A Final Update

IMG_5657 IMG_9917As our community approaches the size of our hometown of Sacramento, I have a final update to share: Mikaela has been transitioned to hospice care & I’ve decided to table the campaign to remove any distractions during this time. These are difficult words to type, but it’s the clear choice at this point.

While we were not successful with getting the drug, your support has been essential in providing a boost of hope to get us through the past couple months — THANK YOU! If you’re able, here are 3 ways you can help us in the coming days:

1) THOUGHTS: As we enjoy our final days together, your thoughts/prayers/vibes for a smooth and pain-free transition are much appreciated. The hospice team has been doing a great job of keeping Mikaela comfortable, and we’re doing everything we can to keep it that way. It’s an unavoidably precarious situation, so your thoughts are much appreciated!
2) MONEY: Having never been through a situation like this before, I’m nervous about the costs of everything in the coming weeks. If you’re able, we’d greatly appreciate any financial assistance you’re able to provide. You were all extremely generous during our campaign to cover the cost of genetic testing, and we’ll be receiving those results shortly. In lieu of setting up a whole new fundraising page, we’re just going to keep the page for that campaign open for the time being. Thanks to those who are able, and we completely understand if you’re not!
3) SUPPORTING OTHERS: Please do not allow the outcome of our campaign stop you from supporting others. Even though we were unsuccessful, the fight brought great joy to Mikaela during these rough times and anyone in her position will benefit from a similar experience. You’ll be able to find other compassionate use petitions & I want to highlight the petition for 10 year-old Joey Xu as he faces the same subtype of kidney cancer.

Nothing I can say will make up for the half-million who’ve lent their support, but I hope I’ll be able to repay the favor someday to as many of you as possible. Just let me know! If her story has provided you even a fraction of the inspiration it’s given me, then I’m proud to know that she made the world a better place.

Holding Mikaela’s hand & prepared for the coming days,

Keith Knapp

ps: I hope you enjoy these final pictures of Mikaela’s unfailing positivity. These were taken just a few days ago, with Mikaela making funny faces while wearing her friend’s glasses.


148 thoughts on “A Final Update

  1. RaviG says:

    Our prayers go to Mikaela, to you and your family. May God’s blessings and grace be with you during these tough times.

  2. Leslie says:

    May God continue to bless and keep you both during your journey. Just know our hearts and prayers are with you!

  3. Debi Joy says:

    I lost my Grandfather and Mother to Cancer. I know your pain first hand. I’ll be praying that she has accepted Jesus and will be going home to heaven where there is no more pain and an eternity in the Lord’s presence. So sorry for your situation.

  4. Sylva Baker says:

    Sending you both love, peace and comfort in the days ahead. I am so sorry that this is the outcome. My heart aches for you both.

  5. Michael White says:

    My best to you both as your paths temporarily diverge. I believe that you will be reunited in another incarnation, as your spirits wiill continue to unite. Mikaela, I wish you a comfortable path without fear as you enter the light. Keith, lean on family and friends who too had the privilege of knowing and loving your bride.

    Michael White

  6. katymay32 says:

    It breaks my heart to hear this sad news. I had hoped all would work out. Such a beautiful woman with a positive and inspirational attitude.Comfort & Love to you both ❤

  7. katymay32 says:

    I am truly saddened to hear this heartbreaking news. I had hoped all would work out. Such a beautiful woman with a positive and inspirational attitude. Love & comfort to you both ❤

  8. I am so sorry things turned out this way.

  9. Shayne says:

    This is heartbreaking. I signed your petition and I had the highest of hopes. Thank you for sharing this journey with us. Mikaela, you are beautiful, an inspiration and although I have never met you, I felt your spirit and am glad that my path crossed with yours in this small way. ❤

  10. Ariel says:

    God bless. May you know peace without suffering. You two will be together again.

  11. Diane Schreiber says:

    Mikaela, my heart breaks for you and Keith that you two will part like this. I know in my heart there will be a time where you two are together again. May your journey be pain free and with love and know you have a permanent home in my and my family’s hearts. God bless you and Keith

  12. Michelle says:

    My wish is for a gentle journey for you Mikaela and know that our love for you goes with you. Keith and the rest of your family will remain in our thought during this difficult time. You have been such an inspiration to so many of us. I had hoped for more time for you and Keith but you will always be a part of his life and will see each other again one day.

