Day 407– Monday, July 28th, 2008

28 07 2008

I promised, but I am going to keep it quick…

You know what? Surgeons travel in packs. No less than four surgeons and Dan and me . . . In an exam room… tight.

“We are dealing with growth. There is bone, there is disc, and there is something more.” I don’t know how they see these thing. To me it’s like seeing a baby on a sonogram two days into life. I just don’t see it. But they did. “As I recall, you said that if we could just get rid of the pain, you would be much happier.”

To fix the arm would require an extensive surgery with a long recovery period that we can not afford since it would stop any chemo/radiation treatment.

To fix the pain there are things available that a pain management specialist can get for me, like steroid injections into the disc. We will be contacted in the next couple days …

Yes, I am disappointed but not discouraged. We were hoping for a clean vertebrae. But this is just one more way to express God’s Glory when he relieves me of these tumors. I will be healed. One way or another.

Tomorrow is my last radiation treatment. I am scheduled to resume chemo treatments next Wednesday, I believe. I have an appointment with my Palliative Care Doctor this Wednesday. He takes care of my medications. We are still working on changing my medication from a morphine base to a methadone base. A lot less Methadone is needed to cover what morphine covers. . .

After Wednesday, we will get a break for a while. The past weeks having to be at the hospital every week day has been trying on not just me, but the whole family. The children will get to run and play a bit more this month.

Your prayers are heartly felt and appreciated. If God wants my arm to work, he will make it work. It would be easier on my life that’s for sure. Let’s pray for each other.

Love to all,

teresa

Oh, BTW: The bleeding lesion in my leg has slowed to a stop I think. The bruise is down past my knee, though the top is fading.



Day 406— Sunday, July 27th, 2008

28 07 2008

I have no idea when the last time I wrote. It’s been a tough week. I guess it’s been longer than a week, even, since I wrote. Tough couple weeks. Why is that? Let’s see. My left arm doesn’t work. That makes it hard to type. But I think it is more than that. I spent the better part of the week at OHSU between appointments, procedures, and emergencies. I should have told you about all of those. But I didn’t. Why? I really need your prayers. Why didn’t I ask for them?

Pride. 

Yah, that’s what it is. My Pride is getting in the way. I know that Pride is a sin. And I am mad at myself for it. It doesn’t make much sense, I know. God has taken care of us every step of this path. This Adventure for Christ that I am on here. . . It’s always “fun” to see how God pulls off each rescue. I only wish He wouldn’t wait until the very last moment to give you what you need. We are in need. Money is so tight it’s starting to choke us.

I feel like I am sitting in God’s waiting room with a fist full of applications and a number that is so long I can’t read it.

Well, while I wait I may as well fill you in on what’s been going on.

Stepping back to last week… I spent the weekend (the one before last) in pain through my neck and down my left shoulder and arm which was once again just hanging uselessly. The only relief I could get was with cuttings from Lidocaine Patches that is the only thing it seems my state insurance plan won’t pay for. With the help of Leenie and Dennis, we were able to buy a couple patches and make it through the weekend. Monday morning we left a message on the nurses line at the radiation center. An hour or so later one of them called to say that the doctors wanted to see what was going on and ordered an MRI for that evening 8pm. “Well… ah… I need to be sedated. I was told to use the words ‘general anesthesia’” “That is going to take a little more time. Call you back.”

Next call was interesting. “Please go to this website and look at this machine. Tell me if you could do this…” http://www.epicimaging.com/site/new/upright-mri.asp Someone has now created an MRI machine that you can stand or sit in. You are not shoved down a tube. It’s open in front of you with a flat screen TV hanging on the wall across. “Could you do this?” “From looking at that picture… I think I could do that.” Within the hour I was scheduled for this walk-in-MRI. And the appointment I was given was within an hour of that. And clear across Portland.

I didn’t have time to freak out.

But it was going to be easy. No Claustrophobia issues with this right?

Well. It wasn’t as simple as all that. I sat in the chair. He put on different collars (I refused the full face cage of course) and fiddled with this and that. Handed me a bulb on a string and said “IF you need me, squeeze this and I will come.”

