Melissa

MD Anderson part 2

January 18th, 2010 at 11:44pm MST by Melissa

…. can someone say TrAuMAtiC ???

The MD Anderson we heard so much about is NOT the MD Anderson we experienced. 

to remind you:  All of Morgan’s medical records and history were requested by MD Anderson.  It’s policy to get the records before an appointment can be made.  The records were received and the appointment was set.  We were told by others who had experienced MD Anderson that they would walk us through the process and give a second opinion.  Our patient relations person assured the same and that it was a one day appointment.   New at this, we took it at that and expected a one day appointment.  I thought that during this appointment they would use Morgan’s medical records, case information and their expertice to give us a second opinion and sell us on why he should be treated there @ MD Anderson.  

The appointment was set:  Tuesday, January 12, 2010 @ 9:30 a.m.  We were delighted at the opportunity to go!  Kasha was able to take the two days off work, I found us airfare, and Mark arranged the hotel.  We arrived at MD Anderson on Tuesday morning at our scheduled time.  Kasha had all the admittance paperwork ready and we paid the copay.  We waited.   An hour after our scheduled time we were called back to an exam room.  We first saw a nurse that went over some paperwork.  We then waited and saw a nurse practitioner, who basically told us we were not in the “right place”.  We were on the sarcoma floor (original diagnosis Ewings Sarcoma) and we needed to be in pediatrics (real diagnosis Neuroblastoma).    It went downhill fast from there.

I went for a bathroom break and more drinks for the crew.  While I was gone the final doctor of the day came in to tell Morgan and the others that we was setting up a meeting for us to see a pediatric oncologist who specialized in Neuroblastoma the next day.  OMG.  First, we all thought, did you just read the first paragraph of all the records we sent?  Second, we knew we were here, we need to stay- Neuroblastoma specialist- gotta stay.  The doctor asked Morgan to start a 24 hr urine sample, requested  x-rays, blood work, and a cat scan.   The scheduling clerk started working on Morgan’s needed procedures and we headed for the elevator to find food.

We rallied to figure out how we could make this work.  We were scheduled to check out of the hotel in 2 hours and get on a flight that night.  I called the hotel to extend one of the rooms, called Southwest to see about changing the flights and Kasha called into work. 

Morgan, Kasha and Mark stayed, I came home.  The rest of the story I didn’t experience first hand, but was told it was all crazy except for meeting Dr. Zage who specializes in Neuroblastoma.  We have said it before, but I’ll remind you.  Nueroblastoma is mainly a childhood cancer, it is quite rare for Morgan to have it at his age.    I hear Dr. Zage was the only immediate positive out of the trip.  He had a great manner about him, was informative and took some time to answer questions.   

The blood work revealed that Morgan’s hemoglobin was low and needed a transfusion.  That was scheduled for that night, the cat scan was scheduled for the following day.   The transfusion went on throughout the night- not  a great experience and the cat scan was cancelled the following day.  Morgan’s kidneys were not functioning well enough to take the die and so it was cancelled. 

The additional hotel stay was a bust (didn’t sleep, got an all-night transfusion, the wheelchair fell apart, the painful taxi ride to the airport and a long flight home.  

When I talked with Morgan he was still recovering.  It was traumatic, frustrating, and he experienced a lot of pain while he was away.

We thought we would have more answers and maybe an idea as to where to go from here…. we don’t.  It’s not that clear cut anyway.

The positive:  We found Dr. Zage.  Once a cat scan is done, maybe we can send on to him and have him review?  

Next: Morgan is having out-patient surgery tomorrow (Tuesday, Jan 19 ) to replace his stents.  I am hopeful that this will relieve his kidneys and help them function better to allow for a scan and also help get rid of this 3 week plus UTI. 

Needs:  Many of you have asked how can we help?  What can I do?  Right now, Morgan & Kasha need financial assistance from us.    The monthly expenses have continued to rise; co pays, prescriptions,  daily medical necessities cost them on average over $300 dollars a month.  This is an area where you may be able to and want to help.    Morgan also needs encouragement!  Cancer SUCKS and life is really rough right now!  His world has stopped, while ours keeps going.  It’s nice to remind him that we haven’t forgotten, we’re thinking of him, praying for him and we’re still here!

If you can, will you help us?  send a note and/ or contribute what you can to”Team Morgan”!  Morgan Strub, 8202 N. 21st Drive B206, Phoenix, Arizona, 85021.  If you can contribute; you can paypal “Team Morgan” c/o paypal id: service@m3se.com.  You can add a note of encouragement there too.

Thank you for following Morgan and our family on this scary journey.  It means so much to have your thoughts, prayers and support.

Melissa

Atheist, Catholic, Unitarian, Christian

January 12th, 2010 at 11:12pm MST by Melissa

What do they all have in common?          We love Morgan and are fighting for his life! 

