gradually, one by one over time. Certainly I want to tell you all about his visit with the angels a few weeks before he died. They came to tell him he was going to go with them soon, that he had something important to do. Also I wouldStage like to share his pictorial conceptions of what was happening to him and how his understanding evolved, and taught us. Jack taught me more spiritually in his almost four short years than I learned from my entire life. For now I will save this brief story and post it, so that visitors to our site will see more than just the words spoken at his memorial, which was a very beautiful occasion. I thank you for taking the time to read this. I hope it helps someone out there. It is helping me to tell it to you, and so I thank you again.

Long Awaited Clinical Trial for DIPG

We at Jack’s Angels are grateful to have the opportunity to share this with you.  This and other innovative research projects for DIPG will be shared on this site regularly.    For more information on the trial for DIPG, visit:

http://www.dana-farber.org/research/clinical-trials/clinical-trial.aspx?tid=1829 

 

Dr. Mark Kieran, Director of the Pediatric Neuro-Oncology Center at Dana-Farber Cancer Institute, is leading a national, multi-institutional clinical trial entitled “Molecularly Determined Treatment of Diffuse Intrinsic Pontine Gliomas (DIPG).”

Diffuse Intrinsic Pontine Gliomas (DIPGs) are the most malignant tumors of childhood. These tumors have been historically diagnosed based on classic clinical symptoms at presentation in conjunction with an MRI scan that shows a large, diffusely expanded pons (region of the brain stem). Due to risks of neurosurgery as defined in the 1980s, biopsy was not routinely employed, and thus, tumor tissue from patients with DIPGs has not previously been available to study. Current national strategies have approached therapy for these tumors based on similarities to the most common adult malignant glioma, known as glioblastoma multiforme or GBM. Over the last few decades, hundreds of clinical trials have been conducted in children with DIPG and the results have demonstrated no improvement in response rate or long-term outcome. These findings would indicate that there may be significant differences in the underlying biology of adult GBM and pediatric DIPG. For this reason, and in conjunction with advances in neurosurgical techniques and molecular biology, Dr. Kieran has initiated a research protocol that biopsies the tumors of newly-diagnosed DIPG patients in order to obtain direct biologic information on these tumors and adapt a treatment approach based on the result of these biopsies. This protocol took 10 years from its initial proposal to approval and accrual for this multi-institutional trial has now begun. To date, 11 of 20 sites have opened the protocol, an additional 2 sites have received IRB approval to begin accrual and are awaiting regulatory approval, and 7 sites are still in the process of completing the regulatory documents needed for approval.

As of 5/28/13, the following institutions are recruiting participants:

• University of California, San Francisco

• Children’s Hospital Colorado

• Ann & Robert H Lurie Children’s Hospital of Chicago

• Johns Hopkins

• Dana-Farber Cancer Institute

• Children’s Hospitals and Clinics of Minnesota

• Washington University Medical Center

• New York University

• Doernbecher Children’s Hospital

• Penn State Hershey Medical Center

• UT Southwestern Medical Center

• Cook Children’s Medical Center

• Seattle Children’s Hospital

Jack’s Angels Foundation is dedicated to promoting awareness, support, and research for Diffuse Intrinsic Pontine Glioma, or DIPG.  We are  committed to promoting the most innovative research and clinical trials that will help shed light on the nature of DIPG and the genetic anomalies that cause it, that there be greater hope for survival.  We appreciate very much your attention to the 2-300 children afflicted by this uncompromising disease each year in the United States alone.  The median survival time is 9 months. (www.curesearch.org)