Saturday, June 5, 2010

I've got no time to pack my bags, My foot's outside the door!

I hear the ocean calling me!
Doctor Dave Discharges Dana
Amen!!

Friday, June 4, 2010

I Have to Admit, She's Getting Better all the Time!

Yesterday My Lady was doing much better in the ICU. Sitting up a little, breathing a little, drinking a little, eating a little. So much better that it seemed she didn't belong in ICU. I've always assumed that people in ICU were a heartbeat away from going back to the OR or ER and that was certainly not her condition. I guess it all depends on how much monitoring and wires and IVs the patient has.
So Thurs night she was transferred down to the PCCU, Post Critical Care Unit. Less wires, one less IV. Most of today (Friday) she has shown a lot more improvement. She got up and walked all the way to the nurse station and back three times! And PT took her up one flight of stairs and back down. She's eating regular food, going to the bathroom by herself, sitting in a chair listening to the sons talk about normal stuff.

The girls flew home with Dana's parents, and they're getting used to flying now. No crying no complaining. The boys are still here, the went to La Brea Tar Pits and maybe the Griffith Observatory tomorrow.

Dana's Penpal from Seattle made a surprise visit! She and her husband were at the hospital for one last clinic visit before flying home on Saturday. This was such a blessing for them to meet, she has been such a great online friend and mentor, helping Dana see things from a patients' perspectives. They've gone through the same thing and hearing "you're going to be okay" from them means so much more than from a doctor.

So now I'm writing this from her new room as she now got downgraded to a regular patient room. They are still very nice, private rooms with her own bathroom and a little bed for me to sleep in. The staff everywhere has been so kind and helpful. The atmosphere is pretty calm, quiet and pleasant.

Saturday will probably be her last day in the hospital, we'll go back to the rental house for the rest of next week. Monday she gets the stitches out and one more visit to the clinic to check things over.

I've been reading to her and she ends up falling asleep halfway through the chapter. She hasn't read the blog yet but really enjoys when I read back to her the comments and her email. I got a text message the other day from a co-worker who shared how this story has impacted their family. Dana head that and said if there is something good that comes out of her story it would be that if others are blessed and learn how great God is how He brings us through trials.

So please take this opportunity to send comments and well-wishes, whether here publicly or private through one of our email addresses, she cherishes those.
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Thursday, June 3, 2010

Title found! You can read the text now...

Well she got a little rest last night - not a lot because of nurse confusion over when to put on the CPAP but she seems to be doing fine under the circumstances. It is still less than a day out of surgery and the first day is the worst, so there are signs of recovery getting progressively better.
World-renowned Neurosurgeons caring for my wife!
She had a CT scan this morning to check the incision point and everything looks good. She is at this moment off for an MRI to check for tumor remains, which is really bad because the machines out here are smaller than Chicago so it make a major claustrophobic situation catastrophic. Fortunately they say it will be shorter time span that past MRIs, but she is still greatly nervous about it and said she would rather have surgery again!

The real good news is of course no cancer, also no lumbar drain was needed, therefore there has been no talk of the need for a shunt! So that is all great news. The MRI showed that they got 90-95% which was just what was planned. They felt they could have gotten more of it, but that would have compromised the nasal passages and per plan they took the conservative approach. She would have most definitely needed a trache so this was definitely the right choice. If the Meningioma that's left grows, they could radiate but even so we know what it is now and that's the great news.

But wait! There's more!...

I went to give her a kiss and she smiled and said "I smell your minty Tic-tac" That is such a great blessing, Endonasal was almost certain she'd lose half if not all of her smell.

Through the pain she has most definitely seen God's work in all this and He has delivered her.
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Wednesday, June 2, 2010

I feel fine up here on Cloud Nine!

Just met with the docs...

Praise the Lord everything went excellently wonderfully well!

It was indeed a Meningioma, NO CANCER!

They could have gotten a little more of the tumor but being it was benign they didn't want to compromise the sinus so there is no CPAP danger!

She is going into recovery now so we will see how that goes. They didn't go to the other side at all so smell nerves over there aren't compromised and not much of the other so it's very likely intact, we'll find out when she awakes and she smells her shoes (or I'll find some air freshener...

Gotta go....love you all!!!!
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Love Will Hold Us Together

This is the first day of the rest of your life.
Just over an hour ago I released her into the custody of the surgical team. They all say they are going to take real good care of her and I truly believe that.