As we sat waiting for answers today we bantered, rattled theory, threw thoughts and reminisced of how we might have been stirred to believe one way or another.  Divided in theory,  but united @ heart.  

We were there to find the answers to LIFE!  How do we keep Morgan alive?  I want to keep him!  How simple and silly that sounds, but I love that boy and I want him here with me.  He’s got my blood and I still have so much to share with him.   I don’t want to lose him or leave him.  I want to take him home and keep him forever, as my girls would say.  I really can’t imagine my life without him.  

I love having brothers!  … like a husband is a witness to your life- my brothers are a witness to my beginnings (as I am theirs).  They know the true me.  I am understood and accepted on a different level.  They know what I come from.  What I was.  They can appreciate what I have grown to be, as I can with them.  We hold each other in check and can speak into each others lives differently than a friend, spouse or parent.   We have rallied and come alongside to support  each other in hard times.

We are there for each other!  Dedicated to be present, be real and NEVER GIVE UP!  … so as much difference as there may be- we are united!

Wonder twins power- ACTIVATE!

*****

MD Anderson update: They wanted Morgan there for more testing and to speak to a Neuroblastoma specialist tomorrow.   We were told it would be a one day appointment, so the extension was a surprise.  We were not prepared, but adapted quickly.  I came home, Morgan, Kasha and Mark are still there.   More updates to follow.

Melissa

MD Anderson

January 11th, 2010 at 11:22pm MST by Melissa

Morgan, Kasha, Mark and I are in Houston, Tx.  The travel here went well and we’ve had a great day being together.  Tomorrow is our appointment @ MD Anderson.  Kasha and her mother Ruth (Morgan’s caregiver by day) spent many hours requesting, gathering and sending MD Anderson Morgan’s medical records weeks ago and an appointment was sent.  Tomorrow is the day.  We will meet with a doctor to review his case and find out where we go from here.

Thank you for your continued thoughts and prayers.

Melissa

lost…. and found

January 10th, 2010 at 8:08pm MST by Melissa

My girls adore their uncles and they love to hear stories.   They ask me to reminisce and give them all the details.  What did you do?  What were you like?  Where did we go?  Who got in trouble?  What did you play?  ….

We had a family gathering at Mom’s house last night.  We were celebrating Christmas again with mom in her home.  It was a nice evening together, one of my favorites lately.  On the way home I was quiet and in thought.   I was thinking about the days ahead and a childhood memory came to mind.    When we were young, my family camped around Arizona often.  We would camp, fish, hike, explore.  We set up camp in a lot of great campgrounds around this beautiful state.

I remembered the time we were camping  and we took a family hike.  We hiked for what seemed a long time- Dad always loved to walk us, I know now that was a way to get exercise and tire us out.  On hikes I felt a freedom; we would explore, catch little creatures, find interesting stuff.  On this hike, Michael asked to head back to camp and my parents approved it.  Morgan decided to take after him and somewhere between the rest of us and camp Morgan went lost.   We could not find Morgan- where could he be?  I think I remember that we searched all over camp, we asked other campers and found nothing.  We waited at camp, retraced steps, searched, asked…. I was scared.  I was young- I thought he was gone and that we may not be able to take him home.  I was so scared.  I can only imagine how he felt.

It was hours later, still nothing.  Morgan is lost!! Where is Morgan??  The sun was setting.  I think I remember that the Rangers were notified and that they were searching or were going to start searching by helicopter.  We were still asking other campers, praying and searching.     We finally found him.  Other campers helped us locate him and we wound up making acquaintance with them and sharing a meal.  What a relief and a celebration to find him.

I’ve had some sweet times with Morgan over the last couple months.  I am cherishing these days that he feels well enough to hang out together.  I love to go pick him up and have him in my home; spending time together, letting the girls love on him , being together and making memories.

The LOST story reminds me of how scared I was.  How scared I am… what lies ahead?  what’s happening inside Morgan; physically, mentally, spiritually, emotionally?   I’m  scared.  I’m sad.  I’m mad.  I mourn.  I’m really scared.

He was over on Friday.  We had some interesting conversations- what we believe, how we disagree- what’s important to us.  These conversations were started and arranged around lists we are making.  We started with a LIST of lists to make.   The conversation went on, we made some lists and though our conversation he showed his passion about how important he feels it is for people to figure themselves out. 

A few of many questions to answer for yourself are: What do I believe?  Why do I believe the way I do?  What is my purpose?    What am I good at?  What do I love? Am I really living?  I am hopeful that he will share his own answers to these questions with all of you.   I encourage you to explore these questions on your own.  As a tribute to Morgan and what he is passionate about.   You have nothing to lose and everything to gain.

Are you lost?  get found!

