Wednesday, November 3, 2010

Double Dosage

Things are coming in twos this week.

First, I found out that I get to prep for a colonoscopy on Thursday am at 10:30. AND I get to prep again on Sunday for surgery on Monday. Prepping is SO much fun, but it's a necessary evil...

Then, I found out that because we are not certain exactly how the surgeon will do the procedure, I get to have marks for the stoma on both sides of my belly.

Should be interesting to wake up on Monday night and see what happened! Wonder if I'll be out of surgery in time for Monday Night Football (just kidding, Jeanah).

Well, time to visit the porcelain again...ain't this fun!

Today I met with the Pre-Op nurse, the Stoma nurse, and the Hospital Doctor and they have all the paper work and poking and prodding ready for surgery. Should be an uneventful check in.

Good thing we did though because my Blood Pressure is too high and he wants it down for surgery. I told him I'll get right on that, but he prescribed more meds for me to take so it will go down. Also, my potassium is borderline so he gave me some supplements to take.

mmmmm....more pills!

Won't be long now!

We are getting the barn ready for a fine post-op experience. I'm all hooked up and ready to be able to work from home too, which will be good several weeks from now...

Love ya'll

Wednesday, October 27, 2010

Game On!

Just a quick note to let everybody know the surgery has been scheduled.

Monday, November 8, 9:15am (I check in at 7:15am) at St. Vincent's Hospital in Portland (at the corner of Hwy 217 and Hwy 26 on Barnes road).

More Hope!

Last night, DRomov called me and gave me some great news. His preliminary report from Epic Imaging from the PET scan show NO TRACER ACTIVITY in the lymph nodes or surrounding area. This means that the cancer doesn't appear to have spread outside the rectum!

We didn't know this for certain previously as the films we hand delivered to Dr. Lee didn't have this report with them because the PET scan doctor had not made his report yet. The TRACER ACTIVITY in the area of the original tumor in the rectum has increased from a 10 to a 15. It has been in the 20's before... This means the cells in that area are more active. DRomov says he thinks this could be due to the bleeding, and other activity in that area in recent days.

In any case, the word of no spread was encouraging as we move forward.

Tuesday, October 26, 2010

My a$$ on the line.

Yesterday I had a PET scan. We won't fully go over the results of that with Dr. Chang until next Monday when I meet with him at 1:40 (we think).

Today we met with Dr. Lee, the colorectal surgeon. After a thorough examination, he said to save my anus and normal function would be very tricky. He isn't certain it can be done. This surprised me because I fully expected him to tell me to be prepared for a permanent colostomy.

We left it at he is to use his discretion. If he goes in and thinks the anus can be saved he will do it. I will wake up from surgery expecting permanent colostomy, but if he can do better, then GREAT! He said the dangers to saving the anus are 1) I will have bouts with "self control". I gotta tell you honestly I have already experienced a few due to the radiation from last year (and the location of the cancer currently). 2) Since it is a trickier surgery to save the anus, he will be required to be in there longer and to move around more.

Jeanah had a good point. How much risk is it worth to save my a$$? Really...that's a hard one to determine.

Please pray for:

1) Wisdom for Dr. Lee in making the decision.

2) Skill for Dr. Lee in executing his plan.

3) Peace for Jeanah and I with the result.

We don't know exactly when the surgery will be except that it is likely to be on an upcoming Monday. We have chosen St. Vincent's in Portland as the hospital we would like me to stay at for 7 days and Dr. Lee does surgery at St. Vincent's on Mondays.

Two good things we learned today:

1) The recovery time is 7 days in the hospital and 2-3 weeks at home. This is less than we expected because...

2) He thinks the surgery can be done lapriscopically. There is a possibility he will need to make a large incision in my belly, but he would rather not do this. Normally he is able to use lapriscopic surgery and he will try in this case.

The surgery will take about 6-7 hours and yes, he does have comfortable shoes (thanks Jeanah for asking :)

Love ya'll!

Saturday, October 23, 2010

Surprise! A new chapter...

Well, at 5:30 am on Friday, I was at work, feeling great, and suddenly I had to go to the bathroom. Halfway there, I noticed I leaked a little and it felt like the original time when there was blood in 2008.

Sure enough, when I got to the bathroom, I was leaking a lot of blood out my bottom. I did what I could there, went back to my desk, clocked out, and went out the door, telling a co-worker I must leave for the day immediately.

I called Jeanah and asked her to meet me at St. Vincent's Emergency Room (about a 10 minute drive from work, 30 minutes from home).

Long story short (I'll give the long version later) the cancer is still there in my rectum and has moved around the circumference a little bit. We think this will definitely mean surgery to remove it.

For now, the bleeding has stopped and the doctors think I'm OK in the very short term but I plan to have surgery within the next week or maybe two. We will know more on Monday or Tuesday.

Please just pray for wisdom for us and the doctors as we discuss and confirm what the plan will be.

Love you all!

Monday, October 11, 2010

Stoned

After I ate my breakfast this morning I felt nausea and didn't feel like eating at lunch. I had a pain in my right side and I napped in my truck to see if it would go away.

It just got worse.

At about 10:30, I asked Jeanah to take me to a medical facility. We went to an Urgent Care place in Beaverton and after they took blood and urine samples and after my pain level went from a 3 to a 6 while there, they said for me to go to the Emergency Room.

I went to St. Vincent's ER and after waiting about 1.5 hours lying on a couch, I finally got in to see the Dr. Blessed woman gave me some pain meds right away. It was determined I have a "classic case" of kidney stone.

I'm going to wait it out at home and they think it should pass in the next 48 hours. I have good pain meds and Flowmax to increase the caliber of the passage way.

Hoping for less pain in this than everybody says there is!

I get to filter my urine for treasure! What fun!

More later.

Wednesday, September 22, 2010

Another Front

We have been status quo for several months, so I have not blogged. Continuing to do Vitamin C drip 1-2 times/week.

I was to have a PET/CT scan Sept. 7. They said, "be sure your blood sugar is under 200." Normally this has not been a problem. I checked several days prior, and my fasting blood sugar level (at 4:00 am) was in the 240's...oops!

So, my DRamov suggested a change in diet. I now am eating 6 meals per day (that sounds good, eh?) 250-300 calories/meal, and ONLY proteins (meats, nuts, eggs, etc.), fruits, and non-starch vegetables (no, no, potatoes are not non-starch veggies). NO GRAINS...not even gluten-free grains.

It has gone surprisingly well as today's number was 197.

He has also prescribed 500mg (small dose) Metforminto help get that number lower. It should be in the low 100's.

I had not kept up on my diabetic monitoring for the last year or so. This was my bad. We are confident that with diet, exercise, and monitoring we will get that blood sugar under control!

On another note...Thanksgiving and Christmas I will be eating "normally" but will be sticking to whatever dietary advice DRamov gives me other than that.

More info to come later...