Archive for the ‘Doctors & Hospitals’ Category

twenty-10 and new beginnings

Saturday, January 9th, 2010

Happy New Year.  Out with the old.  In with the new…

I was catching up with old friends tonight and, of course, “What did you do on New Year’s Eve?” inevitably, predictably came up.  Reflecting, the tone this NYE seemed less decadent than in years past.  In New York’s Times Square, the prior lighted ball was retired in favor of a much lower energy “green” ball.  It was toned down.  Here in Austin, a lot of people were sick- myself included.  So, naturally, many people here toned it down.  People across the nation that I have talked to admitted, unabashedly, to being asleep when Father Time gave up the ghost.  It seems to me that there was a general ho-humness around this particular calendar roll.  Did you have a similar experience?

2009 took a toll on us, I think.  Prior years played out like one big, elongated NYE bash where revelers partied like there would be no tomorrow.  Few worried what the tab had run up to because it wasn’t real money- it was credit.  Then the hangover came.  2009.  Like every dutiful hangover, it reminded us why we can’t act that way, do those things, be “that guy,” etc.  We laid around at the end of 2009 re-evaluating priorities, making resolutions and vowing to change behaviors.  Maybe the toned down start of 2010 wasn’t just one night, but an indication of the flow of the coming decade.  And I say hooray.

In these pages we’ve talked a lot about re-evaluating priorities.  It’s times like these that we remember to live.  And love.  We learn that every day can be a fresh start.  Even every moment or as often as you can change a thought process or behavior for the better.  While these new beginnings might not always be the start of something everlasting- they are a better way to spend that day or that moment.  The effort and the hope is honorable.  The strength to live well is teachable.  The tenacity and perseverance is contagious.

Morgan flies to Houston on Monday to meet with the specialists at MD ANDERSON www.mdanderson.org.  His amazing wife, Kasha, will be with him as well as Melissa and myself.  Morgan’s level of effort and strength that this journey displays is awesome.  Nothing about making this trip is easy.  It’s a lot of travel.  But not the kind Morgan is famous for.  It’s an act of bravery and tenacity, and I admire it greatly.  2010 promises the hope of a new year, new treatment, new beginnings.

Please think of us this week as we search for answers as difficult as the questions themselves. 

-Mark

Doctor Calls in CaT Scan, Pain Pump and Dye Test

Tuesday, November 17th, 2009

I didn’t make it into see the doctor last Thursday on the 12th. The pain was just too much and I thought there was no way I’d make it up and down the stairs, muchless spend a half hour writhing in the wheelchair.

It turns out I didn’t even need to go. Dr. Kukunoor didn’t have the CaT scan results; they were never delivered. He told us he would get them by Friday and call us then. Kasha and I thought it fair enough, but I was pissed that the scan office didn’t get them over; or that Kukunoor’s office didn’t at least request them earlier. One full week?

The next day my doctor called midday to say the results were in. And the tumors were…

the same. No changes. Buster was still sitting there full-sized in my pelvis, smirking. The ones along my spine continued to dig in and threaten the health and mobility of my body.

“So there’s a chance the chemotherapy did nothing for me?” I asked.

“That’s a possibility,” said Dr. Kukunoor, “But the likelihood is that the chemo kept your tumors from growing any further.”

I was confused and even angry. Five months of hell for a likelihood. Chemotherapy is not easy. It saps your body and takes away life, all for the possibility of giving it back. It’s not a sure thing.

Jennifer from the Center for Pain and Supportive Care (my pain pump people) also called that afternoon, concerned about the level of pain I’d had. She asked if I would like to come in to the westside office and I said no. I thought about this and realized I’d have to get up sooner or later. Especially considering Michael’s (my brother) wedding the next day! I asked Ruth to call back and say we’d go. It turned out, as long as we arrived by 3pm we could get an appointment.

I called my sister to see if we could use her van. I figured I could lay down in the back of the van, instead of sitting upright in our car. She agreed to come down at 2:30, and when she arrived she had our dad with her. He was in town for the wedding and came along to help. I was dressed and stood at the edge of the bed. PAIN! I sat in a rolling chair, getting to the front door. I used the walker to get out to the front steps. My dad stood close by with his hands out, ready to steady me or catch me in any way he could. I started down the steps and, though there was pain, I managed to make it to the foot where the wheelchair was waiting. Into the van, Melissa had prepared a blanketed bed for me. I laid down all the way to the center, with Kasha looking back at me with concern every few minutes.

