A Tribute to the Faith and Courage of Janette Smoot Turnbaugh
(in her own words, from her many e-mail messages)

Even though I walk through the valley of the shadow of death, I will fear no evil,
for you are with me; your rod and your staff, they comfort me.
    (Psalm 23:4)

Jan spent four and a half long years in this valley.
The path rises and falls - there is hope in some places and
discouragment in others, but Jan never doubts the promises of God.

April 16, 2003

It has been a long time since I have sent out medical updates on Smoot family.

Murray Smoot - My Dad continues to improve from his massive stroke of last October 30. He lives by himself and mostly takes care of himself. His right hand and arm still do not "work" and that is discouraging; however, he still has 4 hours of OT/PT per week. He has "home care" help two days a week where someone prepares his lunch and does cleaning, laundry, etc. I go 2-3 days a week to prepare & have lunch with him, run errands, etc. Dave takes care of his bills.

Jim Smoot - We are still so thankful for God's miracle of healing in my brother! He has been receiving chemotherapy for a year now but they have had to stop it due to it affecting his kidneys. He will have a CAT scan in a couple of months to see if even the one spot on his liver is gone. Please PRAY that there is NO cancer left in his body. He sounds good and my sister, Jeanne & husband, Bob, are going to visit Jim & Donna over Easter weekend.

Ruthie Turnbaugh - Our precious daughter-in-law is due baby #2 the end of September. So far she is having a healthy pregnancy. Last time, with Little Murray, she was very ill with high blood pressure and diabetes and was on bed rest. She also had to have him delivered 6 weeks early by emergency C-section. However, Little Murray, has been extremely healthy his whole little life (he'll be 16 months old on 4/22). He is bright, cheerful, energetic, and, of course, beautiful!

Me- Two weeks ago I didn't know I would need to let people know of a medical problem with me! At a routine GYN physical the doctor set up for me to have a sonogram because he thought I had fibroid tumors. Last Tuesday the results came back that I had a large ovarian cyst (about the size of a fist)! I had no symptoms at all, but because I was a walking "time bomb" (and my sister experienced a ruptured ovarian cyst many years ago), the doctor scheduled me to come for pre-op appointments on Thursday (4/10) and surgery the next day - Friday, 4/11 at 7:30 AM! It all happened so fast that our heads were spinning! It was major surgery but it went as expected. (The doctor is sure that this was benign.) Normally, I would have been sent home the following morning, but I had such terrible nausea Friday and Saturday that I didn't go home until late Sunday afternoon. So I am "set aside" for 4 weeks of recuperation.

I have to share that our daughter-in-law has been wonderful! Because she is feeling so well, she has brought meals over, visited, and is helping with Dad, as well!

So now you have the latest report and we just want to send our love and blessings for this Holy Easter Season as we celebrate the Risen Christ!
April 24, 2003

This is just a quick note and a request for prayer for us. Dave & I received the news yesterday that I have ovarian cancer and will have a CAT scan later today and then a hysterectomy, as well as exploratory surgery, on Thursday, May 8.

When I had a cyst removed from my right ovary 2 weeks ago, the doctor was sure it was benign, however, the results from the biopsies of the ovary and surrounding tissue proved to be cancerous.

It is quite a shock to us - but we know that "Our times are in His hands" (Psalm 31:15) and as a good friend of mine at Central Pres said, it is time for me to be "Mary", sitting at Jesus' feet instead of "Martha", the servant.

We do put our full trust in Him as we enter this new phase of our lives.
May 5, 2003

The doctor called me this morning and said that the good news is that the CAT scan was clear in that there were no signs of "organized" cancer in the abdomen or pelvis. However, they will still do the hysterectomy and exploratory because the CAT scan doesn't show cancer at the cell or microscopic level.

I am scheduled for surgery this Thursday, May 8, at 10:45 AM at GBMC. If all goes well, and we trust that it will, I will only be in for two nights and go home on Saturday. (Judging from the way I responded to the pain meds the last time, I would just as soon not have any visitors at the hospital since it is such a short stay.)

We really appreciate everyone's prayers and love that has been shown to us especially at this time.
May 8, 2003 (from David)

It's about 6:00 on Thursday evening and I'm just getting home. Jan did very well today.

The surgery started about ll:30 and ended about 2:30. The surgeon was very pleased with how it all went today--as he said, "There were no surprises."--meaning everything looked good. Of course, we have to wait until all the exploratory surgery is evaluated via biopsies, etc. but we'll take this all as good news at this point. She is resting well with no apparent nausea or pain.

Hopefully she will rest well this evening and I'll give you all an update on Friday or Saturday latest. We hope to get her home by Sunday. Thanks again for all your prayers and your concerns. GOD IS GOOD
May 18, 2003

I have now been home a week following the 2nd surgery and was blessed to have had my sister, Jeanne, stay until yesterday to help us out. She was not only a help - we had a wonderful time together - sharing laughter, tears, prayers, etc.

I am feeling ever so much stronger but have to realize I still have 4-5 more weeks of recuperation. Our church family, as well as our personal family, have helped us so much with meals and we surely have appreciated it!

Dave & I went to see the doctor to get my (38!) staples out and to get the pathology report from the surgery. The good news (as the CAT scan had shown) is that the cancer had not moved "upward" to any lymph nodes, stomach, etc. However, the "surprise" to the doctor was that it had spread to the pelvis. He was able to get all of the cancer out and as far as he is concerned, I am "cancer free"! Praise the Lord!

BUT - because this type of cancer is agressive and has a 30% return rate (which he is said is very high), I will be having chemotherapy for sure. The dates & times will be established after I go for my postoperative exam and he will set me up with the head oncologist at GBMC. This will probably occur mid to late June. The plan is for me to be given Taxol (which unfortunately, he said, likes to take your hair!) 1/2 day every 3 weeks for 6 sessions- in other words, over the the summer and into October. Dr. Grumbine did say that my hair should grow back in time for Christmas - something to look forward to!

Now for some WONDERFUL, GOOD NEWS!!!

My brother, Jim Smoot, had a full CAT scan and he is considered CANCER FREE!! He will continue to be monitored, of course, but considering that this time last year he was "given 3 months to live" - this is nothing short of a miracle!

Also, we found out this week that our son, Jeff, & daughter-in-law, Ruthie, are going to have a GIRL in September! (Please pray that I will be well enough to help care for Little Murray and this precious granddaughter when she arrives.)

Keep up the prayers and thank you for your love.
June 17, 2003

Its been awhile since I've sent an update because there really has been nothing to tell until now. The doctors were waiting for me to heal from my surgery which was 6 weeks ago. Today Dave & I had a consultation with the Chief of Oncology at GBMC, Dr. Paul Celano. Basically, I am scheduled to begin chemotherapy next Wednesday, June 25, 10:00 AM. I'll be given 6 treatments with 3 weeks between each treatment. (Each session takes about 5 hours, so it will be on an outpatient basis.)

We feel very confident in the care I'll be receiving at GBMC and they will continue to "follow" me even after chemo is completed. Dr. Celano is sharp, kind, and thorough.

We feel very blessed by the outpouring of love and prayers of everyone.
June 26, 2003

Well, I had my first chemotherapy treatment yesterday and, other than breaking out in hives, I had no adverse reaction to the medicines. The hives disappeared rather quickly with an antihistamine was given by IV. I was thankful not to have nausea or any other unwanted reaction.

Thank you all so much for your prayers - many of you knew how nervous I was, even though I know I am in God's hands.

According to the timeline they give you for each 21 day cycle, days 3-5 (which begins tomorrow) I will have flu-like symptons and then be extremely weak and my blood counts will be at their lowest days 7-12 when I will have to be more careful not to catch any germs. Then days 13-21 I should be on an "upswing" and start to feel better - just in time for "round" 2! - And then 4 more times.

In between each cycle I have to have my blood tested especially the day before treatment so my prayer request is that my bloodwork will be good each time so we don't have to delay treatments. Of course, also please pray that I will get through each cycle without too much trouble.

Dave & I are so thankful for each one of you and thank you again for your prayers and loving concern - and help during this time.
July 17, 2003

This is a quick update as I just had my second chemotherapy treatment yesterday (7/16).

Again, we thank the Lord that I did so well! This time I didn't even have the hives reaction, due to the nurse giving me more Benadryl & a steroid prior to the chemo. The only thing that I am feeling so far is fatigue and my face is flushed.

I am getting used to wearing a wig since losing my hair a little over a week ago. A real blessing was that the lady who cuts my hair had offered to come over to give me a "buzz cut" when my hair started to come out. I gave her a call and she came to my house within one hour!

Another blessing while going through this time is that with the surgeries behind me I am now able to get out more (though I have to avoid crowds at times) and can spend time with Dad. He is doing very well (he can walk unaided), infact he wanted to go to the grocery store so I picked him up and he did his own shopping, with me just there for "wheels" and to make sure he did OK. The timing is perfect since Ruthie, our daughter-in-law, is 7 months pregnant and soon will not be able to do his shopping. She had been doing this while I was unable to - isn't the Lord good?!

Thank you for your prayers - Dave & I have definitely been feeling them and appreciate each one of you!
August 10, 2003

This past week was something to remember! On Monday, 8/4, I was planning to help our daughter-in-law out with our 19-month-old grandson, Little Murray, since Ruthie has again been put on bed rest in the later stages of pregnancy. Jeff & Ruthie are expecting a baby girl in late September.

