Jon's
Leslie and BeckyMy niece came in from Chicago and stayed with me for a couple of days this past weekend. We had a good time just visiting. It seems I am going to be getting a few visitors in the next month from family. That I am welcoming with open arms. A good time here and I Thank God for it.
February 25th: Well, today was filled with emotions, happiness and disappointment. Emotions as a roller coaster ride up and down. Happiness as we found out that the tumor discovered during the bronchoscopy is NOT CANCER. It is 'Actinomycosis". This is a bacterial infection that affects one in 300,000 persons. (Lucky me...) It develops into a mass which can be mis-diagnosed as CANCER. This is treatable with antibiotics over time. A new pill I am more than happy to take considering the alternative.
As for the disappointment, I saw Dr. Hall this afternoon. My CANCER has increased in size and activity to the point it needs intervention. That means more chemo. Since I am a bit anemic we have to wait until we get the red blood cells back in check. This means I will be getting some sort of "blood cell booster thingy shot" for a couple of weeks to get my health back up. Once that is stable it's back to the chemo chairs. This is a new combination of drugs and from his description, it will be a doozy. I never knew that the body remembers the kind of drugs that get introduced and learns to 'ignore' repeat sessions. You have to use different drugs to trick the body and work at the same time. Go figure. Maybe that's why a husband pretends to 'ignore' our otherwise intelligent decisions of life. Gotta trick them once in awhile.
Anyways, in about 3-5 weeks we'll start these sessions for 12 weeks at a time. Stop, check and repeat. Kinda like bathing. Wash, rinse, repeat.
February 24th: Monday had the PET scan. Will get the results on Thursday. Yesterday Dr. Manos did his procedure. Things did not look promising or even routine for that matter. He said there is a tumor that has invaded both lungs where it branches from the trachea. Don't know what to say other than wait for all the biopsies and scans to be read before I can believe anything. It's hard to be optimistic when the doctor speculates that it can only be 'the C word" based on my history and current condition. He did clean out as much of the mucus as possible but told Jon that it would be an on-going battle. He is also going to discuss the results with the other doctors. I always said they needed to be on the same page. Seems at times that they contradict each other as to where I'm at. Jon and I talked a bit last night. We've got some tough decisions ahead of us. Bottom line is "it is what it is". We can only deal with one day at a time. All we can do
I will post the results as soon as I find out. God bless you all. Oh...Mom is leaving today. Back to Chicago for awhile. Jon,,,out of the on-deck circle and back into the batter's box.
February 20th: Well, it has been a busy week here. Mom spent last weekend up in Fayetteville, NC so I got to spend some 'alone' time with Jon. Oops I forgot, 2 of my darling grandbabies decided to spend the weekend with us. Sorry Jon, soon I promise. We laugh about it.
Tuesday I had a follow-up with Dr. Hall (Oncologist). He explained why he has delayed further chemo sessions on the CANCER. You see, the body develops immunities to the drug, including chemo, the more it is introduced. Chemo is CANCER's big guns. You don't want to waste its' effectiveness when you have other conditions distracting the blood's natural defense system in other areas. My body is essentially too weak fighting other areas to allow chemo to get the maximum results. We will let the pnuemonia subside and try to get my strength up first. He has scheduled me for another CT/PET scan for next Monday.
Wednesday I had a follow-up with Dr. Manos. He said the pneumonia is pretty much cleared up. (pause for applause) We discussed the contant coughing and the mucus buildup. He was under the impression that the coughing was a recent development. I explained that I had been coughing horrendously since the last stint placements. I have always had these episodes when the stints where in. It's the throat's battle with foreign objects it doesn't recognize. The mucus is the system's protective coating for the throat. It's a never-ending battle of body vs. object. Dr. Manos is going to perform a brochoscopy next Tuesday to check things out. Since he's going to be my new and hopefully permanent spearhead on this it's a good idea that he gets acquainted with my body. Why not. Everyone else has.
February 13th: Jon and I went up the Shag Club's Valentine Dance. We haven't been a part of the club's events for the past year. It was so good to see everyone. I was able to stay for a little over an hour. Robert played one of our favorite songs but I'm not able to dance. That was sad. I just lose my breath too easily and there was a lot of talking. People always say how good I look. I wish I felt half as good as that. The stints keep me from raising my head up to talk so everyone pretty much has to kneel to talk to me. That makes me feel bad but I can't do anything about that. Wish I could. I did make it to the 'goodies' table just to window-shop. Everything looked great. I sure do miss the club and our friends there.