I got in to see Dr. Berger soon after arriving. He was really only able to increase the rate of my pain pump. I agreed to a 30% increase, along with a small increase in my bolus- the remote device I carried with me to administer pain relief. I was again told about the medication that may be able to help me with nerve pain. It wasn’t available right then, but I could have it added to my pump at the main office in Scottsdale.

I made it back home and into bed. It was nice to see my dad and Melissa. I had felt cramped up all week long, in pain with nowhere to go. I would be going to Michael’s wedding the next day. It was in doubt earlier, since the thigh pain began, but I would go after all. I was a groomsman, after all!

The wedding was a tremendous experience and I hope to tell you more about it soon. Michael & Shauna were married amid over 100 people. The audio and visuals made it all like a major performance. I was glad to be a part of it and be there for Michael. At the end of the night I told him how proud I was of him and hugged him.


Today I went back to the hospital for a dye test. I had been having extreme pain in my chest during intravenous pushes of an antibiotic. We couldn’t figure out why it was happening. A nurse who comes to the house said it could be due to a hole in the catheter of my power port. Oh, no. If that were true I’d need more surgery to take it out.

I arrived at the hospital at 9:30. Getting down the stairs of the condo hadn’t been hard. I’ve been getting into a groove the last few days. I went through admitting, then sat in the radiology lobby for just 15 minutes or so. Vince came to get me. I like him. He had helped me on my very first hospital appointment 5 months ago. I changed into my hospital gown and then was taken to the same bed I had on that very first visit for a biopsy.

Ruth was with me (my mother-in-law). We waited quietly. I hadn’t been able to have any food or water since 4:30am. My mouth was incredibly dry, like a cotton ball. I knew there was no use asking for a smidgin of water to ‘wet my whistle,’ so I just laid there.

I was taken back to surgery around 10:45am. The doctor had already come to my bed a bit earlier to tell me what would be done, so I was prepared. The surgery team put me on a very narrow slab and then attached plastic pieces along the side for my arms to rest in. An IV had been prepared in my hand, but this wasn’t used yet.

A large, square device hung over my chest, and on a screen I could see an X-ray of my chest, complete with ribcage, my power port, and the catheter running through my vein. The doctor came in, attached a needle to my port and squeezed dye into my chest.

“Yep, there’s a hole,” he said. “You see that?” he said, pointing to the screen. “As I pushed the dye, a very small amount  leaked out near the top of the catheter. It looks like we’ll need to replace your entire port.”

I went on to learn that the catheter had been threaded between two bones, causing it to weaken as I lifted my arm and finally create a hole. Damn, surgery. I agreed to it right away, though. The surgeon told me it may be possible to do it that day, if my insurance company signed off on it. I would need to wait about an hour as they worked it out.

I went back to my room and watched TV. Nothing really on, even though shows are geared toward poor folks like me, who are home from work due to an accident or some unfortunate state. Within 45 minutes or so we had an answer. Surgery had been approved. Soon I was wheeled back into the room and hooked back up. This was surgery with only local anesthesia, so I wouldn’t be knocked out.

I was given a series of painful shots around my port, and finally one through my jugular vein. I felt ripping, as though something in my chest was being forcibly removed. All of this was almost too much for me, though no going back now. I graciously fell asleep, waking to the voice of a nurse telling me it was over. Really? Yes, all done. I could go back to my room for food and liquids, a brief recovery time before going home.

I was given a turkey sandwich, chips and an orange juice. Ruth had bought me a large bottle of water. I finished it all, and in no time I was heading out the door, home free.

Release

Tuesday, October 27th, 2009

I should be leaving the hospital later today. Believe it or not, it’s been 2 1/2 weeks since I was admitted this visit. So long… I have only been outside twice in that time, to take in the sun and fresh air.