When I telephoned to check in with my father that same morning, he informed me he had been having chest pains. So my plans changed quickly! The paramedics determined Dad should go to the nearest hospital (Franklin Square). I spent the rest of the day in the hospital with him until he was admitted to a room. He did not have a heart attack but he still has an irregular heart beat. He has been given new medication, as well as had his pacemaker checked.

Meanwhile, on Wednesday, 8/6, I went for my 3rd (of 6) chemotherapy treatment. I am finding that the side affects are "accumulative" - so I am much more fatigued and feel the body aches & pains more.

Never before have we needed the Body of Christ for so many needs in our family in one week! And did they ever come through! Central's "WOW" (Women on Wednesdays) group took over for Ruthie's needs, others from church visited Dad and helped us with meals, driving, shopping, etc. It was truly amazing! Our son, Aaron, made the comment that THIS is what a church is for - not just Sunday mornings. So true!

Dad was able to go home to his apartment on Friday afternoon and is doing OK so far. We'll be keeping a close eye on him.

We sure do appreciate your prayers!
August 29, 2003

I had my 4th chemotherapy treatment on Wednesday - with just 2 more to go! My last two dates (Lord willing) are 9/17 and 10/8.

Although the after effects of chemo are more pronounced each time, I thank the Lord that I am doing as well as I am. The severe aches & pains and fatigue are "kicking in" for the weekend, unfortunately, but then the aches & pains will go away and I'll be left with just the fatigue. I still have not had any nausea, for which I am very thankful!

Yesterday (Thursday) I rested all day so that I could be up to going to a staff/board members banquet for Helping Up Mission, where Dave is Staff Adminstrator. (For those who may not know, Helping Up is a drug & alcohol rehab ministry for men.) He has been there now for over 6 months so it was a great opportunity for me to meet his co-workers and their wives. We also heard testimonies from 2 of the men who have been in the year-long "Spiritual Recovery Program" there. It was wonderful to hear them tell how they met Christ at the mission and that having the pastors & staff there to encourage them helped them to "kick the habit" as well as find their worth in life. We also found out that 50 men in the program (out of about 140+) have been given jobs at Johns Hopkins Hospital, while still living at the mission.

May all of you have a safe and enjoyable Labor Day weekend.
September 18, 2003

Dave & I were privileged to take a 4 day trip to the ocean this past weekend. We took Dad along and he enjoyed being on the beach and feeling the ocean on his feet. Friends from church opened their beach house on Fenwick Island, Del. to us. We were so grateful for the break! The weather on Saturday and Sunday were beautiful. I was at the end of my last treatment so I felt well and could fully enjoy it.

Then on Wednesday, the 17th, I had Chemo #5 (out of 6!). This time it "knocked me for a loop"! I felt "woozy" and a bit disoriented, had trouble talking and was out of breath easily. However, I again did not have any nausea, for which I am always thankful! I feel somewhat better today, except still very tired and am flushed from the chemicals.

Our 2 grandchildren are doing great! Little Murray loves his baby sister, Ikena, and will take a pacifier to her or a stuffed toy. He gives her kisses, as well. He will be 21 months on 9/22 and she will be two weeks this Friday (the 19th). Both are healthy (and beautiful, I might add) and we are so grateful!

So we count on your prayers and are thankful for each one of you!
October 7, 2003

I have some praises and a prayer request to pass along.

Also, I go for my last (#6) chemo treatment tomorrow (Wednesday, 10/8)! That is both a praise and a prayer request. Please pray that the accumulative effect does not "knock me for a loop" like #5 did! It turned out that I have been extremely fatigued the entire 3 weeks and I did have about 5 days of nausea.

All in all we are very thankful for how well I have done throughout the 2 surgeries and chemo. Again, thank you for your prayers - they made all the difference! I am reminded of verse two of an old song, "Whisper A Prayer" - "God answers prayers in the morning; God answers prayers at noon; God answers prayers in the evening; He'll keep your heart in tuned."
December 10, 2003

Dave & I want to thank each one of you for your love and prayers especially since last April when we learned that I had ovarian cancer. After 2 surgeries, 6 chemotherapy treatments, and a medical setback last month, I am cancer free!!! Praise the Lord!

I went to one of my doctors today and learned the results of the CAT scan from last Tuesday. They had scanned my chest, abdomen, and pelvis and all were CLEAR!

My followup will be a doctors visits, a blood test, and a CAT scan every 3 months for 2 years. I'm grateful for the close "watch" and good care I've been receiving.

May you and yours have a Blessed Christmas as we celebrate the birth of our Savior and Have a Healthy, Happy New Year!
May 7, 2004

We have been without internet access for about a week so I have not been able to send an update from my surgery this past Monday (5/3). I had a biopsy (enlarged lymph nodes inside the chest wall) and the “first look” is that I am cancer free! Praise the Lord!

All along the doctors thought that if this was cancer it was not related to the ovarian cancer I was treated for this past year. I have a follow up with the surgeon on May 18 when he will have the results of the biopsy back but I do not expect any “bad news”.

Thanks for your prayers.
July 27, 2004

There’s an old Ray Charles’ song, “Here We Go Again (One More Time)”…. Well, that seems to be what’s happening with me.

In April I had a PET scan (a 3-D type nuclear CT scan) that showed no cancer and in May my “cancer-marker” blood work came back with a low number (13). Anything up to 35 is OK. When I went for a routine visit with my oncologist last Wednesday (7/21), he was shocked to discover my “cancer-marker” had jumped to 73 in just two months! So I had another PET scan on Friday (7/23).

Dave & I met with the oncologist today and the results showed that the ovarian cancer has returned. I have two (approx.) tumors in my pelvic area and one tumor on my liver. The good news is that it has been caught early. Several doctors conferred and decided I was a good candidate for a clinical research study for an FDA-approved drug called Gleevec. It is taken by mouth at home twice a day and it does not cause hair loss (Praise the Lord)! I’ll probably still have some side affects that I had from IV chemotherapy such as fatigue, body aches, low blood counts, etc. But I am very interested in participating in this to help others who are battling ovarian cancer.

By the way, Gleevec has been fairly successful in other types of cancer so doctors and researchers are hopeful it will be for ovarian cancer as well. (Less than 60 people are participating in this study.)

Dave & I appreciate your ongoing prayers and really felt His peace today at the doctor’s office.

P.S. The good news is that the enlarged lymph nodes in my chest have disappeared!
September 1, 2004

Dave & I really need to ask you to pray in a specific way for us this month of September.

After finishing the first round of taking the chemo pill for a month, my bloodwork would indicate that it is not working. My "cancer marker" numbers jumped from 73 to 130 in just the month of August! (The safety range is 0-35.) My doctor said that though this is very disheartening, he has seen this type of thing happen in the past with other medicines. When first introducing a new med, such as chemotherapy, it can "stir up the waters" and bring out all the hidden cancer cells. The key is that in the second round - the month of September - they begin to kill those cells! That is our specific request.

I am scheduled for a CT scan on Monday, Sept 20, and that will determine whether this medicine is working or not. Remember that I am in a clinical trial and they do not know if this will be effective on my type of ovarian cancer. So let's pray that it does work - for me and for others in this trial, as well as for future patients!

God is faithful and nothing can happen to me outside of His will. How comforting to know that! "But I trust in you, O Lord; I say, 'You are my God.' My times are in Your hands.." (Psalm 31:14-15a).

Also, just remember Dad in your prayers. He is having some shortness of breath even while sitting or lying down. He did see a doctor and he is now taking a diuretic (fluid pill) and they ran some tests on him which we should hear about the end of this week. I was with him yesterday and he seems OK - just tired.

Pray for us as we have been planning to take Dad with us to the Ocean for a week - September 11-18. A lot will depend on how the tests come back and what the doctor says. The ocean is one place he really looks forward to and feels it would be a "healing balm".
September 10, 2004

I wanted to send you the phone numbers where we can be reached while in OC next week. We are leaving tomorrow - Saturday, Sept 11 and will return the following Saturday, Sept 18 (weather and health permitting). Anyone is welcome to come - there is an extra bedroom - during our stay!

We are taking Dad with us. To bring you up-to-date on his health, I asked him to see his doctor Monday a week ago about his shortness of breath. Sure enough, the doctor noted there was extra fluid throughout his body and gave him a diuretic. He has been feeling a lot better, though we know that he will need a fair amount of assistance when we are "out and about". Again, OC is one of his favorite places and will be a nice change of scenery as well as relaxing - for all of us. Dave needs this more than anyone!

We will actually be staying at the Ball's place in Fenwick Island, Delaware and they have an answering machine: 302-539-2369 and our cell phone number is: 410-967-0712.
September 22, 2004

I have some good news to tell! The results of my CAT scan this past Monday (9/20) showed the tumors in my liver and pelvis are gone and no new ones have developed! Also, my "cancer marker" (CA125) blood test was lower - from 130 to 63. Although not yet in the normal range, it is going in the right direction. The best news is that this shows that the "chemo pill" I am taking in this clinical trial is working! Praise the Lord!

I will continue to take the pills for an indefinite period of time - perhaps until the doctors feel I am in remission.

Thanks for your continuing prayers.

Also, Dave & I took Dad with us to OC (actually, Fenwick Island, DE) last week and overall had a very good time. It was just what we all needed - a getaway and relaxation. However, we found out the first day that the beach was too exhausting for Dad to walk on. After that day we mainly took him to Bethany Beach's boardwalk where he could sit and enjoyed the sights. We also had dinner one night with Dave's brother, Bill, and another night we had dinner at Dick & Grace's. It was a wonderful time and meant alot to Dad (and us!).
October 27, 2004

I have just a little bit to share about my latest medical report. On Monday, 10/25, I had bloodwork done which included the "cancer marker" CA125. The normal range is 0-35. It is now at 43.9 which is about 20 points lower than last month - so we are definitely going in the right direction!

