Wednesday, June 21, 2017

We love you Suzy.

On June 16th, Suzy passed away after her long battle with Cancer.

Forgive me, I am not as eloquent a writer as Suzy was and obviously this is a very hard thing for me to write.

On the 11th of June, Suzy held a suprise Birthday party for me inviting family members over after Brady's last official T-ball game of the season. It was a wonderful day, surprising me with the Carvel Ice Cream Cake that I had been talking about since my last birthday. She wasn't feeling very well, but you could see the joy in her eyes. She was always happy when she was able to do something special for someone else.  It was truly appreciated and totally not expected.

Later that night, Kevin, the boys & I went to Gillette Stadium for the Monster Truck Show! Suzy had planned on going a few weeks earlier and had bought groupon tickets. She wasn't feeling strong enough or well enough to go, but she wanted so much for the boys to go, so Kevin volunteered to help with the kids. It was amazing, the kids loved it!  One of Suzy's greatest joys was to plan fun stuff for the boys to do on the weekends. Boy, has she kept them busy as well as me.

Sunday Thru Monday you could tell that Suzy was having a harder time eating and taking her pills. She started feeling nauseous when she drank or ate. When moved into certain positions she would feel very sick.

Monday, she was able to get up enough energy to go the Healing Garden in Harvard, MA. It took just about everything she had to get there, but she was determined, and she was very happy she went. She took part in a group that discussed Metastatic Cancer and was able to talk to people going through with similar diagnosis and issues. She also had a Shiatsu treatment while there and she said it was a wonderful gentle massage. She could also feel the fluid finally draining out of her legs.

When she got back from the Healing Garden she was very tired and was unable to eat much. 

The next morning, Tuesday, she woke up not feeling well at all. She was weak and shaky and still unable to eat much. We had an existing appointment with the Personal Trainer to come to help her with the edema in her legs. The trainer had problems getting her blood pressure and her heart beat was faint.  So we called the VNA (visiting nurse) to come out and give Suzy a check up. The nurse was a little concerned but suggested Suzy continue trying to eat. She advised that if she couldn't keep any food or her pills down that she should head to the hospital. Suzy decided to stick it out the rest of the day to see if she felt any better.

Suzy was gradually feeling worse throughout the day, but I think she was determined to see Brady and Parker home from school before she decided to go the hospital. So when I came home with the boys at around 6, she had decided we should start to pack an overnight bag and drive into Mass General Hospital.   She was feeling so horrible, that she suggested that perhaps we should call an ambulance instead of me driving her in. This was a shock to me, and I knew this was very serious. I did drive her to MGH myself  but I will always wonder if that was really the right thing to do....

Before she got into the truck for the ride to MGH, she was able to come outside and sit down on the front step and give some big hugs and kisses to the boys. The boys were covered in wet sand from playing in the sandbox with the hose, but that didn't matter to Suzy. She wanted to take a bit and make sure that she gave her love to the boys. Reggie and I were a bit nervous because we wanted to get her to the hospital. But I think in a way, Suzy might have known that his was the last time she would see her boys....

We got to the hospital at around 8 pm and we were immediately escorted to the urgent  area of the emergency department. They took some blood, did some tests, and you could tell they knew that her condition was worse than her previous stint in the hospital. We stayed in that emergency room until about 8pm the following day. Bob(father), Reggie (mother) and her brother Erik came by to say hi on Wednesday. She still was not eating, even though I kept on offering shakes and yogurt. We had a discussion with Dr. Peppercorn that day and his goal was to get Suzy feeling like she felt the Saturday before. The goal at this point was not to roll back the cancer but to make her as comfortable as possible. Her cancer wasn't responding to the Chemotherapy. 

That night we were able to move up to the oncology floor in Lunder 972, just around the corner of where we were 2 weeks prior. She was able to get comfortable that night and had a pretty good rest. 

Throughout the day on Thursday, Suzy would go in and out of sleep and in and out of various states of lucidity. When she talked she seemed very happy and would identify what family members were in the room. During this time, I was continually trying to get her to eat something. I managed to get her to drink an Ensure over the course of the day, but that was about it. On her Ipad we had Family Feud playing on YouTube to give her a few laughs. Over the last few weeks, she had looked forward to watching Steve Harvey and the Feud, it was something that she could do with the family with her limited mobility.

By this point a lot of her family members were in and out of her room, Her Mother Reggie and Father Bob, her brothers, Erik and Chris,  and Chris's partner, Trish were there, along with her cousin Kevin.