Then he pushed THE BUTTON and backwards I went. Into the belly of the beast.

“Hey… whoa, whoa, whoa…”

“What’s wrong?”

“I’m going in there. How far in there?”

“Back in there just a little ways more.”

“Ok then. Ok.”

And I went ahead back into the machine. But there was still nothing in front of me. No tube. I was just squished between the sides. I could do this. I can. God help me do this. It’s a million times better than the tube, right?

And then the clacking started. Rats. The sound was still part of the equation. Clacking and Clicking and Bonking. Geez. I was watching my stories on the TV though, while the MRI was going on. That was cool to think about. Once the noise got too loud to hear the TV I started to get squirmy. I had the Oxygen on, but I was having some difficulty catching my breath. I thought maybe it would be a good time to take my Technical friend up on his offer of assistance once the bulb was squeezed.

“What’s wrong?”

“I need a break.”

“A break? Really?” Still, he didn’t come right away. By the time he did come in he had a sad kinda sick look on his face. Turns out pushing the bulb meant something different to me than to him. To me: Break. To him: Start OVER. Oopps.

“I can take some more Atavan and we can go again. How long was I in there?”

“Oh, twenty minutes.”

Oopps. I was going to spin some story blaming it on the tech when I got to radiation. But the rat… he called them up and told them it was my fault before I could tell them it was his fault.

There were two other people waiting and ready for their walk-in-no-claustrophobia-issue-MRI. I had used up my chance for the day. I had to go back on Tuesday morning. Morning meaning 7:30 am. Dan wasn’t pleased. Neither was I. But I showed up first thing. NOT bright-eyed NOR bushy tailed. I showed up drugged to the max and ready for a nap in my cozy open-faced sandwich. The tech had a plan. There was the head cage- he insisted because I moved yesterday– there was no tilting. I sat straight up and down. That was good. I got ear plugs and no glasses this time. No TV. I slid back into the machine and passed out. It was over before I knew it. On the way home, we dropped off a CD of the scan at the radiation center.

By the time we got to radiation, Dr F and Dr M had already combed through the pictures and were excited about something.

“We think this may not be cancer that is stopping the arm from working.”

We may be looking at a compressed disc. Just after Robert was born in 2000, I had pain in my left arm when I nursed on that side. It turns out that three babies in two and a half years might not be a great idea. I had blown a gasket. Lol The disc at C6/7 in my neck was squished (How many times am I going to say squished in this post?) and need to be removed. The surgeon removed the disc and replaced it with a donor bone. That was covered with a plate attached with a couple screws into my spine. He said that the next disc up, C5- they all have these numbers- was also weak, but not enough to fix at that time.

Well, this may be the time. Dr F and DR M thought from the scan they were looking at, it may be the time. Compressed Disc. But they had to be sure. There was still the possibility that there was cancerous growth on that knuckle causing the pain and lack of functionality.

“Even if it is a compressed disc, I don’t want you to think that you have been getting radiation on your neck for nothing. Had the disc not compressed, you wouldn’t have lost the use there and we wouldn’t have done the first MRI that lead us to the dangerous tumor at the base of your spine. We probably wouldn’t have found it. This is a blessing in disguise.”

I had to share a smile with Dan. It wasn’t just a coincidence that there was two issues with my neck. One drawing attention to the other. I would have wished that God had found another way to point to the bad tumor that wouldn’t have been so debilitating and painful. But if there hadn’t been the one, the other might well have killed me. Go figure.

I was able to talk to Dr F about faith and what God has been doing all along in my life. And you know what? He was listening.

“Look what he did when he opened my Lung.”

“That is truly amazing. You don’t know.”

“Dr. F, what I like about you is that you think outside the box. You make things work for me instead of having me work for it.”

“There is no other way to do it. You have to make it work.”

“You Killed my lung.”

“Well, yes. I told Dr. R that it would never open up again. But there was nothing else to do.”

“It opened up.”

“Truly amazing.”

“God is good.”