The only area of concern is that my overall blood counts continue to drop each week. I already had to reduce the number of Gleevec (chemo) pills from 8 to 6 per day. I saw the clinical nurse today and the doctor, as well as the people from the clinical study, have decided that I should "take a break" and not take any more pills until repeat bloodwork is done next Monday (11/1). So please pray that my blood counts go up toward the normal range.

Also, because Gleevec is working so well in knocking out the cancer and with so few side effects, Dave & I would like you to pray that I can remain in this trial. So far I am not in danger of being taken out of it but may have to take these small breaks on occasion.

(No news at this time concerning Dad or Aunt Jean.)
November 2, 2004

I want to thank you all for your continued prayers! The one factor of my bloodwork that was of major concern has gone up to a level where I am back on the "chemo pill". My counts are still low but that is to be expected.

Also I have been assured that even though there may be times I may be taken off the pills for a short period of time, I am not in "danger" of being dropped from the clinical trial. That is a big relief.

My next CT scan is scheduled for Nov 15.
November 17, 2004

I have both a praise and a prayer request.

All is still going well and my latest CT scan from this past Monday was clear! The prayer request is that once again I've had to be taken off the Gleevec (chemo pill). This time it is because of a reaction that gave me hives and then when I took Benadryl for it, it interacted with Gleevec and made me worse. The doctor not only took me off the pills but I'm taking a course of steriods for a week. Please pray that when I see him next Monday (the 22nd - which is Dave & my 38th Anniversary) I will be able to go back on Gleevec, which I fully expect will happen

On a different note: Dave & I took Dad to visit Jonathan at his new church assignment in Alexandria, VA last Sunday. He is Interim Senior Pastor at Old Presbyterian Meeting House (OPMH) which dates back to the 1700's. It is not only a charming church but the people are very friendly and a loving community for Jon to be in. Praise the Lord! He has a nice cozy 2 bedroom townhouse just a block from the church. And his preaching was very good - on "When God Takes Too Long" (Christian Hope and Perseverance - using Exodus 31:18-32:14 and Luke 21:5-19). If you want to know more about his church - you can go to their website: OPMH.
November 23, 2004

Here we are at "Round 3"! Just when we thought the cancer was under control and the cancer marker numbers were going down, I found out yesterday that it has gone up more than 30 points from a month ago! That means that the week I was taken off Gleevec (chemo pill), because of a reaction I had, the cancer began to go wild again. This is indeed an agressive beast!

The good news is that since my CT scan was clear on 11/15, the cancer must still be in cell-form. My oncologist put me back on Gleevec beginning yesterday and we both said that I would just have to stay on it - period. So please pray that I can just stay taking the pills with no more complications.

Many of you know our good friend, Jill Fielding. Please pray for her as she continues to battle lymphoma and right now has been hospitalized with an infection (flu-like symptoms). This is one of the dangers that poses a threat to those of us with immune-compromised systems due to chemotherapy.

"But I trust in you, O Lord; I say, 'You are my God.' My times are in your hands..."    Psalm 31:14 & 15
December 21, 2004

Yesterday, 12/20, I had blood work done which included the "cancer-marker" (CA125). We were hoping the number was going down closer to the normal range (below 35) but instead it jumped to 150! Also, the one number they look for in the blood counts that should not go below 1.5 - was 1.0! This number means my immune system is very low. So both numbers were in the wrong direction.

Because of this the doctor has taken me out of this clinical trial. I had taken Gleevec (the chemo pill) for 5 months and it is obviously not working for me. This is a huge disappointment for all of us.

We felt a little better today when Dr. Celano called to say that they have a pretty good alternative chemotherapy for me to take. It is called Gemzar and, though it will be given by infusion (intravenous), the side affects won't be as bad as I experienced with Taxol, which I took the first "go 'round". I won't even lose my hair with this - PTL! I only have to go for 1 hour sessions once a week for 4 weeks and then off 2 weeks. The process repeats for 6 months or so. I will continue to be closely monitored. (This medicine has been proven to work in recurrent ovarian cancer, so it is not a clinical trial.)

Again, thank you for your continued prayers and loving concern.

Dave & I wish you a Blessed Christmas as we experience Emmanuel - God with us - and have a happy, safe, and healthy New Year!
January 14, 2005

A quick update with some GOOD NEWS - the CT scan I had on Monday, 1/10, was clear! This was after only having one treatment - even though I began this "round" with an even higher "cancer marker" number - 224 (should be 35 or under). That probably means there is cancer at the cellular level that doesn't show up on CT scans, but that is what the chemo is designed to kill!

I am responding fairly well physically to this chemo - Gemzar. Fatigue and body aches are the main side effects for me. No nausea, thank the Lord.

Thank you so much for your prayers, notes, phone calls, offers of rides, etc., etc.!
February 11, 2005

Just to bring you a brief update on my ongoing medical situation.

I began taking Gemzar, chemotherapy by infusion, in January. I was to be given it once a week for 4 weeks and then off 2 weeks, repeated over several months. But because my blood counts were too low by the 3rd week, I am now on a 3 weeks on, 2 weeks off schedule.

During my 2 weeks off I felt as close to normal as possible. We took advantage of that and we took a 3 day trip last weekend (2/4-6) to visit Jeanne & Bob and Jim & Donna in Roanoke. It is great that they live right across the street from one another! We were able to spend time with each couple separately and then all went out to dinner together.

I started my 2nd "round" (of 3) yesterday. Now that this is my second round, I have found that with each of the first weeks I have mild side effects. However, the 2nd & 3rd weeks become increasingly rough. Even then the side effects only last a few days - so at least I know what to expect.

Now for a report on that all-important "cancer marker" number: When I began the first round in January it was 224 (should be 35 or under) and yesterday it was 229! I was a little discouraged, of course, when I heard that. But I was told to be patient and wait until after this 2nd round is over. My next "cancer marker" number will be taken when I start round 3 in March. We'll expect much lower numbers by then!

So, as always, I am in the Lord's hands (as we all are) and I am so thankful for your prayers!
March 15, 2005

I heard from my oncologist today that my "cancer marker" number went up again and in his words "we are treading water, at best". He is taking me off of my current chemo, Gemzar, which I have been taking since January. I will begin taking Carboplatin next Monday. (I had Carboplatin along with Taxol in my first course of treatment from June-Oct '03.) This will now be my 4th course/type of treatment in less than 2 years.

This time I will go for treatment once a week and then have 3 weeks off before my next treatment. We didn't discuss how long I will be on this but I'm sure it will be for several months.

Again, as always, I appreciate your prayer support and love.

"But I trust in you, O Lord; I say, 'You are my God.' My times are in His hands." (Psalm 31:14, 15a)
April 5, 2005

I wasn't going to send this update until I had more information, but I feel the Lord is prompting me to tell you what is going on so you can pray more specifically.

This past Friday (4/1) my GYN oncologist found visible cancer upon the pelvic exam. This means it is no longer just in cellular form, as it was in my last CAT scan 3 months ago.

Now I am scheduled for another CAT scan next Thursday, 4/14, to find out if the cancer is contained in the one area or has spread further.

This is my specific prayer request: Pray that the cancer IS contained and has not spread. Right now my oncologist feels we can stay on course with my current chemotherapy (carboplatin), depending upon the results of the scan.

My chemo schedule is once every three weeks; the first one was 3/21 so my next treatment is Monday, 4/11, a few days before the scan. I am finding this chemo a bit rougher to deal with - for the first 10 days after treatment I have no energy at all (as my blood counts go down) and then slowly it comes back over the next 10 days. But it will be worth it if it kills the cancer!

I'll know more within 2 weeks whether we will stay the course or something else will have to be done (i.e., surgery, radiation, etc.).

As always, thanks for your prayers!!
April 14, 2005

Good news! My CAT scan was clear and my "cancer marker" (CA125) has come down 70 points (from 219 to 149)! This was after just one dose of the latest chemo treatment I am taking - carboplatin.

If I can stay on my current schedule of once every 3-weeks, I should finish up early in July. Our prayer request now is that I will go into remission following this treatment.

With this good news we can also go ahead with our plans to take a trip with Jeff, Ruthie, & our two precious grandchildren to Disney World - May 14-22!

Once again, THANK YOU all for praying for me - and our family! "O give thanks to the Lord for He is good; for his steadfast love endures for ever!" (Psalm 107:1).
May 4, 2005

First of all, the PRAISE - My cancer marker number went down to 54!!! That is down 95 points since my last blood test 3 weeks ago! I only have to go below 35 to be in the "normal" range.

Now for the concern - I had a severe allergic reaction to my chemo treatment this past Monday. They had to stop it after 10 minutes and give me more IV steroids & Benadryl because I was nauseated and broke out in hives. Needless to say, I have to be taken off that chemo (Carboplatin - Carbo for short).

Evidently, there is an accumulative effect when you take this medication - no matter how long between treatments. I took Carbo along with Taxol from June-Oct 2003 and then just began taking Carbo this past March - 1½ years later! The nurse explained that instead of Monday being my 3rd dosage (this time around), it was really my 9th because of the 6 I had taken in 2003. My immune system is very low and my body just rejected it.

I have an appointment with my oncologist next Tuesday, 5/10, and that should give him time to consult with others about where we go from here. The good news is that it should not interfere with our trip to Florida from 5/14-5/22!