Other than that, I’ve been taking walks down the halls each day to strengthen my legs and make sure my foot holds. I’m supposed to have a brace for my right foot today, since I have what they’re calling a “drop foot.” I don’t have full control over it and the foot just drops to a 30 degree angle instead of 90 degree. It makes it difficult to walk, and my physical therapist has been tying it up to help for now.

I’ll be continuing IV use from home. I haven’t tried that yet, but there’s a company that will come into my home to help with infusions of antibiotics. They are necessary to take for at least another week, for my urinary tract infection. I’m not totally sure, but I think my blood infection is cleared up. It was a serious issue for a while, but they pumped me full of so many antibiotics I don’t see how anything could have survived!

It will be good to be home. First, I’ll just enjoy being closer to Kasha. She won’t have to spend so much time going back and forth to the hospital. Second, my home just feels better, and I have access to my big TV, Wii games and DVD player.

I need to get to writing again. Or at least some research. I’ll be going through a lot of papers these next few weeks, trying to organize, and that should help me find a lot of the papers I’ve written in the past in support of my book, American Wayside.

I’ll let you all know how things are going at home in the next few days. Thanks for your continued thoughts and prayers. I do appreciate it!

Sleep, glorious sleep

Thursday, October 15th, 2009

Yesterday was filled with sleep. While the chemotherapy cocktail was dripping into me I was snoozing. Before and after meals I snored. By the time 9pm came around I was ready to sleep the night away.

Kasha left the hospital around 9:15pm. (She had been with me since about 5pm this evening, after work.) My mom, Marsha, was here to “fill her shift” through the night. I had my “briefs” changed, positioned myself on my side, and drifted off to sleep.

Throughout the night I sometimes wake myself up with violent body jerks or loud snorts and snores. I’m not sure if it’s the drugs that lead to all this. I was always a quiet, steady sleeper before. Anyway, I managed to stay prone until about 3am when I was tempted to get up and geek on the computer. I resisted and slept even more.

At 5:30am I was finally up for good. My nurse was in to provide drugs and draw blood (that’s Cornell from Romania- one of my favorites here). My PCT (Patient Care Technician) cleaned me up and now here I am, ready for the day. About 8 hours of sleep. What used to be a standard for me is now hard to catch all at once, and I’m sure the extra winks will help. Maybe I won’t feel so drowsy this afternoon as a result.

Never underestimate the need for sleep. That’s what I’ve learned. When tempted to watch another hour of TV or stay glued to the computer, give it up and get to bed!

Back on track!

Sunday, September 20th, 2009

Morgan is on track to discharge and get home Monday or Tuesday of this week.

It’s been a long two weeks.  I’ll try to give you the latest.   I really won’t do it justice though, I am hopeful Morgan will get to fill in the details soon.

Monday, September 7th, Morgan forgoes Labor day hoopla for the start of chemo round 2.  We were all dreading it, especially Morgan.  We were told the chemo cocktail would be much stronger than the first round and that treatment would be intense.

Morgan was fabulous, he did great.  PacMan was on the attack and Morgan persevered!   He was in good spirits,  feeling decent, ready for visitors, pain management was under-control- a few glitches, but for the most part the week went smooth.  Highlights included Mom’s 60th birthday which brought in a surprise visit from Mark and Andrea.

The week of chemo went better than expected, so much that I completely forgot about what follows chemo treatment.     He was doing well Saturday the 12th, it was mentioned that he may get to leave the hospital that Sunday.   Of course we made plans.  I know, sometimes we get ahead of ourselves scheduling fun…

Well, the fever came- “unknown origin” they call it- so they did blood work and cultures to try to figure out what was going on.   I don’t remember all the details, but do know that it went on for a couple days.  They called in a “disease specialist” to review his case.  He was given antibiotics and they did another scan.  They found that his kidney and bladder were not draining all the way even with the stents and the catheter.  Somewhere along the way they also found a blood clot in his left leg and did surgery to place an umbrella-like device (filter) to keep it from moving to his lungs.  During this past week he also went through the neutropenic phase where his total blood count drops.  Chemo kills everything.  He is weak and is in and out of sleep for days.