He went to work looking through my back scans for a decent picture of the plate already in my neck. The two of them decided they had to go somewhere else to find it. “If they call you for your treatment, go on back.”

They came for me. Twenty minutes later, treatment over, I was taken back to the exam room because there was two surgeons waiting for me. Hahahahhaha

Dr F had gone to the ER to get the surgeons to come up to run a battery of tests — push this, pull now, don’t let me do that… They had already looked at the Sit-in MRI scan and determined that the problem was probably compressed disc but they wanted a clearer shot. A regular MRI has a higher resolution, but because I already have metal right there from the first fusion, they wanted a different kind of scan done. A CT Myelogram. Basically, using an X-ray machine, a Spinal Tap is made and dye is injected into the fluid. The dye is manipulated to the site by tipping the head down. Then the site is scanned with a CT. It was Tuesday and they wanted this scan done on Thursday or Monday because those are the days they are in clinic and can see me. The problem is two fold. One, was it just structural. Two, if it was a compressed disc, was it bad enough to have to stop my treatment to fix it now. Evidently, the fact that the arm does not work is worrisome. The longer the limb doesn’t work the more permanent damage we are doing to it. But I have two more radiation treatments and then I go back to Chemo.

I need to get more chemo and now. See on Wednesday…

Wednesday I woke up with that lump that has been just there on the groin line was bigger and kinda sore. I didn’t think much about it though. About 10:00a, Dan was helping me get dressed and he said, “What is that? Did you hurt yourself?”

There was a dark thin line down the front of my leg. It was a blood line. Hmmm. We left another message on the machine at the radiation center. There wasn’t a quick call back though. As the day grew, so did the bruise under my skin. There was internal bleeding for sure. We really needed to have it seen. We needed to go on in to the ER. The only problem is that it was Robbie’s 8th Birthday and we knew the way things go at the ER. I felt really bad. I was going to ruin his birthday. But you know, that kid is fantastic. Dad took him to the store first to spend the B-day money he got from Gramma and he was a happy fella with a new PS2 game he had not thought to have ever owned. (It was on clearance for $7!) “It’s ok mom, really…” We called in some reinforcements to watch over him and his sisters and went on to the hospital.

I was examined by a whole gaggle of disciplines from ultra-sound docs to a team of surgeons (The ones I am seeing for the arm…) A couple ER docs were insisting on a new MRI but I put up a fight. The surgeons were called in to determine if it was necessary or not and they found my legs working well enough to wait on the procedure they were ordering. The Myelogram CT — scheduled now for Friday. As the day progressed, so did the bruise though. I was told that the body would reabsorb the blood. As long as there was not a pulse to the lesion that was bleeding, it wasn’t “life threatening.” It was almost time for my radiation treatment so they let me go. Dan rolled me in my chair from the ER in the main hospital to the radiation center in the next building. Dr M was there to see me. She reassured us that there was nothing to do for the bleed that the body wouldn’t take care of on it’s own. “It seems your Sarcomas like to bleed.” Great. “The bruise is gonna get uglier before it stops.” Great. I went then for my treatment. I finished the neck and now I have just the abdomen until Tuesday. 

We made it home with plenty of time for celebrating an eight year old Birthday. 

Thursday, let’s see… Thursday I had the home oxygen people to the house to bring me a small portable tank…

And the bleeder was still bleeding. Not pulsing, the bruise just growing…

Friday. Friday is the CT Myelogram. Here is what I was told would happen… I need to lay on my belly –I don’t know the last time I laid on my belly. Not sure I can. . . The doctor locates a good place to enter my spinal fluid via an X-ray machine. I had one of these done eight years ago. There was no X-ray then. The student hit a nerve and I went flopping around like a fish out of water… Once the dye is inserted, I get tipped on my head to get the dye down to my neck… Eight years ago they left me upside down like that in the hallway for what seemed forever as I hollered to be released! Then I get a CT scan done. Last time the tech wasn’t very sympathetic to my plight. After that I will have to lay flat on my back for four hours. I don’t do “flat.” It’s hard to breathe when I am flat on my back.