Thanks for your love and prayers!
May 11, 2005

Just a quick update. I saw my oncologist, Dr. Celano, on Tuesday and his decision is that we should continue using the same chemo (carboplatin) because it is working so well to rid me of cancer. However, due to my allergic reaction, I will have my remaining treatments given over a 24 hour period - so they can give it to me slowly, the medicine diluted, and they can monitor me closely.

I am scheduled for an overnight stay at GBMC May 25-26, so at least it is AFTER we return from Florida! After that I will have 2 more treatments - every 3 weeks also as overnight stays. Then we are DONE this round!

An update on Dad is that he was at our house on Mother's Day and was in the best shape we have seen him in awhile. That was verified by a terrific checkup at the cardiologist. He will be 88 on June 20!

"Because of the Lord's great love we are not consumed, for his compassions never fail. They are new every morning; great is your faithfulness." (Lamentations 3:22,23)
May 23, 2005

This is a quick note to let you know how our Disney World vacation went. It was wonderful – in every way (except the traffic on 95, etc.)! On both going and returning we stayed overnight in Florence, SC, which is about the halfway point. We were on the road 2 days (8 hours a day) both ways.

As you know, we took the trip with Jeff, Ruthie, Murray (almost 3 ½), and Ikena (just over 1 ½). They were such troopers! They had never been on such a long trip before and then stay at “strange” places overnight.

We arrived Sunday evening (5/15) at a beautiful resort just a short distance from the Disney entrance where Jeff & Ruthie have a “timeshare”. Of the week we were there we spent Monday and Friday just enjoying the pools, playgrounds, relaxing, etc. Tuesday we went to the Magic Kingdom, Wednesday to SeaWorld, and Wednesday to Animal Kingdom. We were only there half days each day with such little children (and the heat) but it was just right.

We rented a wheelchair for me those 3 days at the parks, which at first I didn’t think was necessary, but I was “outvoted”. It also was 90+ degrees every day and a lot of walking, so it turned out to be the best way to conserve my energy so we could keep going and enjoy the sights.

We arrived home Sunday evening, 5/22, and in addition to catching up with things around the house, I am getting ready to go for my first overnight chemo treatment this Wednesday to Thursday.

We really appreciate those of you who prayed for us during our trip!

God bless you and Have a Blessed Memorial Day weekend.
May 26, 2005

I did very well with the overnight stay at GBMC and had NO allergic reaction to the chemo - PTL!

The doctor wants me to have the final 2 chemos done the same way. The next one will be the middle of June and the final one the first week of July. Then I am done!!

My cancer marker number went down 11 more points, as well! It is now at 43 and needs to go below 35. Ideally, the doctor likes it to be no more than in the 10's to be considered in remission.
June 8, 2005

The Wednesday after we returned from Florida (5/25) I entered GBMC to stay overnight for the chemo treatment. That, too, turned out to be best way to go. This time I didn't have any reaction to the chemo because they gave it over a long period of time (15 hours) and the first few hours was very diluted. The only "down" side was that I felt nauseated for the next 3 days (over Memorial weekend).

My last two treatments will also be overnight stays. The next one is scheduled for June 16-17. Please pray I won't feel too badly over Father's Day weekend and into celebrating my father's 88th birthday (6/20).

My last treatment will probably be scheduled for July 7-8. Then, we will be finished and our prayer is that I will go into remission! I am so thankful to the Lord for such excellent doctors and for your prayers!
June 17, 2005

I did have my overnight chemo last night - got home this morning. Did OK with it and the doctor is having me take some precautionary meds (anti-nausea, etc.) so hopefully I will be OK for Monday! The one disappointment I had was that my "cancer maker" number did not go down - it went up 10 points! It sits at 53 and needs to be well below 35 before I can be considered in remission. So I am asking for specific prayer that my numbers go down this time or I will have to continue in treatment and have a pretty nasty chemo added to what I am already taking. Would lose my hair again (the drug is Cytoxan).
June 27, 2005

When I had a chemo treatment in the hospital on June 16-17, I learned that my "cancer marker" number did not go down from the previous treatment. In fact, it went up 10 points - to 53. This was a major disappointment.

We had been expecting a significant drop in the number since the first 2 treatments with this particular drug were so successful. Because of this our specific prayer request is that the number will drop to well below 35 (considered in the normal range) when I am tested next week, July 5. (When I stopped my first "round" of chemo 2 years ago my numbers were down to 11 and my doctor really likes it to be that or lower.)

I am then scheduled for what we HOPE will be my last overnight chemo July 6-7.

The doctor said that if there is NOT a significant drop in the number, then he will be adding another drug to the chemo I am getting and we will have to continue treatment for an undetermined amount of time.

PLEASE PRAY - I know you will!!!

"Because of the Lord's great love we are not consumed, for his compassions never fail. They are new every morning; great is your faithfulness." (Lamentations 3:22,23)
July 5, 2005

It seems to be all about numbers .... I know many of you have been praying that my "cancer marker" number would go down 30 points to around 10 or so. Well, I found out that it is at 41 - which is down 12 from last time but about where it was 2 chemos ago.

Also, there is another number that the doctor looks at prior to each chemo treatment that shows the white blood count and other factors - called the "ANC". It should be at 2.0 (or 2,000). Last time it was 1.2 (1,200) and today's number was .8 (800) - too LOW!

So one number is too high and one is too low. However, my oncologist doesn't want to lose any time so he went ahead and scheduled my overnight chemo at GBMC for tomorrow (Wed-Thurs). The next day I will be getting a Neulasta shot, which boosts the white blood cells to raise my immune system.

Again, I would ask for prayer that the cancer marker number will drop 30 points so this could be the last chemo. We won't know this for several weeks.

In my reading of the Psalms I found this passage today: "When I said, 'My foot is slipping,' your love, O Lord, supported me. When anxiety was great within me, your consolation brought joy to my soul" (Psalm 94:18-19).
July 25, 2005

Just a brief note: My cancer-marker number (CA125) went down just 4 points this time to 37. We are very close but not there yet. Usually there are 6 chemo treatments in this series but the doctor has extended it to at least one more. My next one will be on Monday, 8/8, after we return from visiting friends in SC & family in Roanoke.

The GOOD NEWS is that I have been feeling great the past two weeks and I am focusing on - and thanking God for - how I FEEL rather than what the "numbers" say!


Jan & Dave with Eddi & Brooke in Charleston, SC

August 27, 2005

Well my "cancer marker" number has gone up again - to 122 (should be 35 or under). And this is two weeks after having a chemo treatment!

So once again I will be stopping my current chemotherapy and will begin another one next Tuesday (8/30). This one will be more aggressive and I will lose my hair again, etc. But we will do what we have to do to keep ahead of the cancer.

Isaiah 96:9,10 - "Remember the former things, those of long ago; I am God, and there is no other; I am God, and there is none like me. I make known the end from the beginning...I say: 'My purpose will stand...'"
September 15, 2005

I had my first treatment with the new chemo on 8/30 and I will be going once a month (next one is 9/26) for an undetermined amount of time. The good news is it hasn't "packed the punch" in how I feel and I will not lose my hair (yeh!). I seem to be tolerating this OK.

The other news is that I learned it will take at least 4 treatments (4 months) to find out if it is even working. My cancer marker may even go up during this time but have been told not to worry about it. One of my doctors gave this advice: "Think of this battle with ovarian cancer as a chronic illness." That helps put a different perspective on it.
October 3, 2005

I felt compelled to share a special prayer request. I know you and others are praying for me but I have decided not to share this "burden" with the masses.

My oncologist called the other day with the news that my "cancer marker", which should be well under 35 and was 122 when I started this new chemo, had jumped to 327!

He was very discouraged and I said something like, "Dr. Celano, let's not panic yet. I was aware that my numbers would go up during treatment until at least the 4th dose." (Funny, how sometimes WE have to console our doctors sometimes!)

He said that he knew it would go up but did not expect it to go so high and we'll just have to see how this 2nd treatment goes (last Mon 9/26). I have an appointment with him next Tuesday and will probably have a blood test taken so we'll know before I go for #3 on 10/24.

It is still amazing how everyone says how good I look and, although I felt pretty "wrung out" for 6 days after, I woke up Sunday morning feeling fine! I am thankful for my excellent quality of life and still choose to take it one day at a time (as we all do!) but have to admit this is an area of great concern for Dave & me.
Thank you so much for your love and prayers.
October 12, 2005

Since I sent you the prayer request regarding my "numbers" I should tell you that it went down from 327 to 205! So it is going in the right direction and we can keep going on the present chemo.

I will have 2 more chemos (Oct 24 and 4 weeks later), which gives the opportunity for it to go down even more.
October 25, 2005

I just had to share with you our good news! I had chemo #3 of this round yesterday and am feeling pretty well. But the GOOD NEWS is that my cancer marker has dropped from 327 when I had my last chemo a month ago (a bit of a scare), then dropped to 205 two weeks ago - and it is now at 99!

Praise the Lord we are definitely "on the right track".

Thanks for your prayers!
December 1, 2005

I will have chemo #5 of this round on Dec 27. My latest "number" was 64 at the beginning of my last treatment on 11/18. The doctor is confident it is still coming down but I won't get it checked until 12/27. We are aiming for well under 35 - preferably 15 or under, so he is expecting me to also have a 6th treatment in January. THEN we PRAY I'll be in remission!
December 12, 2005

I am VERY TIRED (wonder why?) but my oncologist says we must keep on track so I go for #5 of this chemo on 12/27 and #6 end of January. (I have now been 17 months in continuous chemo with 4 different kinds - 3 of which looked promising but then the cancer got the better of it.) We hold out much hope for this one! I'll give another update on me after the 27th when I should have the latest "numbers" but they were coming down.
December 22, 2005

As you know, I have been battling ovarian cancer for 2½ years now, and for the last 17 months have been in continuous chemotherapy with 4 different drugs. The other 3 seemed to work for awhile and then they stopped working. I have two more of this latest chemo – one Dec. 27 and the other the end of January. Our hope and prayer is that I will go into remission after this.