The great reports (aka answered prayers):

  • Morgan is a champion; he has done so well!!  I must remind you we were not sick kids.  He only had stitches once when we were kids and before severe back pain three years ago he appeared in great health.  No hospital stays.  This has rocked his world and changed ours.
  • His pain is managed completely by his pain pump
    http://www.spine-health.com/video/intrathecal-pump-implant-video
    Before the pump, he was getting close to 200 mg of morphine a day.  His pain pump disperses the drugs directly into his spine area and only requires drops (not sure of exact measurement- significantly less)
  • Leaking catheter issues- RESOLVED. without MacGyver appartus.   dry again….PRICELESS!
  • Morgan continues to INSPIRE!  We have a family saying or cheer~ ”NEVER GIVE UP” ~ Uncle Morgan is a perfect visual example of this for my three girls and our entire family.  Hebrews 12:1-2
  • Suffering… Pray.   Cheerful… PRAISE!!  James 5:13- 20   Thank you for your continued prayers!

Morgan is back!!  His eyes are as blue as the sky again, his coloring is back, the swelling in his face is down.  He looks great and is feeling better.    Timely I’d say~  We’re preparing for a celebration!  … more to come- please don’t miss this!

Chemo part 2

Monday, September 7th, 2009

Morgan is back at John C. Lincoln for chemo round 2.   Please pray- this is a more specific dose for Neuroblastoma and we have been told that chemo #2 can be a doozy.   I’ll have more information tomorrow.  Thank you for your thoughts and prayers.

Please leave a comment or word of encouragement for Morgan.

Excruciating PAIN

Monday, August 24th, 2009

Morgan is our gentle giant.  If you’ve met him, you know his stature is tall and broad and his hands are huge.  To know him is to love him.  He’s got a gentle, kind way about him. He’s got a heart for hurting people and puts the cares of others often before his own. What you may not know is he has a high tolerance for pain.  I believe that is one of the reasons “Buster” went undiagnosed for so long. He’s had BIG PAIN and made little noise for a long time.

Saturday night was an adventure.  Morgan loves pizza and we decided to get the “kids” together and go out to a hot Phoenix destination: Pizzeria Bianco. The lines start forming at 4:00 for an opening time of 5:00.  Nick and Mark arrived at 4:15 and were the 60th in line.  The doors opened at 5:00 and, when they put their names in, where told we would eat between 7 and 7:30.   I arrived about 6 and Morgan and Kasha were there about 6:30.

We sat out on the patio to the next-door bar and took in the quaint neighborhood sights.  The old houses that line the street and the way it is blocked off- you naturally start to slow down and just absorb all that surrounds you.

We were seated at 7:00 and had one of each pizza- THE BEST PIZZA EVER!!!    We will definitely have to go again.   We were all in good spirits and didn’t want the night to end so we headed for the world’s best Gelato.  We were enjoying our time together and taking it all in as we knew the week ahead would be another hard week and we would look back at these times for encouragement.  (That’s what I do, anyway.)

Morgan mentioned he wasn’t looking forward to chemo, but he had some new pain and that he knew there were some things they would need to do and he may be in there for a while this time.  I was sad, it scares me… but I know that he is in good hands and we really are dealing with great Doctors and specialists.

We walked back to the car to end the night.  Morgan and Kasha went their way and we went home.  I was in bed by 11:00.  Morgan and Kasha had it different…

Morgan started a fever and his pain level was 13 (scale 1-10).  He was beside himself in agony and Kasha took him to emergency.  There are a lot of details between midnight and when I got a call at 6:00 a.m.  Kasha said Morgan had been admitted to ICU at midnight and was running a 103 temp.  They thought it was pneumonia and were trying to manage pain along with administering antibiotics.  It turns out it was a urinary tract infection…???  Hello, um that’s way different, miscommunication somewhere.    I am sure I don’t give the story justice, maybe Morgan will give more details later.

•••

Last night, Sunday, Aug 23,  Mom says worst night at hospital.  Morgan was beside himself in pain, screaming and just in agony… excruciating…. so hard to witness.  Little to no sleep for both of them.

Today, Monday, Aug 24.  They were able to double his dose of pain meds and administer it every two hours rather than four.  There was discussion of having a “pain pump” put in..  and maybe Chemo Wednesday. Tuesday he is scheduled to have his kidney stents replaced @5 pm.  YUCK.  First, they take the others out, then go in again with new.  Yikes!  If the OR is available they will put the pain pump in then.  I’ll have to get more details later on that.  I think if all goes well the 2nd round of chemo starts on Wednesday.