Now, I could let all that happened eight years ago and all that the surgeons are telling me now to make me freak out over this procedure. OR I can lay it in God’s hands and let the people I am dealing with know my situation and ask for the best of care.

First thing, explaining the tumors in my back, I asked for a comfortable bed. Got it. That came with TLC from the nurse getting me ready.

Next I let the two doctors and the tech that were going to do the procedure know my situation and asked for the utmost patience. I would do my best to lay still and they would do their best not to hurt me. They were true to their word. They waited for me to figure out how to pull in my own part. The hardest part for me was dealing with the bum left arm. No matter what I did with it, it hurt. I resolved myself to whimpering softly as they worked as fast as possible. The tilting was done quickly. Using the X-ray machine made quick work out of it. Then I rolled over on my back and they took me to the CT. Once that was done I was taken back to the place I started and I was raised about 30 degrees. They didn’t even want me flat! They gave both Dan and I a sandwich and fruit which Dan dutifully fed me. And soon it was time to go. No four hours on my back. We made our way then to radiation treatment with about an hour to waste. It was a trying day. By the time we got home I was happy to be there.  And the bleeder was still bleeding.  Not pulsing, just seeping downleg.

Saturday, I spent in my chair mostly sleeping it all off.   Still Bleeding.  The bruise falling downleg. 

Today, Sunday, we went to church.

Then it was dinner time . . . I was dishing up the dinner and it started. I couldn’t stop it. My legs started to slide in a scissors and with the arm that didn’t work, I couldn’t stop it. I hit the floor with such a thud and a scream that I was sure that I wasn’t getting up without a paramedic’s gurney.

“Don’t touch me! Something’s broken. I think it’s my back…”

They all came running. I was scared. They were scared.

Then I wasn’t.

“Ok, everyone start praying for me. Lay hands on me together, now and pray. God help me! Lord fix what is broken right now before I move.”

Dan and the kids all did as I said. They prayed for my healing right then and there. The pain I felt on impact was no longer there. The terror we all felt on impact was no longer there. Slowly I rotated my body one direction and then the other. I tested my legs and then the arms. Dan helped me move the dysfunctional limb around to the front and I slowly pushed up on both elbows. Then rolled over and on my bottom and sat for a while to breathe. From there I wrapped myself around Dan and inch by inch he stood up with me.

“Thank you, God.” It took a while, but I made it to my feet. God did it. He lifted me. He fixed me. Dan walked me to the living room and my bed. I was shaken, but not stirred. But the tears welled up and cascaded down. “Oh thank you God, for keeping me safe.”

A broken bone now would be devastating to my recovery. It would stop my treatment for a long time. Too long. I was spared a broken bone by the Grace of God. I hit that floor so hard …

I spent the rest of the night here in my chair writing this tale out to you. I don’t know how I was able to get it all out… Maybe it was the thump to the floor that jogged it loose.

I feel like a truck run over me, but nothing is broken. I’m OK.  The ugly bruise down my leg extends from groin to knee.  Still no pulsing.  Just the long ugly bruise.   It’s starting to ease up, I think.

Tomorrow I have an appointment with the surgeons to get the results of the Myelogram. I’ll let you know what they say. No really. I will.

I promise. Lol I will.

Maybe Dan will…



Day 393– Monday, July 14th, 2008

14 07 2008

NOTE: I started this on Monday or Tuesday of last week and wrote a little bit here and there. You will hear a flood of different emotions come through because it has been a week filled with varying thoughts and feelings… I guess I spent too much time entertaining the devil this week and not enough time basking in  God’s Love…But something happened to change all that…Read on.

I have been writing a little bit every day this week, but it hasn’t amounted to much. Hopefully, I will write enough to post today. I know that you don’t get that. Whatever I write, I should post. But it’s not that easy. I should be able to write what I feel and move on. But like I said, it’s not that easy anymore.