(I just learned today that my "cancer marker" is unchanged from last month. It stands at 69 and should be well below 35, so we have a ways to go.) We will just "keep on keeping on..."
December 26, 2005

I went to see my GYN/Oncologist on Friday (12/23) and he found that I have a small tumor in my pelvis. He thinks it is either the same one I had several months ago and it hasn't gone away with all this chemo, or another "recurrence". Either way, he had expected better results from the 4 doses of chemo (doxil).

He has ordered a PET scan to be done immediately - so I will have both chemo and the scan tomorrow (Tuesday, the 27th).

The prayer request is that the scan will show that the cancer is contained and has not spread! If it is contained the plan is to then have internal, targeted radiation sometime in January.

Great news just before Christmas! BUT, again, at least my doctors are "on top" of things and are not letting this get out of hand.
December 31, 2005

A quick update" The doctor called to say the results of a scan done on 12/27 showed several small (1/2") tumors contained in the pelvic region - not spread! This is a PRAISE because these can be targeted with radiation.

We still need prayer for wisdom for the doctors for what is next since I have been in a pattern of seeming to respond to treatments and then it stops being effective before we can complete the cycle. This has happened 4 times since July, 2004.

BUT GOD IS GOOD and we are so thankful for His work in our lives - and for all of you!
January 11, 2006

We are very thankful that my oncologist decided NOT to do the internal targeted radiation. He feels it isn't worth putting me through the long-term risks when this would not be a "cure". He feels we have thus far been able to keep the cancer under control with chemo.

He wants me to have the best "quality of life" in the meantime. I'll have my last dose of the current chemo on 1/24. After that he will be switching me to yet another chemo which I can take over a longer period of time.
January 25, 2006

Well, here we go again. My cancer marker was up 24 points (from 69 to 93). We were hoping it would have gone DOWN 24 points, getting it closer to normal. So now it has happened again where I had to stop the chemo I was on and switch to another (for the 5th time in 18 months)! Thus, yesterday I began with a new chemo. I will be on a schedule of once-a-week for 4 weeks and then off 2 weeks for 6 cycles.

The main problem with this chemo (Hycamtin) is it can severely lower white, red, & platlet blood counts and they will keep in eye on my kidney function. So just pray for strength, good health during treatment, and that it works!

God is still in the mirace business, for sure!

"I am God and there is none like Me. I make known the end from the beginning. I say 'My purpose will stand...'" (Isaiah 46:9,10)
February 17, 2006

Thanks for asking about my blood counts. Indeed, I couldn't have chemo on Monday because ALL of the counts were too low, including the platelets! I have a two-week "break" - but am really feeling the extreme tiredness-effect.

The only problem with not getting my 4 weeks in, it messes up how we can plan to get away! I plan to email my doctor next week and ask him if we can count on 3 weeks on with 2 weeks off in the future so I'll know if we are OK to come perhaps the last week in March(?).
March 1, 2006

I was given 3 weeks of the new chemo and then because of low blood counts had to be taken off for 2 weeks to recoup. On Monday I had a blood test and the good news is that my counts were back up and I was able to get another treatment. The not-so-good news is that during that 2 week break my "cancer marker" rose almost 50 points (up from 93 to 140). Once again, we - and the doctor - are discouraged that my cancer grows during the off-times. Yet the off-times are necessary for my body to have time to build up my immune system!

There is a possibility that I will have 2 more weeks of this chemo and then the doctor will switch me to yet another one! (At least we continue to have options.) I will see him next Monday, 3/6, and we'll go from there.

Thanks for your continued prayers - "...for the battle is the Lord's..." (from I Samuel 17:47). I just will continue to be thankful that I feel well and I know I am in good care all around. All we can do is take it a day at a time and say, "This is the day that the Lord has made, let us rejoice and be glad in it" (Psalm 118:24).
March 22, 2006

I happen to be in a hard place right now. The different chemos I have had are just not shrinking the tumors in my pelvis. In fact they have doubled in size (1/2" to 1") in 3 months and my cancer marker numbers have reflected such.

The doctors (3 of them) have concurred that I will need to have radiation to get rid of the tumors. Without going into detail, I have been told that this will bring very unwanted side effects, including compromising my bone marrow. I have an appointment with the radiologist (at GBMC) on March 30th and will find out more then.

The other problem is that this is not a cure - even if they destroy these tumors. I will still have to go back to more maintenance chemo to keep the cancer cells from forming more tumors.

On the bright side, Dave & I are planning to take a break and go to one of our favorite spots - Williamsburg, April 1-3 and then visit my siblings in Roanoke for a few days.

I must share what scripture our church's calendar "happened" to have for March and April as I was putting some of my appointments down. March: "God is our refuge and strength, an ever-present help in trouble." Psalm 46:1; April: "Do not be afraid. Stand firm and you will see the deliverance the Lord will bring you today." Exodus 14:13. WOW! THAT was timely and sure did "lift me up"!

Thanks for your continued prayers and God bless you.
April 11, 2006

Well, things are escalating. My oncologist called to say my cancer marker has continued to rise with chemotherapy and this is just further confirmation that I need to have the radiation done.

I have seen the radiologist and had my "similation & marking" done. I will go for my first radiation treatment TODAY at 2:45 at GBMC. Good friend Suzanne Swift is taking me today and then my appointments will be at 8:50 AM so Dave can then take me back & forth. After 3 treatments this week (Tues-Thurs), I will have 5 days in a row for the next 5 weeks.

Our hope and prayer is that the radiation will indeed shrink the tumors in my pelvis and for me not to have too many side effects.

We are so thankful we had our good time away in Williamsburg (where we were extra blessed to attend a performance of the "Brahms Requiem" - in English, no less! - at Bruton Parish Church) and then visiting Jim & Donna and Bob & Jeanne in Roanoke.

Thanks for your love and prayers. (Dad so far is doing pretty well; though weak.)

HAVE A BLESSED HOLY WEEK as we celebrate the death & resurrection of our Lord Jesus!
May 4, 2006

Hello! Guess you are back in Charleston by now. Hope your time away was fun and refreshing - but I know Mary & family are happy to have you back!!!

You know how much we enjoyed our extended time with you - what a blessing!

Yesterday (Wed 5/3) dear Caroline brought my Dad to me for a visit!! Wasn't that just the sweetest thing? We had lunch and then I played some of Dad's favorite hymns while he sang! Was that every the most wonderful time! Caroline & I were filled with emotion to hear him sing (and remember all the words) to "Make Me a Blessing", "He Lives", "The Old Rugged Cross", to name a few. Wish you could have been here and I also wish I was prepared to TAPE it!!!

I learned yesterday that my 25 radiation treatments will be extended to 36! Now they have explained that the first 25 was a larger field of area and the last 11 will be a smaller, more "targeted" area. The good news is that I am getting "things" under control with some of my doctor's suggestions (like Metamucil). Hopefully, I will be able to get out and about a little more!
May 10, 2006

I wish I could say I am "hanging in there" real well. I am actually not feeling so well. The way the side effects are affecting my bowels (and hems) is just gettting worse. Even with trying several different things. I am also very tired and feeling a bit overwhelmed at not being able to help with Dad more. (He is feeling this, as well.) This is despite the MANY people he can call on and would be happy to help! It is very frustrating for me. Sorry to "dump" this on you, but would appreciate your prayers in this regard.

I have been running a low grade fever, as well (99) for almost a week, which I believe is probably a URI (as I kept forgetting to tell the doctors until I got home today and called to tell the nurse!) They will do a culture tomorrow morning.
May 25, 2006

Just as I was finishing up 25 radiation treatments the doctor informed me that I would need to have 11 more! These last 11 are for a smaller, targeted area where the tumors are located. The first 25 were more generalized.

Thus, I would have been finished Tuesday a week ago (5/16), but now will go until 6/1. These last 11 are really "packing a punch" with side effects - but I also learned that we only get this one shot at radiation in the pelvic region so we have to go all the way with it. So on we go!

I have an appointment to see my oncologist on Friday, 6/9, at which time we will discuss "what's next" and I will also have results of bloodwork, including the cancer marker. We do know this much - that I will have to have some kind of chemotherapy and a scan.

Dad is still doing fairly well and turns 89 on June 20th!

"Because he loves me," says the Lord, "I will rescue him; I will protect him, for he acknowledges my name. He will call upon me, and I will answer him; I will be with him in trouble, I will deliver him and honor him. With long life will I satisfy him, and show him my salvation." (Psalm 91:14-16)
June 15, 2006

I waited an additional week to see my oncologist so that the bloodwork would be more accurate, following 36 (not 25 as originally scheduled) radiation treatments.

He told me at today's visit that the cancer marker number had jumped an additional 112 points. It is now at 315 (should be under 35). He was pretty sure there was more going on in other areas other than the pelvic region. However, the tumors there still had to be radiated since they hadn't responded to chemotherapy.

So now I will begin a new chemo next week. It is called Navelbine and I will have it by infusion once a week for about 18 weeks. I will also have a CT scan done next week.