This is the latest- as I know it and for now…

Please pray for Morgan.

Radiation Therapy is current direction, all by itself

Wednesday, July 22nd, 2009

I am zonked. I have been staring at this blog screen for two hours, falling asleep in a sitting position as nurses and patient techs buzz around me, preparing me for another blood transfusion. (Ah, there it goes– blood delivery on its way).

I have simply been trying to write an update about my new radiation treatment. It began this morning. I was taken downstairs in a wheelchair and carted just a few blocks down the street to Associate in Radiation Oncology. Dr. Miller met with me again yesterday to say Yes, the decision to radiate had been made. My MRI scan showed that the tumor saddling my spine at T11 (Thoracic spinal nerve 11) had changed a bit and was now actually sitting on the nerve. No bueno.

The plan was now this: 8 radiation treatments, all of T11 would occur, each day except weekends. Dr. Miller said that chemotherapy could still run concurrently, but he recommended one of these drugs not be administered since it could counteract the effect.

WAIT. STOP THE MILL. It is Tuesday evening and there’s a new plan.

Dr. Kukunoor, my regular oncologist, came to my hospital room and told me we don’t even have to start chemotherapy yet. The fact that this round of treatment could be more painful and extreme than others was reason to think twice and take it slower. Why not just resume chemotherapy after radiation therapy ends?

I’m for it. Give me another week and a half to have better mental clarity. I’m fine not fast-tracking for the moment.

So, I began radiation therapy on Wednesday with this plan: 8 concurrent treatments  lasting just a few minutes each. The first session, today, took over an hour as they set up the alignment of my body and made markings, to make sure I am positioned exactly the same each blast. At tomorrow’s session they will tattoo the markings, I’m told, before my continued treatment, then I should be discharged from the hospital to complete the sessions on an outpatient basis. The last radiation session will be Friday, July 31st. I’ll then begin my second cycle of chemotherapy on Monday, August 3rd, inpatient here at John C. Lincoln.

Ready to start moving toward leaving!

OPB (Other People’s Blood)

Wednesday, July 8th, 2009

Dr. Low was in to see me just a few minutes ago and asked how I’m doing. I told him I’m feeling better today than since I began chemotherapy, and it’s true. Besides some diarrhea and nausea yesterday I’ve been feeling progressively better this week, in fact.

I had expected to be able to leave the hospital today. After all, my white blood cell count is now up so I’m no longer neutropenic. But, Dr. Low told me my hemoglobin level is now low, so I’ll be needing a blood transfusion.

This will be my second transfusion, and it’s an odd thing to have someone else’s blood piped into you. I’m O-, so while my blood can be given to anyone of any other type, I can only receive blood from people of the same type. Most of my family is also O-, so they’re able to donate blood through one of the big blood banks on my behalf and it will keep the karmic circle in check.

The transfusion will probably begin this afternoon. If I remember right it takes at least 4-6 hours for two units of blood to be cycled into me. I’ll be given a few drugs in advance to minimize the risks of my body rejecting the blood or some other negative reaction, including some Benadryl. Once it’s done, I’ll be monitored throughout the night and if no troubles I’m sure I’ll be out of the hospital by tomorrow afternoon.

I want to send out a great thanks to all of you, my family and friends, who’ve been following along with my progress through the blog, and for your wonderful showing of support and prayers. I love and appreciate you all, and look forward to catching up with some of you in person or by phone soon for the first time in a long time. My phone number appears to people who have logged in to this website (near top right of page). Feel free to call if you actually know me!

I’d also love to have your comments on any blog entries, so if you don’t yet have a user account on this website click the “Register” button to do so and then follow the steps to activate your account and start posting.

Busy

Tuesday, July 7th, 2009

I can tell Morgan is feeling better by all the stuff he’s been up to today.  I didn’t get to visit with him in person, but talked to him a couple of times.

I did hear from Kasha tonight that his white blood cell count is up to above normal today so he may be released tomorrow.  I am looking forward a face to face visit and maybe helping him get home.