Why? Hmm. Let’s see. Different people read this differently. To some, I am this amazing font of strength and inspiration. I guess I did this by having a persona of who I would want myself to be if I could be. Does that make any sense? I wish I was the person that faces a monster head on and doesn’t flinch. Maybe you know that I am flinching and you don’t care. That would be my first wish. Because I am. Flinching.

I have to be this person, but I am having a harder time of it lately. This is hard on my family and it’s my doing. Not that I could have stopped it from happening, but it’s my fault that my husband can’t work outside the house; that he has to take care of me. He is under so much stress. It’s crushing him. He has to figure out how to make ends meet and make me well at the same time. I am not helping. I wish there was something I could do to take the pressure off of him. But it seems that I only do the opposite. Illness is hard on a relationship. Ours is no exception. The difference, maybe, that we have is that we believe in what the Lord can handle. I don’t know how someone would do it without faith.

I don’t know if I told you, but we have found a church. It’s rather large by our standard, but there is something pulling us to it. I found out today (It’s Sunday, July 13th, now) what it was that is pulling us in. This afternoon, after the 11:00 service, a group of church elders met with us in a side room and prayed over me. We needed this so badly. No matter how much faith you have, you need the faith of others to boost you. That reminds me of a plaque I bought for Dan many years ago. It’s hanging now in my living room. (Right above the hospital bed I now sleep in.)

Proverbs 27:17

Iron Sharpens Iron.

So one man Sharpens Another.

 

We need the fellowship of other Christians. We need the support and encouragement of fellow believers. Today, I learned from “strangers” that within the Christian Community there are no strangers. We are all family in Christ. How do those who don’t believe make their way in life without that? How many years we spent Un-churched and missing out on the fellowship of others. Please, find a church. Take your time doing it. We spend the past three months going from one church to another until we found the right fit. Today a group of people that we had not yet met, enveloped me and lifted me up to a place I longed to be. They reminded me of what God can do. They picked me out of a funk and deposited me at the feet of my Lord. They cleared out the cobwebs and anointed me with oil. I am truly blessed.

For my husband, they did the same. They prayed for his peace and set him back on track. They prayed for his finances and Blessed his business. They prayed against the spirit of poverty and oppression and fear. They rebuked the devil from interfering in our relationship and asked the Holy Spirit to calm his nerves.

What a day. What a way to live.

They prayed for my children to see what God is doing in our lives and remember it in their hearts forever. Fantastic. The way that God saw what we needed and delivered it through some pretty remarkable people.

**************************

NOTE: That being told, I guess your wondering what is happening with my treatment. I wrote this next section another day…

Well, life has changed once again for us. Instead of being a member of the Chemo Café, I am back in the Radiation Lounge. That MRI that I loved so well turned up a tricky situation in my neck. There is a lesion in the entry to my spinal column that, should it get any bigger, could block off the use of motor functions including involuntary breathing. This has invited the attentions of a new doctor that has transplanted himself here from Germany. Dr. F seems to have shaken up the place. He has accommodated me instead of having made me accommodate him. I like that. He is a good guy.

The other strange thing about being in this radiation unit is that it isn’t the same radiation unit that I remember from being in the ICU. When they wheeled me in on the stretcher with my right lung collapsed, I saw the unit as extremely dank and smooshed. I was brought in from the ICU flat on my back and that is how I saw the whole unit. It was as if everyone was in miniature. I remember, see, that the walls were caved in. I felt as though the rooms were condensed; it was as if the thick walls needed to protect from radiation was built into the room instead of out of the room. (If that makes any sense.) I don’t remember Dr. F from that time. Since he has been with the university since 2006, I am sure he was involved in the decision to nuke my lung.

Dr. F is an expert in radiation to the brain and the lung. Go figure why we have been matched up. So far, his prescriptive zapping seems to be helping. The radiation staff treats me with kid gloves. I have more movement in my left arm. I am tired, but not as nauseous as I am on the chemo. Although, that will return once I am through with this radiation, I suppose. I have a wheel chair that I use when I go out. Not that I can’t walk, but I get tired quickly. I also have oxygen to use when needed now. Don’t get me wrong, though. I feel good. It’s amazing. But I do feel better.