Later in the day we had a visit from Dr. Reynolds, the floor Oncologist as well as the Palliative Care doctor. They had told us the devastating news that they believed Suzy's decline could not be reversed and her body was starting to shut down. The goal then became to make her feel no pain. This was heartbreaking. We all knew what that meant, even Suzy.  This was a very hard pill for me to swallow. This was it, and I felt like I had failed in someway in taking care of Suzy.

As the night came near and her parents left for the day. I set the chair next to Suzy, I held her hand and watched one of her favorite movies, Austin Powers, with her. We had started watching it the night before but we had both fallen asleep.

Later that night, I guess I had fallen asleep watching it again.  Around mid-night I woke up and I didn't see Suzy in her bed. I panicked, started to run out of the room and saw that she was lying on the floor next to bed, wanting help to be picked up. I called the nurses and we got her back into bed. Apparently she tried to get out of bed to use the bathroom. So the nurses helped her with that, got her into bed, and she went back to sleep.

Now it was after after midnight and one of our favorite shows on Netflix, The Ranch, was starting a new season, so I propped up the Ipad and watched 2 episodes with her before falling back asleep.

The next day, Friday, I don't think she really ever woke up. She had been placed on a constant slow drip of Dilaudid for pain and that made her drowsy. In the morning you could tell she was uncomfortable so they increased  her pain med dosage to make her more comfortable.

The rest of the day more and more family came in. Along with the others, Bob's wife Terry, her brother Paul, my parents, my sister Jennie and her husband Andy as well as her Uncle Arnie and his wife Barb came. We didn't know how much longer Suzy was going to fight. We were all hoping for a miracle, we knew how tough of a fighter she was.

Later in the evening, we all could tell her breathing was getting more and more shallow. Everybody was in the room. Some of us were next to her, whispering that we loved her in her ears and letting her know that it was ok to go...she could stop fighting and finally rest. At around 8:15, Suzy passed away with all of us by her side.

It was devastating. I have never felt so much pain, so much anger, so much helplessness, so much sadness and so much worry about the future all at the same time. I am still in shock.

I love you Suzy. I always will. I will never forget you and I will always keep your memory alive in Brady and Parker.






You Will Be Missed, We love you.





Life Legacy


Suzanne Audra (Muzzey) Seminara, 39, passed away June 16, 2017 after a courageous battle with cancer.  While her family is devastated by her loss, we are thankful she is free of pain and suffering.


Suzy was born May 1, 1978 in Laconia, NH to Robert & Loretta Muzzey.  She grew up in Wentworth, NH, graduated from Plymouth Regional High School, Lafayette College with a BS in Mechanical Engineering and Southern Methodist University with an MS in Systems Engineering.  Suzanne worked for Lockheed Martin as a Project Manager on the F35 Program.



Suzy loved her family and all sports.  She was a good listener, genuine, kind and grateful.  A beautiful mother, Suzy loved her boys, Brady & Parker, beyond measure.



Suzy is survived by her loving family;  husband, Gary Seminara & sons, Brady and Parker of Chelmsford MA, parents, Robert & Terry Muzzey of Canterbury, NH, Loretta Muzzey of Clearwater Beach, FL, parents-in-law, David & Nancy Seminara of Whitehouse Station, NJ, brothers, Paul Muzzey of Chester, NH, Erik Muzzey of Watertown, MA and Christopher Muzzey of Smithfield, RI, sister-in-law Jennie Mizov and her husband Andy of Mansville, NJ as well as many aunts, uncles, cousins, and countless friends.



It is with heavy hearts and great sadness that we say good bye to our precious angel, Suzy.



ARRANGEMENTS - A funeral service will be held Sunday, June 25th, at 1PM at Immanuel Church, 301 Boston Road, Chelmsford, MA 01824.  In lieu of flowers, memorial contributions may be made to the Suzy Muzzey Seminara Scholarship Fund at http://www.youcaring.com/SuzyPRHSstudentscholarshipfund

Arrangements are in the care of the J. A. Healy Sons Funeral Home, Westford, MA






An additional blog posting will occur shortly  to document what happened in her remaining days.

Friday, June 2, 2017

Yet Another Eventful Week

Since switching to Xeloda things had been running pretty smoothly.  I transitioned to short term disability leave which allowed me to recover from the terrible side effects of Gem/Cis and within a week I was walking again.  Within two weeks I was able to take visitors and our Texas friends Kris and Randy came to visit.  We also hosted the Seminara grandparents and held the boys 5th and 3rd birthday parties. Using my tax refund I booked a spontaneous trip to Florida to see Jeff and get some Vitamin D.  When we returned we hosted a 50th birthday party for Uncle Paul complete with over the hill shirts and cake.  That's a lot to do in 6-8 weeks even if you're not sick!