I am beginning to feel much better following some rough side effects from the radiation, for which I am very thankful. As a side benefit, I lost close to 14 lbs during that time, which was about what I had gained during the 3 years of chemo.

As always, we appreciate your continued prayers.

"Fear not, for I am with you, be not dismayed, for I am your God; I will strenghten you, I will help you, I will uphold you with my victorious right hand" (Isaiah 41:10).
June 23, 2006

First the Prayer Request: My sister, Jeanne Watson, will be undergoing open heart surgery on Tuesday, June 27, in Roanoke, VA where they live.

She has a hole in her heart, a blockage, and 2 heart valves that may need to be replaced. One for sure will need to be replaced (using a mechanical device); the other will either need repair or replacement. Please pray for everything to go smoothly, with no complications, and a full recovery.

The Praise is that my CT scan came back clear - except the pelvic area where the tumors were blasted with radiation. It did show that there was a lot of "break up" in that area so that could account for my higher cancer marker numbers. At any rate, I began my newest chemo this past week and I seem to be tolerating it well so far.

"Because of the Lord's great love we are not consumed, for his compassions never fail. They are new every morning; great is your faithfulness." (Lamentations 3:22-23)
July 17, 2006

I received the results of my "cancer marker" blood test I had done at the end of last week. The marker went up from 315 to 806!!!! (and it should be under 35). This is after having a new chemo 3 weeks in a row - the 7th type in 3 years.

My oncologist, Dr. Celano, said that he has only 1 more chemo for me to try - Cytoxan. It is administered once a week every 3 weeks (much like the original chemo I had). It is pretty "big guns" and will knock my already low immune system even lower.

He will be checking out possible future clinical trials. (So far, I either don't "qualify" or they are Phase I where you could receive a placebo - and he doesn't think we can afford to do that at this stage.)

"O Lord, you have searched me and you know me. You know when I sit and when I rise; you perceive my thoughts from afar. You discern my going out and my lying down; you are familiar with all my ways." (Psalm 139:1-3)

Thanks for your continuing on this journey with us and for your prayers.
August 8, 2006

As many of you know, Dave & I went to visit my sister in Roanoke this past weekend (for the 2nd time in 2 weeks). We were so surprised when we entered her room in the ICU unit to find they had removed her breathing tube overnight! She had good color and could talk and laugh with us. She also began eating regular food!

She does have to use oxygen and a drain from her chest to remove the pneumonia fluid. She still has trouble with irregular heartbeat and low, irregular blood pressure. They are working on all of that and we feel she is in good hands. I am sure she will be in ICU a few more days, at least, before they move her to a regular room. She may remain in the hospital for several weeks.

Also, to bring you up to date on me - I started a new chemo the end of July and go once every 3 weeks. My next scheduled chemo is next Tuesday, Aug 15. Once again, I seem to be tolerating it pretty well. It knocks me for a few days but then I have 2 good weeks in between, which is a blessing! In fact, that was why I felt good enough to travel to Roanoke last weekend.

Thanks again for your continued prayers! God is so GOOD!
August 16, 2006

I wanted to send an update on my Dad - Murray Smoot; my sister - Jeanne (Watson); and myself.

Dad: As most of you know by now, he is in acute congestive heart and kidney failure. This time he is in a rapid decline. He still insists on staying in his apartment - for the time being but his Hospice care team is meeting today to assess his needs and how they can give more support. The prayer is that he will now be willing to accept this. Unless an "event" changes things, his doctors & Hospice insist we must abide by his wishes.

No one has said "no visitors" to Dad, BUT in his weakened state he sleeps a lot and doesn't answer the phone much. Also he is not capable of returning calls to people who leave their numbers on the phone. On the other hand, it can get to be too much for ME to get calls about visiting him. Let's just say that if you are willing to drop in for a very BRIEF time and be willing to just walk in and wake him up, we'll leave that up to you. He does know that everyone loves him and is praying for him.

I will also try to remember to leave updates on our home answering machine, as well as keep the church office informed of any changes.

Jeanne: She was finally moved out of ICU last weekend after 2 weeks, and just YESTERDAY had her oxygen & catheter removed!! Praise the Lord! She is sitting up and walking more now. The next step (literally) is to set up physical therapy in a facility - either the hospital or one close to their home. We are so encouraged! (They are giving her medication to control her irregular heartbeat and blood pressure.)

Me: Yesterday (8/15) I had #2 of 6 of this latest chemo. It is given every 3 weeks, so my 3rd one is scheduled for 9/7. I had quite a shock to discover that my cancer marker had skyrocked in 2 weeks last month from approx 800 to almost 1,300 (should be under 35)! That was after stopping radiation and before beginning chemo.

But in the 3 weeks since I had my 1st chemo (7/27) it has dropped approx 260 points. (If you don't want to pay attention to the "numbers" - just know that we are now slowly going in the right direction.) I think my doctor was protecting me by not telling me that number when he knew I was going to visit my sister 2 weekends ago.

(We wouldn't be at all surprised if my cancer was going crazy from all the worry & stress of the health of Dad & Jeanne.)

Our one BIG bright spot is the upcoming marriage on 8/24 (next week!) of our son, Aaron, and his fiance, Sirena, and her adorable, almost 2-year-old daughter, Cristiana, who has certainly "won" our hearts!

"In the multitude of my anxieties within me, Your comforts delight my soul." (Psalm 94:19).
August 25, 2006

Our son, Aaron, & Sirena's wedding went BEAUTIFULLY yesterday, 8/24! They were married at the Towson Courthouse and at the end of the ceremony, Dave read a Marriage Blessing from Aaron's Granddad (who was unable to attend the ceremony).


The big SURPRISE of the day was when Dad found he felt up to coming to the wedding luncheon at our house afterward! Jack was down to visit him and he brought him over! God is SO GOOD!

Dad is feeling pretty well right now - and, believe me, it has been a "roller-coaster" ride - but he insists we go ahead with our plans to go to the ocean next week. Please pray he can "hang on" until we get back! Hospice has our numbers and we can get back sooner if needed.
August 29, 2006

This past Sunday, 8/27/06, Dad was on his way to church - but took a "detour" to HEAVEN! He had been picked up by friends from church (and residents of Oak Crest), Bob & Benny Summers, and was telling them a funny story when he just "slumped over". They did a U-turn and went back to his building where the Security/EMT team took over and pronounced him dead.

Dave & I were at church, where the service had begun, when my cell phone rang at 10:14 AM. (I NEVER take my cell phone to church - but had put it in my purse because we were to leave for our week at the beach afterward.) When I went out to answer the call I saw that it was from "Dad". When I answered, it was a paramedic, saying that he was sorry but my Dad had "passed"!

God is so GOOD! What better way for him to enter Heaven than to be on the way to the church which he had re-started in 1949! He did not suffer and didn't even have to have the "end of life" round-the-clock care he dreaded.
September 19, 2006

When I had chemo on Sept 7 my bloodwork came back that my cancer marker had gone back up into the 1,200's (should be under 35)! I was only half-way through this round of 6 treatments.

Of course, going through the recent death of Dad and all the stress of funeral arrangements, paperwork, and cleaning out the apartment since 8/27, I'm sure hasn't helped my "numbers". However, my oncologist insists that even with all of that the chemo should have done its job of bringing the number down - not allow it to go up!

So....he is taking me off chemotherapy entirely and I will be part of a Clinical Trial at Johns Hopkins. The "trial" is a Phase 1 - meaning it has been tested on animals but not on humans. It is also an "antibody" therapy rather than chemotherapy. It works differently in that it will help my immune system to fight off the cancer. Let's pray that it works - not only for me but for future cancer patients!

We just found out yesterday that I am scheduled for preliminary testing on Wed Oct. 11 and then will begin the trial (which is for 7 weeks in a row) on Monday, Oct. 23.

For those of you who have been praying that Dave & I will be able to go on vacation (since it was cancelled the week Dad died) - we are going to the ocean for a week beginning the weekend of Sept 30!

Here is one of my parents' favorite passages: "Lord, you have been our dwelling place throughout all generations. Before the mountains were born or you brought forth the earth and the world, from everlasting to everlasting you are God." Psalm 90:1-2.
October 14, 2006

This is just a quick note to thank you all for your prayers and to please continue!!

As I said in my last update, I am scheduled to be in a clinical trial at Johns Hopkins Hospital . When I had my bloodwork and scans done this past Wednesday, they showed that the cancer has continued to spread. So we are very thankful that I will be starting in less than 2 weeks (Wednesday, Oct 25).

I will go for 4 Wednesdays in a row (full days). I will then be off the 5th Wednesday, Nov. 22, which happens to be our 40th (!) Wedding Anniversary - and the day before Thanksgiving. The following week I return to Hopkins for more scans and bloodwork to see how things are going. If all is well I go for just 3 more times – and stop in time for Christmas.

I will not be given chemotherapy but an “antibody” (by IV) designed to attach to just cancer cells to keep them from growing or spreading. The most interesting thing to me is that I learned that I am the FIRST and ONLY ovarian cancer patient in this study at Hopkins at this time. The study is mainly for people with pancreatic cancer but my tumor had a similar element to it. So, please pray that this WORKS – not just for me but for future patients!

“[God] knows the way that I take; when he has tested me, I will come forth as gold” (Job 23:10 ).
October 30, 2006

The reason for this update is to let you know how I did and that my day for treatments in the Hopkins clinical trial was changed to Thursdays. So my first day was last Thursday, the 26th.

I have to admit that as the day kept getting changed I was getting more anxious! One of the reasons was that I knew that I was going to be the first ovarian patient in this particular trial and was getting a larger dose of the medicine than anyone had gotten before me! Even the medical team was a bit anxious to see how I would react.