February: Not starting off too good this month. Today (3rd) I had my appointment with Dr. Manos. He did another chest X-ray and it appears since last Friday's X-ray I've developed some pneumonia. In the left lung with some trace in the right. That could explain some of the severe pain I've had coughing lately. I am so out of breath and the pain medications are not really doing their job 100%. He has put me on a couple of antibiotics and a steroid to clear this up. Either way, it's back in the bed for me to get some rest.
Mom has delayed her return home. She will stay a few more weeks now.
January 29th: Bad night. The blood starting pouring out of my mouth. Went to the Naval Hospital and they sent me to Beaufort Memorial. Spent all day in the emergency room. Met Dr. Manos. He is the local (and only) pulmonologist (lung Doctor). The hospital was going to admit me but I insisted on seeing the doctor first. He ordered a CT-Scan and confirmed that the issue was due to irritation of the passageways due to all the coughing. He elected to let me go home and he will start seeing me on an out-patient basis. I've heard nothing but good things about him. He says he can do the necessary maintenance of my conditions to include stint work if necessary. Maybe my trips to Charleston are over. I hope so. I see him next Wednesday for the first visit.
January 28th: The cough is still my focal point now. Seems to be getting worst. Yesterday I started coughing up blood. Another thing to worry about. Jon did his usual research and called Dr. DeRosimo last night. He feels it may be due to the violent coughing I have had and my trachea walls are irritated. Advised us to watch it for a couple of days. If the blood subsides that will be a good thing. If not, I will end up somewhere for further evaluation. Worse case scenario is that the cancer has compromised the trachea. Will hope it's the irritation. Jon says positive thoughts = positive results. Mom leaves next week to go back to Chicago. Back to me, Jon and the babies.
January 2010: The year has started much like I expected. The two stints seem to be working but I am starting to feel the esphageal stint. Slight pain there. I am having a horrible time getting control of the mucus buildup and the constant coughing is getting on my last nerve !! The more I cough, the tighter my stomach gets. That causes a "backwash" in my G-Tube which causes issues itself when I try to feed at night. My throat is pretty much raw but hey, I'm breathing and that is always a good thing.
Jon has me back on the pump at nights. My idea, but I'll give him credit. Now I can feed a couple of cans while I sleep and that allows me to go a bit longer during the days without the constant interruptions to feed. Lucky me. I also have started a nebulizer. Not sure if it is doing any good though. Supposed to help loosen the plehm but just another loud device at this point. Besides, another tube is just what I look forward to.
See Dr. Hall next week. My routine visit and to get my port flushed. Yep, still have it and they flush it every month.
December 2009 - This has been a terrible month. Had planned on a long awaited trip back home to Chicago during Jon's break at work. Instead, anticipated a surgery that never occurred and instead underwent another stint work. Now I have 2 stints in. I have a severe cough that is due to the mucus contantly building up in my trachea. I do not have the strength to immediately cough it up so it lingers in my throat for days at a time until I can finally muster enough repetitive coughing to bring up what has now developed into a plug of sorts. My doctors(s) say this is going to be my quality of life and to pretty much deal with it. Take advantage of the good days (as if there are any) and do things that I want. Sorta like a "bucket list". They did order me a pump and tubing for me to cram into my nose and push down to the area where the secretion sits to pump it out. Yep,, this one I'm holding in reserve. Can't wait to try out this new pain maker. Why not !!
My pain never subsides and I am on constant medication to try and control it. Dilaudid has now become my regimen. GI cocktail to soothe my throat and retalin to keep me balanced. That's right... 53 years old and I'm on Relatin. Focus Daniel-San.... Focus.
I have to feed at least 4 cans of nutrition a day. That means every 3-4 hours I have to stop everything, prepare the formula and feed through the tubing. Smells awful but I can make-believe it's anything I want. Steak, lasagna, even seafood (and everyone knows how much I love the thought of seafood -- haha). I am going to get the night auto-feeder back so I can go back to feeding while I sleep. The noise is wonderful and the machine has a glow that Jon says radiates my natural beauty at night. He smiles as he looks at me at 3 in the morning since the machine has the sounds of "You Ain't Sleeping Now" played over and over. God I love that man.
My Mom is still here with me but she will probably be leaving mid to late January. I know she misses home and she was supposed to leave right after Thanksgiving. Jon will pick up the slack when she leaves. Funny thing, everyone knows it's wonderful when my Mom is here because she does all the household things for me. Cleaning, laundry, etc. Little do they know that Jon is Super-Spouse when no-one is here. I've made him quite the domestic husband and he even folds correctly now. Just got to get him to embrace ironing. Still working at that one.