It's been a long road, with both soft shoulders and dangerous curves. We drove out here on the Endonasal Highway and God put up a big detour sign at the last moment to keep us from going over the cliff. Now we're on the Eyebrow Express and all the lanes are clear. We knew that if this was the wrong road God would be there in the crosswalk with the big stop sign and redirect.
"God never promised He would inform us ahead of time all about His plan. He's just promised He has one. Ultimately, it's for our good and His glory." -Swindoll
Some medical things to pray about, potential concerns, to bring before you, especially you FPF's, you know who you are: There is still a concern about inter-cranial pressure, much less with this procedure than the other, but still a concern. They may have to put in a lumbar drain and eventually a permanent inter-cranial shunt to relieve the pressure. Please pray for NO SHUNT and NO LUMBAR DRAIN. Also it's quite possible she'll be intubated overnight if her breathing doesn't pick up right away coming out of general anesthesia, which means the kids might not see her awake tonight. And also her friend from Seattle, her tumor caused her to lose her eyesight on the left side, pray it's only temporary.

How am I doing? Glad you asked. I'm okay with this. I feel at peace with the road we're on right now. I feel I am spiritually prepared and the Lord has provided shelter from the storm. I am delighted that I was given the task of documenting her story, though she wants me to remind everyone that these are my words, she would probably tell the story differently. In fact she has only read the first post. Maybe she'll add some of her own words in the coming weeks.

The last few weeks Dana would often smell something like the lilacs blooming, or a row of air fresheners at the market and wonder if it would be the last time. As she headed into the O.R. I put her beach sandals in the same bag as her clothes and she said "Now my clothes will smell like the ocean"; I replied "let's hope they do."
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Tuesday, June 1, 2010

Contraindication of Endonasal Procedure

I know it sounds like the title of a '70s Psychedelic album but that is actually the final report.

Dana's apnea is still pretty bad so that procedure is not an option. The post-surgery dangers far outweigh the ability to find out if the tumor is cancer or not.

We have decided to go to the "Eyebrow Approach" in that a small incision is place in the area of her right eyebrow and they go in through there instead of the nose. Benefits are easier recovery, greater potential for saving sense of smell, and no death by CPAP. They will only be able to get to 90%  of the tumor though but they are 98% sure it is Meningioma, but at least we will know for sure and we can go from there.

Waiting completely will probably not help because 1) obviously we won't know what it is and b) her apnea will probably not get any better in 6-12 months.

So that's it for now. Surgery scheduled for 1pm tomorrow, June 2. Happy Birthday Kevin! (BTW for some cool CA pics check out kshermphoto.com link on the right)
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Decision Day 2010

Hello again blog-friends thought I'd write a quick post in case any of you were praying for Dana's 2:30 meeting with the doctors this afternoon. Well, you can pray a little longer, we aren't meeting until 4:00. The doctor called late last night (!), he wouldn't be back until after that time.

He also introduced another surgical choice, unilateral something or other, which will be explained to us more tonight. It seems that endonasal is less and less an option due to the sleep apnea. We will find out tonight what the data from Friday showed but we know enough that it's not a real safe option right now. So we are left with eyebrow incision, unilateral, and going home. The latter seems the most appealing physically but spiritually we are prepared to go through with this and find out whether the tumor is cancer or not. We can look back and see how the Lord has prepared the way for us to be here, and with tons of support from family and friends, it seems to be the right path.

Oops! The doctor's office just called, they want us there at 3:30 instead of 4 so I gotta finish this up real quick (it's 2:35) Too bad, we'll get there when we get there

Anyway the last few days have been a real blessing. The family of Maggie's penpal are really sweet people and we got to spend a lot of time with them, and I think more importantly the girls got to spend a couple days with some kids their own age and be kids for a while. Amazingly, Rachel also got an email from her penpal who is in Michigan the same day we were visiting Maggie's.

And speaking of penpals, Dana has an online friend from Seattle she's been corresponding with for several months who has had several surgeries to remove tumors like these. She has been very helpful ad encouraging to Dana, helping her see things from a patient's perspective. As it turns out...remember Dana's surgery was supposed to be 7am last Friday but they pushed it back to noon because of an emergency surgery? You'll never guess who's it was..... yes, you are a very smart reader! And (are you sitting comfortably?) she is staying at the same hotel as Dana's parents! We hope to meet up with them later. (Hoo-hoo)

As for Dr. Go, the more time we've had this weekend to let the emotions drain away into the Pacific, the more it appears the doctor we were so upset with last week may very well be the one that has saved her life. The whole team knew about and was concerned with the CPAP issue for a while but he raised the post-op concerns that really put a stop to what could have been very, very bad. He was not scheduled for Friday morning, so if Dana's surgery wasn't pushed back until noon then possibly no one would have noticed what Dr. Go did. Get the picture? Clearly the picture is bigger than all of us can see.

I forgot to mention the reason why Dana loves the ocean and water so much. The crashing waves never stop. It remind us of God's love for us. Never-ending.
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