Well, Praise the Lord I did FINE - with virtually NO reaction and I continue to feel OK (just the normal fatigue).

Dave & I ran into three people at Hopkins that we know, which was a real blessing! Dr. Jim Herman, a friend from church, who is a Research Oncologist there; Al Finch, also a friend from church, who goes every Thursday for followup care from cancer surgery; and our dear friend who was a volunteer in our Christian Community Center days - Elita Barnhart! She is currently a Chaplain at Hopkins.

We are very thankful for the care I am receiving and feel we are in the best of hands - GOD's and Hopkins!

So just continue to pray that this antibody (MORAB-009) treatment works!
November 3, 2006

I don't know if you've spoken to Carolyn B or not - but guess who I just "happened" to see walk by at Hopkins yesterday? You guessed it - HER! She was having her 6 month CT scan and she is once again CLEAR and doesn't have to go back for 1 year! Also, Al & Sandy were there for his CT scan, following his bone marrow surgery - and his was also CLEAR and won't have to have another for 3 months! Wow - were we 3 women hugging and Praising the Lord - right in the lobby at Hopkins!

I also did fine again with the infusion and had such a nice visit with Carolyn - for a couple of hours! Now if I can just have the same kind of report when I have my CT scan on 11/29!
November 11, 2006

I still feel well from the treatment - just the usual fatigue and occasional stomach/side pains (which is really from the cancer not the treatment).

Thank you so much for your prayers on my behalf - actually for Dave, too! We can really "feel" them!

I did have several opportunities to share my faith on Thursday and two of them were "seat-mates" (because we were in a cramped space during treatment!). Linda was being treated for uterine cancer that had spread to around her heart! She is about 8 years younger than I. Ruthie has ovarian cancer which she had "beat" 6 years ago but it came back this past May. She is 11 years older than I and BOTH were believers! We had a wonderful time of sharing our faith and so thankful for the many people praying for us! (Ruthie has "kids" and grandkids who are missionaries in Thailand!)
December 1, 2006

First of all, our PRAISE is that Dave & I celebrated our 40th Wedding Anniversary - and our "kids" threw a most wonderful party for us on 11/18! Many of you were there and we were just thrilled and awed at the over 100 that came! We were also thoroughly, 100%, SURPRISED!!!! Thank you for the outpouring of love, whether you attended or were not able to be with us.

Editor's note:   Jeff's photos of the party are still online - please click here.

We then spent a delightful, restful Thanksgiving Week in Williamsburg, with our Anniversary actually being on Wednesday, 11/22.

Our PRAYER need is to update you on the findings from the Hopkins Clinical Trial I just completed. Actually, I was at the half-way point where they checked my cancer marker and did a CT scan. We were totally surprised (in a different way then above) that my cancer marker had climbed to an all-time high and two tumors in my abdominal area had increased slightly. Because I had not remained "stable" I had to discontinue being in the study. The unbelievable part was that I feel and look well! In fact, I would say I have felt better since being in the study.

Now the plan is to return to my GBMC team and begin a chemotherapy I had at the beginning (Taxol - 3 1/2 years ago) but in a "divided" dosage. That means instead of getting a large dose once every 3 weeks, I will get smaller amounts on a weekly basis. The side effects should not be as severe and it should still "do the job".

The details have not yet been put together - but I should be starting either late next week or the week after.

So keep on praying! Thanks and God bless you with a Blessed Christmastide! “'For I know the plans I have for you,’ declares the Lord, ‘plans to prosper you and not to harm you, plans to give you hope and a future.’” (Jeremiah 29:11)
January 11, 2007

Dave & I met with my oncologist at GBMC this past Tuesday (1/9) to talk about what is next. After going through 4 weeks of the chemotherapy, taxol, my cancer marker showed it is not working and the cancer is progressing. This was, of course, discouraging for all of us.

After 3 1/2 years of trying many different types of treatment and many rounds of chemo, my doctor said it was time to stop chemotherapy. The cancer keeps mutating and growing. I have begun taking Tamoxifen to stop any hormone action that could be "feeding" the cancer.

So, as always, we covet your continued prayers! We are taking things a step at a time - as we all do! A couple of verses for 2007 for us seem to be, "A man's mind plans his way, but the Lord directs his steps." (Proverbs 16:9) - and "Be strong, and let your heart take courage, all you who wait for the Lord!" (Psalm 31:24).

Dad had a definition for HOPE: "Hope is the constant expectation of GOOD from the Hand of God."

God's blessings in the New Year!
January 20, 2007

Just a quick note to let you know the latest. We thank the Lord that I have an appointment at University of MD Medical Center on Tuesday, 1/23, at 2:00, with the Research GYN Oncologist. His name is Dr. Edward Sausville, who came directly to UM from NIH - I believe somewhat recently.

The research nurse told me about an "exciting" clinical trial that they are having real success with. It is not Vitamin C but Folic Acid and she has an ovarian cancer patient (with advanced disease) that is responding very well. She also spent a good deal of time explaining that the Cancer Center there is very innovative in research and has a very large grant for such. She assured me they would not "give up on me" and they would make sure I receive the best care there is!

I had a good talk with my GBMC oncologist - who affirmed this wholeheartedly. He said that he was really at a dead end - he even "struck out" with Hopkins about any clinical trials for me. He, of course, wants me to keep him in the loop on my progress.

Thanks for your continued prayers.
January 26, 2007

My appointment on Tuesday at University of MD went very well and I was told that I would qualify for the folic acid clinical trial. (It would be working along with a cancer drug.) However, it was interesting during the consultation that the doctor suggested I first see how I am responding to the Tamoxifen I began earlier this month.

I got the results of the cancer marker today and found out that it was decreasing - so II am responding!! Praise the Lord!

The research doctor and nurse at UM said that this clinical trial and any others that may come in the future are always open for me even if I don't go into to it at this time. After consulting with my oncologist at GBMC he agreed that we should "stay the course" and keep a monthly check on my progress.

We were already beginning to feel more hopeful because we have found more options out there - but this is definitely good news!

My miracle so far has been that I have continued to look and feel well through all of this! "Seek the Lord and His strength, seek His presence continually! Remember the wonderful works that He has done..." (Psalm 105:4,5).

Thank you, as always for your prayers!
February 27, 2007

I found out yesterday that my "cancer marker" came down significantly this past month and my CT scan showed that I am "stable". I still have a long way to go but I will keep taking Tamoxifen (a daily pill which has virtually no side effects) and the supplements I have been taking, as long as I have a good response. The doctor will continue to check the cancer marker monthly.

We are so grateful to God! Thanks for your continued prayers.
April 11, 2007

The cancer has "reared its ugly head" once again and now we are back to where we were in January!

Four years ago this month we were told there was no cure for the type of ovarian cancer I have. The doctors have done everything possible to keep me "going" with good quality of life these past 4 years, for which we are very grateful.

We are still not giving up! We know that "nothing is too hard for God" (from Jeremiah 32:17) and "with God all things are possible" (from Matthew 19:26)! Just please pray for wisdom as we will be deciding the next course of action.

I am feeling well except that the extreme fatigue is back.
April 14, 2007

Thanks for praying.

I met with my oncologist on Thursday. He recommends that since I had an initial good response, I should stay with Tamoxifen (the daily pill) - but to double the dosage. He feels we should stay with the "known" rather than tread unknown waters at this point. We will do this for one month - and then he will check my blood work. He feels it is "safe" to do this because I am doing so well - at least my immune system is because all my other blood work looked good! He would rather I stay as strong as possible before being "knocked down" by another chemo. However, another chemotherapy treatment is in Plan B should the Tamoxifen stop working.

Most of you know how much I love singing in our choir and it was such a great blessing to be able to sing with them Easter Sunday! A couple of friends sent me the following verse, which I think is so uplifting:

"The Lord your God is with you, He is mighty to save. He will take great delight in you, He will quiet you with His love, He will rejoice over you with singing." (Zephaniah 3:17)
May 3, 2007

Gemcitabine - also known as Gemzar - was a chemo I took early on. It is known to knock out a lot of cancers; in fact it was the main one that helped Jim! However, I was not able to stay on it because half way through the treatment the cancer marker rose significantly and so it stopped being effective. This has been my pattern. I checked my "records" and found I took it from Jan-March 2005. Dr. Celano (my oncologist) at that point had said, "We are treading waters, at best." That right there was a clue that he was giving me the best possible treatments and I was not responding.

So I am still treading waters 2 years later! Question: Will the Lord deliver me from these waters? I know everyone is praying so!
May 16, 2007

Dave & I went to see my oncologist for the results of the latest blood work and CT scan. The “bottom line” is that the cancer is definitely progressing.

I told the doctor that it is hard to believe I am doing so poorly when I don’t look like I am ill or feel too unwell. He said that when the cancer returned 3 ½ years ago, he never dreamed I would be looking or even “doing” as well as I am! So, again, that is our miracle so far.

We are in the process of figuring out what is next – but definitely it will be trying another chemotherapy. There are a couple of options the doctor is looking into.

In the meantime, Dave has decided to take a 6-month leave of absence from the Helping Up Mission, where he has been Staff Administrator the past 4 years. He feels it is the right time to spend the best quality of time with me – and then take a “second look” at the end of the 6 months.