  13. JMorningstar, BSc, RRT, ACCS, NPS says:

    Keith, Mikaela’s father and mother:

    The honor and pleasure of taking care of Mikaela was all mine. I both sympathize and empathize with you and yours. I lost my sister in January from Lung Cancer. She follows my mother who died of metastatic CA of the brain.

  14. Justin says:

    Such sadness! I am crying for both of you two. Every marriage must face something like this at some point, but I wish yours’ didn’t have to face it so soon.

    Both of you two are inspirational: Keith in your overflowing love for Mikaela, and in your actions because of that love. And Mikaela, your continuing positivity, bravery, and humor through this is a profound life lesson for me, and it is one that I will incorporate into my life and into what I teach to my young children.

    I am glad to hear that the Hospice team has been able to keep Mikaela comfortable, and I hope that you guys are surrounded with the help and love you deserve during this time. Peace be with you.

    • Lisa says:

      Justin has just, beautifully, said everything I wanted to say. I am very sorry for you, but you have reminded me how much we can teach each other about caring and compassion for each other. God bless you and your precious wife.

  15. Sharon Helmsteadt says:

    Wishing you both LOTS of LOVE!
    You both are in my thoughts and prayers!
    You both have touched so many lives with the love you share.
    Wishing you LOVE, LIGHT and PEACE!

  16. CindyK says:

    My heart hurts for you both. ❤

  17. I’m so sorry that your petition was unsuccessful. You did so much for your wife, and you obviously love her so much! God bless you both as you go through this difficult time of your life. May God’s love guide you and give you peace.

  18. Susie Breeden says:

    I just want to let you both know I put you on my Church prayer list so you will have 150 people wrapping you with prayers. Love In Him, Susie

  19. You are both in my thoughts and prayers. What an inspiration. God Bless.

  20. thierry & kelli pasquiou says:

    Dear Keith & Mikaela,
    No time on earth is long enough to share with those we love or to prepare our hearts for good-bye. Our warmest thoughts are with you both now and always.

  21. Christina says:

    I just came across your petition while browsing through the other petition on the change it website. Idk why exactly I choose to stop and look as yours. Maybe God wants me to pray for you too. Idk. But my heart weeps for the two of you. I pray the Lord wrap his arms around the both of you. There are some things we can never ever understand. That our minds just weren’t built to comprehend. But just know out of all this, something will come of it. God will do something amazing with this situation. And God is waiting for you with loving arms.

  22. juju333 says:

    One can never truly like a post like this, however, it is good to read about your latest news. Hospice is a wonderful organization, although, each is run slightly differently, I am sure they will take good care of you both.
    My prayers to you at this time and for letting us know about how we can continue to assist others.
    May the angels come and dance and play with you.


  23. Katie says:

    Thinking of you and praying for peace for both of you. What an incredible story of love and bravery.

  24. Keith and Mikaela, We are holding you in our hearts and our prayers. May this be a gentle time for you both. As the mother of a beautiful young woman who died during her senior year in high school I know for certain that while this time is more difficult than one can imagine, it is not an ending, but rather a transition in a love that never ends, only changes. May angels surround you, may peace enfold you, may you know that many people are standing beside you in spirit.

  25. Andrea Peakovic says:

    My heart is with you both…may you savor the peace and love that surrounds you during this time.

    • Diane Green says:

      As she passes into His Heavenly Kingdom, Heavenly Father will have his arms wide open waiting to wrap her in them, keep her safe, and care for her until they all meet again. I pray for them every day and hope that Mikaela’s suffering will ease before she passes from this life into the next. God Bless their families and please include them in your daily prayers and encourage everyone you know to do the same.

  26. Diane Green says:

    God Bless you and your amazing wife at this time in your lives. May our Heavenly Father Guard, Guide, Bless and Protect you both and keep Mikaela safe for you until you meet again. You are both in our thoughts and prayers always. God Bless you Keith and your amazing wife Mikaela.

    Love to you both from the UK xx

  27. Alecia says:

    *tears.. I lost my mother to cancer not too long ago. I know what you are going through. Keep in mind, you did all you could. What a great husband you are to her. Many prayers sent your way.

  28. Lynne Carter says:

    Dear Mikaela & Keith,I have been thinking of you every day & praying for peace for you both. You 2 have done all you could,which you should both be proud of.