It will be a busy week. Radiation everyday and a couple appointments on Wednesday. Thursday there is a lecture on the advancements in Sarcoma treatment that we really want to attend. I also get to hire a helper! Through my disability office, I get to have some help a few hours a week. I have a list of ladies to call and set up interviews. Go figure. Isn’t that nice. There’s that silver lining they are always talking about, hey?

Sunday night again now…Monday morning now. . . I fell asleep



Day 382– Thursday, July 3rd, 2008

3 07 2008

I have so much to report and so little time to do it in. It’s 9:25am and I have to be back to OHSU by noon. I have about thirty minutes to explain. I’ll give it a shot.

The MRI that was postponed for Monday was a circus. Hahah Go Figure. The waiting was NOT the hardest part in this case. As I was coming out of the general anesthesia, I vehemently wanted to know what all these people were doing in my living room. I must not have even been off the slab, because I can still hear them yelling for me to lay still or I would fall off the table. I found out afterwards that I woke up while in the tube and was moving around on them. They had to zap me with more knock-out juice to get me settled back in my cocoon. The next thing I knew, the anesthesiologist, herself, was wheeling me back to recovery, and then she was comforting me as I cried tears of embarrassment. The whole team in both MRI and the Recovery department were great. I was a bumbling idiot! Hahah What the reputation I am gathering at this place. Lolo

There was some serious considerations with this MRI, putting my shenanigans aside. Going in and getting prepped, confirmed Dan and my belief that I have been low in blood oxygen. There was nothing that particular group could do but give me oxygen and document the level. That level was confirmed again on Wednesday in the infusion lab. I will be getting Home Ox as soon as they can get it scheduled. I will be able to judge for myself when I need it.

Then of course, there is the possibility of new tumors. That we didn’t get an answer for until Wednesday. And that would be skipping Tuesday. Tuesday we didn’t have to go to the University. But we did have a three hour appointment with the disability office to ascertain how much assistance that I need from Dan. Now, we know: NONE. Hahah No, not none, just not enough for him to get paid for it. (Turns out 1 in 70 do qualify) Whet we are eligible for is a Home Heath Aid about 90 hours a month. This person can come in and do light housekeeping or what ever I need taking care of. This is paid for by my Disability Insurance. I also have an option of a bather. I met her this morning. She was nice. Had she been a he– Byorn from a high German village where they have no women . . . I might have . . . NO, I wouldn’t. hahah not yet.

Wednesday, we showed up for Chemo and was told that they were waiting for DR R to arrive to see if I was getting my chemo treatment or not. A…WHAT? Yeah, didn’t they tell you? You have a meeting with the radiation people tomorrow, right? Well, there you go.

What the heck. Meanwhile, my feet are so swollen I think they are going to pop and I am, oh, so tired, that I just want to lay back in my chair and take a nap. Turns out that my blood counts were all very low. Three Units of Blood for me it is. It took a couple house just to run down the right stuff and then five hours to drip it all in there. Since we had no idea what the other reason for no chemo was, my PA clued us in.

The pain in my neck and problems in my left arm are, indeed, caused by new tumor growth. I have spots now in the cranial bone — but NOT in the brain, and down my neck spine. Dan and I are meeting with the radiation expert in about an hour now. Evidently, I was the topic of the week at the Sarcoma Interdisciplinary Meeting yesterday. All the best geeky experts in the West– talking about me and plotting about me. Planning about me. Soon there will be a fantastic plan . .. There might be a long simulation done today –Ikky-Yukky . It’s a tube of sorts. Not as scary as the MRI, but…Pray for me.

For me.

Meanwhile, please keep up your part of the plan… PRAY.

Not just for me, now. Pray for everyone. If the person is receptive to being prayed for, then let them know that you are praying for them. If they wouldn’t like it of you prayed….hahah well….

Pray for each other. Pray for everything. Pray for all things.

When praying for me, know that this new development is just another way we can glorify the Lord.

AND the Lord WILL be Glorified.

In All Things.