By the end of May I was starting to feel tired.  While in Florida I experienced a sharp pain just to the left of my spine and mid-back which made it uncomfortable to do much walking.  When I returned I had a spine MRI which showed traces of the disease throughout my vertebrae but did not measure sizes. Erik had a great idea to take a weekday afternoon off, cruise in the Porsche to the coast, have lunch, then cruise home. We choose Tuesday afternoon in Newburyport MA.  Normally this would be pretty simple for me but I just had no energy.  It took all I had just to walk from the car to the restaurant, the restaurant to the boat overlook, and the overlook back to my car.  Each of these is about 50-100ft apart, not really far.  It was a little cooler by the water but we had a nice lunch and cruise, I'm glad we went.

Then came the crash.  Thursday morning I awoke from a deep sleep but in terrible discomfort.  Everything hurt - liver tumors pressing on my ribs, the lower right quadrant of my back, labored breathing, and lack of appetite.  I tried my standard 600mg of  Advil but it wasn't enough.  I spent Thursday on saltines, water, and Advil which certainly wasn't going to help my energy level.  Thursday night I had cold/hot flashes and a terrible time sleeping.  Friday wasn't much better.  I went to my acupuncture appointment but that took all the energy I had for the day.  I was able to eat a little more having very small bowls of soft soluble meals (milk soaked in cereals, mashed potatos, pasts, etc).  Friday sleep wasn't much better either, and Saturday day was pretty much the same.  At this point I literally felt like I was hanging on by my fingertips and could slip at any moment.  It was time to take more serious action.  I emailed my oncologist who was away for the Memorial Day holiday but he got right back to me.  He recommend I go to the Emergency Department (ED) at MGH Boston where they had access to the best imaging tools and teams. That's what I did and so began my 5 day hospital stay, 1 in ICU and 4 inpatient.

The first night/day in ED/ICU was a little scary as they were trying to figure out why so many of my systems were crashing.  Was this the end?  They pursued two options - either I had an infection that was draining my electrolytes and throwing my system off balance, or the cancer had progressed and put me into liver failure.  So they treated me for both.  The drawback here was an endless supply of IV bags - antibiotics, potassium, calcium, phosphate, etc. that swelled me up like a balloon.  I gained 25 lbs in my 5 day hospital stay.  After a CT scan, the doctors shared that I have ~10% liver function remaining and it could be days or weeks for me now. They were surprised I wasn't in more pain.  So where is the good news? It wasn't an infection so we could stop the unnecessary IV fluids (and swelling).  All through my cancer journey the imaging results have been low accuracy (except MRI) so likely the case here as well.

After this experience I am starting a new treatment plan taking Navelbine chemo (IV) one time a week at MGH Waltham.  I had my first chemo treatment in Boston before discharge including another RBC blood transfusion (this drug is known to knock your RBC low).  Navelbine was picked as it scored 80%+ effectivity against my type of cancer.  It's also only a 15 minute infusion so should be a quicker in/out at the hospital as well.  In addition, I have been prescribed dilaudid (opioid) for pain and sodium bicarbonte for electrolyte balance.  To help with the swelling in my legs I met with PT and they gave me some recommended exercises to release the fluid.  With that I signed the discharge papers and my case was handed over to the outpatient nurse providers to establish my at home care plan.

Today I met with the nursing home aide who set me up with 2x/week in house visits.  These visits will check in on me and my environment - are my furniture arrangements accommodating, do I need to alter any meds, what is my quality of life, etc. After looking at my legs she recommended another low dose med which she got approved through my oncologist.  Hopefully this will take some work off my poor swollen liver.

So just like that, in one week's short time, life can throw you a curveball.  Every time I have the "end of life" conversation with my doctors it feels like an out of body experience, but this time it felt more real.  My advice to everyone is give life your all, everyday, and do something you ENJOY.  I have always been thankful for the experiences I had growing up in rural NH, going to college and grad school out of state, getting to touch the sky (working on airplanes), and meeting an amazing network of family and friends across the country that made my life better with every conversation, text, F-book message, or phone call.  What a ride...and I'd do it all again!

My swollen liver - CT scan

Our 9th floor view toward the Pru and Charles River

Starting new chmo (15 min via IV push)

Here comes the sunshine!

And the window washers