  29. Lynne Carter says:

    You are both beautiful people, inside & out.God bless you both.With lots of love ❤

  30. Karen says:

    Mikaela honey, i am wrapping my arms around you in the biggest hug. You and Keith have a special place in my heart and i hope you can feel my love. Thank you for all the wonderful memories – the silly smiles, mani/pedis, mimosas, teaching me how to put my hair in the perfect bun (hot buns!!) and for all the non-work things we did that made work fun! I will never forget our special little hermosa beach family and the joy that you brought when you moved here. wishing you peace and comfort in your final days. i love you, sweet girl, #yougotthis

  31. Marcus Scott says:

    Mikaela and Keith, I’m thinking of you both and hope you can just be together through this transition. The right words to describe it escape me, but I’ve been through it – I lost my wife to ovarian cancer in July 2011. So for you Keith, I just suggest you be with Mikaela as much as you both can manage. You still need to sleep, but the memories of the coming days WILL be of comfort in the months to come. Cherish her now as you always have.

  32. Sonya Fletcher says:

    Sending Peace, Love and Blessings to you both for today and always! My father is currently undergoing treatment for stage 4 Kidney Cancer, and we pray everyday for a cure. Your fight was not in vain, the public was made aware of this important issue & Mikaela was given hope. She did not receive the treatment she needed in time, but because of your campaign, hopefully others will! Let’s hope the FDA and drug companies will get their act together and start putting lives ahead of $… Stay strong & remember that you have a huge amount of people ready to give love and support. Best Wishes Keith, and Godspeed Mikaela… xoxo

  33. Janet Taylor says:

    I’m sorry that Mikaela could not get the meds that she needed. It breaks my heart for both of you. My thoughts and prayers are with you as you share these days together.May peace and comfort surround you.

  34. kdixson says:

    I’m so sorry. 😦

  35. Kim Crow says:

    Blessings and love vibes being sent.

  36. Rose says:

    You both are such strong and remarkable people who have touched so may lives through your courageous journey. We are all here praying for you and your family. May God hold you in his loving arms and help you through this difficult time. Your love and devotion to each other will definitely leave a legacy.

  37. Diane108 says:

    I am so sorry it has come to this. Mikaela is obviously a very special person and she has an equally special spouse. What a painful and courageous journey for you both. May your love for each other bring you both through this. Thank you for sharing your struggle with us all. I’ll be thinking of Mikaela and you, Keith, praying for her to transition smoothly and for you to heal. Blessings to you both.

  38. Michele Ubry says:

    I’m glad you were in my life, you were a wonderful sweet, loving niece with a great gift to make people laugh, I will miss you always but you are not in pain anymore and God is holding your hand now. Rest easy sweetie.

  39. Kelly Wagman says:

    Most beautiful love story ever told!!!

  40. Miriam Schwartz says:

    You two have such strength and positivity… And so much love! I’m crying writing this, and cannot imagine how hard this must be for you both. You have shown so many people what marriage and love is all about, and you are both such huge inspirations.

  41. Miriam Schwartz says:

    Sending you prayers and love and hoping Mikaela isn’t in too much pain.

  42. Love band prayers from my heart to you both

  43. Barbie Loughlin says:

    I am praying for a precious comfort only our Lord can give for both of you.

  44. Christian Termont says:

    Life can be so cruel. Hope both of you will find peace soon.

  45. Shonda Brown says:

    This is so sad! I am so sorry for you and your wife. Are you both saved at least?
    Do you know Jesus Christ? If so you see each other again sending you my prayers my heart is breaking for you both!

    God bless

  46. Krysten Johnson says:

    Keeping both of your families in my thoughts and prayers

  47. Marita says:

    Hi Keith and Mikaela-

    I just wanted to reach out as your story has touched me. You two are an example of true love and young love. You are in my heart, in my thoughts and prayers. Thank you for sharing your story and reaching for help with change.org and other avenues. I can only imagine what a tough time this may be for both of you. Keep smiling, keep loving, stay strong and lean on those around you for love and support.

  48. Sarah B says:

    My thoughts and prayers are with you both. Mikaela, you are amazing and inspiring.

    Life is eternal, and love is immortal,
    and death is only a horizon;
    and a horizon is nothing save the limit of our sight.
    ~Rossiter Worthington Raymond

  49. kriss o'neill says:

    We got you.

  50. niikkaayyallday4shooosays says:

    I’m shocked and truly saddened by this news. My mother died of cancer in hospice almost three years ago, Mikaela you have a great husband by your side and i wish that this wasn’t the final outcome for your cancer. Sending my thoughts and prayers to you both.

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