As always, thank you for your continued prayers and loving support.
May 17, 2007

I am beginning the new chemotherapy tomorrow morning at 9:00 AM! I will be getting infusion (IV) once every 3 weeks. This will be the kind that knocks my immune system low and "takes" my hair - but we are on the attack!
June 4, 2007

Just to let you know that I have been rescheduled for the draining of abdominal fluid (big word is: Paracentesis) by way of a catheter tomorrow morning at 9:30.

I was just beginning to feel it getting more uncomfortable (and stomach larger) yesterday but this morning I also saw that I gained 3 lbs in one day! So my doctor said we won't fool around this time and I should feel much relief afterward. However, they were booked in that part of radiology today.

Pray that the procedure can be done (and won't be too painful!) - because I had a fever today of 100.4.
June 5, 2007

Thank you for your prayers. I had the procedure this morning and they drained more than 1 liter of fluid from my abdomen! It didn't hurt nearly as much as I had been told it would - thanks to good numbing meds.

It really does make a difference and now if I have to have this done on occasion, I won't be quite so anxious.

(I was sorry I had to miss my Aunt Laura's funeral service - but I really could not have gone the way I was feeling. Then I have been sleeping off and on for a couple of hours. This was considered minor surgery.)
June 14, 2007

Thanks for your messages, Eddi, both by email and the phone. Always encouraging. I finally did feel much better today - in the AM so went GROCERY shopping and picked out Father's Day Cards (alas, first year not one for our Dad).

Dave is painting our bedroom so it was good to get out and away from the fumes. It also gave him a break from having to stop and go to the store (though he would have gladly done it). Now this afternoon I am bloating again - so I have an appt for sonogram and "tap" (easy way to call it) tomorrow at 3:00.
June 16, 2007

They didn't take out near as much fluid as the first time but it was still "measurable" - I know there is more in there but it just stopped pumping out for some reason.

I have very little stamina today and some nausea. Don't know if this is just what's to be expected or what. I do little things and then go to the recliner for awhile.

Our bedroom looks BEAUTIFUL! It looks like butterscotch and I washed our light, fluffy beige curtains which look fine as a contrast to the darker walls. Dave painted the ceiling and all the doorways, etc. white, so we have that contrast, too. We'll be fine with our summer spread and have a nice contrasting, colorful quilt we use for 3 seasons.
June 30, 2007

Yesterday (Friday, 6/29) was a crucial decision day in whether I am to continue in chemotherapy treatment. On May 18 I had the first of this chemo – VP16. It is given once every 3 weeks. After the first cycle my bloodwork showed another large increase in my cancer marker and I was getting new unwanted symptoms of the disease.

However, my oncologist decided to give it one more try – so I was given the second dose on June 8. He had said that if the second dose did not work that we would not only stop this chemotherapy, but it would be “reasonable” to stop ALL chemotherapy because I have been through so much and the cancer is now advanced.

Before yesterday’s appointment family members who were visiting for a few days – my brother Jack & his wife, Linda, my sister Jeanne (her husband, Bob, wasn’t there at the time), and Dave & I held hands and prayed. It was VERY precious and we had peace when we left for our appointment.

At the doctor’s office Dave & I were given the news that my cancer has stabilized and, though I am weaker and have lost a lot of weight, I am feeling better than I was. So I will continue in treatment. My next one is this Monday, July 2.

As always, we thank you for your continued prayers. God does indeed answer prayers!

“But this I call to mind, and therefore I have hope: The steadfast love of the Lord never ceases, his mercies never come to an end; they are new every morning; great is Thy faithfulness. ‘The Lord is my portion’, says my soul, ‘therefore I will hope in Him.’” (Lamentations 3:21-24)

Love and a Blessed Independence Day to All,
August 4, 2007

Things really took a change in our lives on Friday, July 13th (the day before my birthday)! That morning I woke up feeling very sick and called my doctor with whom I had a “standing appt”. He suggested I go to the emergency room, where we spent the rest of the day into the evening.

After many tests it was discovered I had an intestinal blockage, a sure sign that the cancer had progressed. It virtually has overtaken all the abdominal area, including the digestive tract, etc. Therefore, my oncologist concluded the best course of action was to place me under Hospice for “comfort care’. I was transferred to Gilchrist, Hospice of Baltimore, that night.

I was there for 6 days and it was actually amazing to be in a place that is so peaceful and resort-like! I am now home receiving Home Hospice care and am on a completely clear liquid diet (no fun!)

As always, we covet your prayers as we enter this new “phase” which will result in my Homegoing sooner rather than later. – We’re still looking for a miracle!

“But I trust in you, O Lord; I say “You are my God. My times are in your hands.’”   (Psalm 32:14-15a).




Surely goodness and love will follow me all the days of my life,
and I will dwell in the house of the LORD forever.
  Psalm 23:6

To her family and friends, the "goodness and love" of God was evident in Jan's life.
The psalm does not promise an escape from the "valley of the shadow of death"
(in this life), but Jan knew that she would "dwell in the house of the Lord forever".
All underlined words below are links to other web pages. Click "Back" to return to this page.

"A Service of Witness to the Resurrection" at Central Presbyterian Church
included scripture readings and music that Jan selected herself.

Revelation 3:20         Lamentations 3:19-26         Psalm 16:5-11         Psalm 31:14-15

Colossians 3:12-17         Ephesians 3:14-21         John 17:1-5         John 17:20-26

        Great is Thy Faithfulness         Amazing Grace         He Lives

Be Still My Soul         Because He Lives         Just as I Am, Without One Plea


The service included the tribute by Doris Deal posted below.
Doris also fought a long and courageous battle with cancer.
She was reunited with Jan in heaven on June 30, 2011.
The bulletin from her memorial service is also here (a PDF file).

My Jan

In looking out at all of you, I'm thinking about the deep love that Jan had for you. Many, many, many times I knew to be praying for you individually as you faced difficulties or had special joys because Jan would call me and have me join her in praying for you with love. AND, THANK YOU for how beautifully you loved her and loved her family! It was such a blessing to watch her heavenly father orchestrate a continual hugging of her in your hugely thoughtful, generous, beautiful acts of lovingkindness! Dave, you were key to how Jan was loved! I have already told you that she called you "more than wonderful." Anyone who knew my Uncle Murray Smoot knows we did not use the word "wonderful" lightly. It is a God-word, speaking of super-natural matters.

I am standing here because Jan and I are close cousins, only a year apart in age, and I am named for her mother. A long time ago Jan and I began to call each other Sister–Cousin–Friend (that's SCF for short).

SISTERS because I got to soak in an awful lot of love and guidance from her parents in addition to mine. Frequently I was here – right here – with her and her parents on extended visits.

COUSINS because her mother and my mother were the two youngest of the four Ikena sisters.

FRIENDS because, starting at ages 9 and 10, we began to share all sorts of life experiences together. Jan and I ran across the support beams below this very sanctuary and sold coffee and doughnuts to the construction workers. (That part was Aunt Doris's idea to keep us busy. I have a feeling that summers must have seemed interminable to her when she had my two brothers and me here in addition to her own five children!)

Jan and I shared a bedroom with Jeanne on the second floor of the old brown manse that was right over there [pointing] until Jan and I had a room on the third floor under the eaves with a totally wooden fire escape that, praise God, we never needed!

One evening when we were teenagers I saw Jan become furious at her folks over something or other, so she stormed out the front door of the manse, leaving home "forever" – only to quietly and sweetly return immediately through the back door, and settle down so quickly that is was comical.

I got to decide as soon as I met David (which means "beloved"), that I totally approved of him for her – He, God bless him, chose to study for Towson University exams in the same room of this church building in which I was desperately and awkwardly trying to get a nursing care study paper completely typed before heading back to Philadelphia after a long weekend break. With great speed and accuracy Dave typed many of those pages for me.

Then, there was the JOY of Jeffrey David and Aaron David's arrivals. In between those awesome birth days Jan and Dave lovingly had my parents live for months in part of their home.

More recently I watched Jan thoroughly delight in being a grandmother. It was really sweet to see. She loved her sons so much she always welcomed any time she could have with them and their families!

The completely unexpected and nasty diagnosis came about four and a half years ago. About a year later I began sharing some of her experiences, being cared for by the same oncologist. Often we arranged for our appointments to be on the same day around the same time so that we could be together and be first, after our husbands, to hear how our cancer fights were going. There were big disappointments for Jan sometimes because she would feel just fine but learn that the cancer was growing. We prayed for each other and for our dear ones constantly.

Without my realizing it at the time, just as Jan was being admitted to hospice, I was writing an email to her. We KNEW our Lord could miraculously heal her. We KNEW that just because it didn't look like there were any more medical things that would get rid of her illness He could still keep her here with us. But I put in that email [This Scripture has not been read today, but was spoken yesterday] Romans 14:8, "Whether we live, we live unto the Lord; and whether we die, we die unto the Lord; So, whether we live or die, we are the Lord's!!"

So...I watched this beautiful, precious person, Janette Ruth Smoot Turnbaugh, pray through with her Lord, our Lord, about what HIS plans for her were – would he get her out of hospice and back to the hope of restored health, or would he allow her body to quit working? Once she realized that His answer was the latter, you could see that she set her heart and mind on heaven, and used any strength she had left, including supernatural strength, to love us before moving there.

There is a hymn we appreciate deeply [we sang it earlier today]. The words of the last verse are

Be still, my soul, the hour is hastening on
When we shall be forever with the Lord,
When disappointment, grief, and fear are GONE,
Sorrow forgot, love's purest joys restored!
Be still, my soul, when change and tears are past,
All safe and blessed we shall meet at last!

Jill Fielding, one of Jan's special-angel friends, taught us not to say "Goodbye, " but instead to say, "See you later!"