Oh well, enough about me. That's right,,,, this is about me. LOL. Got to go now. It's time for my meds and feeding. BTW, Dr. DeRosimo called me Christmas Eve and the MRI of the brain came back clear. A bit of shining star.
Dec 16th - Had surgery yesterday. Left stint in the trachea and added a shorter stint in the esophagus that covers the fistula opening. Really rough sleeping. Coughing all night and I hope it is related to the soreness of the throat with all the work that was done. I sure don't want this one to slip. Dr. said everything went well and that the fistula was the same size as measured last month.
Dec 11th - Another change. Surgery is OFF !! The active cancer cells in the chest tissue are too close to the throat. Risk factor is too high which could lead to a esophageal bypass and a possible tracheoctomy. No quality there.
Dr. will now try some alternate stint techniques. The temporary patchwork continues. Scheduled for surgery 15 December 09. While leaving the trachea stint in place, they will position a shorter stint in the esophagus to cover the portion of the fistula that is exposed at the bottom on the trachea stint.
Dec. 2009 : Scheduled for a consult with Dr. Day on the 7th. He will explain and be performing the procedure with my normal Doctor. ?????
Nov 23rd : Another problem with the stint. Discovered the fistula is exposed at the bottom of the stint. Dr. feels he has exhausted all stint options and that the fistula is not healing. He will now graph my arm for tissue and arteries to be used to design a patch for my throat. Major surgery ahead and I am worried beyond means. I am so tired of the pain and the possibility that this too will not work.
Did ultrasound to see if quality tissue and arteries can be extracted. Also need a biopsy of the cancer to determine best surgical method.
There goes the holidays. Week in the hospital and 6-8 week recovery.
Nov 09 : Back to MUSC to have granulations lasered from the stint. Now it seems the trachea is closing where it branches to the lungs. More test and scans to determine treatment. Another (vacation) night in Charleston.
Esophageal stint was too long. Removed and replaced with a shorter one. Still having breathing issues as of today. Always something. I can't begin to fathom that this is now my quality of life.
Oct 2009 : Constant pain in the back and front of the chest. Dr. thinks the front pains are spasms associated with the stint. He has ordered a CT-Scan and X-Ray for the back. Should get results by the 20th.
X-Rays appeared normal but breathing issues have returned.
Sep 2009 : PET Scan performed. Increased activity again. Still within the parameters of the 3 cm tumor. SUV value is 9 ??? Will continue to watch.
Went to MUSC for evaluation. Dr. feels the fistula has healed and the stint could be removed. While removing the stint, the fistula had healed around the stint and while removing the stint, reopened the hole. Major set-back. He replaced the stint with a new one.
Returned to MUSC 5 days later. I was choking and unable to eat since the stint was replaced. Removed the stint and discovered it had holes all around the top circumference of the stint. Manufacturer’s defect. He will send back and has put another stint in its’ place.
May 2009 : PET Scan performed. Exam showed renewed activity in the original mass area. This activity will be watched to determine when and if additional CANCER treatments will be performed. During this month, through weekly dilations, the esophagus can now accommodate a stint placement. I returned on May 29th to discover that the stint did not fully open. It was removed and another stint ordered for placement in June 2009.
In 2009, the tracheal stint was replaced with a larger and longer stint. This stint was scheduled to be removed in May 2009 and replaced by an esophageal stint. Throughout I had undergone weekly dilations of the esophagus where it would accommodate a stint. I also learned that the original cancer tumor is now showing increased activity again. I will learn of the next series of treatments as the PET scans continue.
Nov 2008 : As a result of the hole (fistula) in my throat I was unable to eat or drink anything. The natural muscle tissue of my esophagus was damaged to the point where any substant food was lodged and unable to move down my esophagus and into my stomach. Also, any liquid I drank would seep through the hole and into my trachea. Hello ,,, it's choking time. Since I couldn't eat, I was fitted with a permanent feeding tube that protrudes from the front of my stomach. I also had a stint placed in my esophagus which soon slipped and fell into the stomach. This was removed and a stint was placed in the trachea to help healing.
Apr - Oct 08 : Had a permanent port-a-cath implanted above my left breast. This they will use to administer chemo and to readily access my blood and who knows what else. I endured radiation therapy (47 sessions) as well as 2 chemotherapy regimens. The radiation severely damaged my esophagus and the damage had extended through to the trachea. Seems the radiation was so concentrated in this area that it burned a hole through my throat.
Still alive and living with this...