Mark Strüb

twenty-10 and new beginnings

January 9th, 2010 at 11:23pm MST by Mark Strüb

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

Mark Strüb

An open letter to my big brother, Morgan

December 25th, 2009 at 10:23pm MST by Mark Strüb

The 867 miles from Austin to Phoenix never felt so heavy as they have these past 2 days.  I really didn’t expect it.  I miss you, Morgan.  I have a huge lump in my throat tonight as I read through past entries and their respective comments.  It’s a lump and not a stream of tears only because I’ve kept Jack up WAY past his bedtime to soak him up extra heavy in hopes of knocking the edge off this void I feel.

I read back on all of this and can’t believe how much has CHANGED in half a year.  I’ve accepted that life IS change.  Although, I haven’t gotten used to it.  I admire that you seem to have embraced it.  It’s awe-inspiring how resilient and adaptable and strong you are.  And that’s not new.  You’ve always been all of those things.  I didn’t always realize it, but I see it now in hindsight.  You are encouraging us, your friends and family (admirers) to dig deeper and find the strength that we also possess to deal with our own changes and challenges.

Before Jack came home today, I had some {more} time to myself.  I loaded his new bike into my trunk to go put some air in the tires.  The journey was rich with remembrance of our Christmas Day adventures we had as kids when we would go out to roam the streets and parking lots of our neighborhood when no one else was around.  The streets today were quiet as they were then.  The storefronts were also closed and dark.  For that moment, it made me feel a little closer to you- despite the cursed distance I mentioned earlier.

I tell this little story to illustrate a bigger idea.  You live in the hearts and minds of THOUSANDS of people.  For every vocal cheerleader who leaves a note in cyberspace, there are a thousand quiet supporters who have benefited from knowing you,  reading your words, enjoying your many web creations, etc.  I am proud to realize your legacy.  It’s quite a lot to have accomplished considering your relatively young age plus obstacles.

2009 has been a really tough year in so many ways- for so many people.  Thank you, on behalf of all of us that know you, for the reminder and inspiration to look forward to the future and “never give up.”

I can’t wait to see you next month.

Love,

Mark

Melissa

Pictures and a few words

December 23rd, 2009 at 4:46pm MST by Melissa

It’s been a while since a post.  We are still here- just quiet.  Here are a couple pictures from some of the recent happenings. 

Morgan views slideshow before wedding ceremony begins
Morgan viewing Michael’s wedding slide show- that’s Missy & little Morgan as kids.

Morgan and Kasha at Michael and Shauna's wedding
Morgan & Kasha

Strub family wedding party at Michael & Shauna's wedding
The Strub family & original ‘ Team Morgan’

 
Lauren hugs Morgan, Uncle Mark at right
Morgan and his biggest fans

Uncle Morgan with nieces Kate (left) and Brooke
We love Uncle Morgan!

Quick update: Morgan has stopped chemo for a holiday break with family.  He has been doing well and enjoying not being in the hospital and chemo sick.   Thank you for your continued thoughts and prayers as he/ we sort out what lies ahead.  For now, we are taking it all in and enjoying family time and Christmas gatherings.

Merry Christmas!

* More details later

Morgan

Doctor Calls in CaT Scan, Pain Pump and Dye Test

November 17th, 2009 at 7:24am MST by Morgan

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.

Morgan

Writhing, Quietly

November 11th, 2009 at 1:29pm MST by Morgan

The pain has come back in strong force. It’s my right thigh, very close to the place that had me screaming in pain a few months ago; before my pain pump was surgically installed. This time the pain is not as extreme, allowing me to suffer in silence.

It’s amazing how I can go from 3 weeks of rosy health to a day of frightful pain. Will it continue? Get worse? Can doctors find a way to make it go away or will I have to live with it?

I took my strongest drug, Dilaudid, to no effect. It’s supposed to be 10 times more powerful than morphine but, as far as my thigh is concerned, it’s a worthless placebo. Kasha gave me another dose of Lyrica this afternoon. It’s supposed to help with nerve pain, and it’s possible that’s what this is. The pain feels like it’s in muscle or nerve, not bone. I’ve been told I have cancer within my thigh bones (as well as many other bones), which is why I sometimes worry about the pain breaking through.

Tomorrow I go to see my oncologist (cancer doctor) and will hopefully get more answers. Also, I’ve been having extreme pain near the power port in my chest, the one used as an IV. It began happening when my antibiotic was being pushed in last week. The nurse who’s been overseeing my port use says it may be the result of a hole in the catheter portion. If that’s true I’ll have to have surgery again to replace it. Man, I’m so sick of surgery. Anyway, they’ll test my port soon with dye, to see if a hole is visible.

It’s been a while since I wrote and all I have to share is bad news. Sorry about that. I should have been sharing all the wonderful days I’ve had until now; the feeling of strength and confidence. Life’s been great, and I need to remember to carry that feeling forward even when the pain comes. I too often let a health problem turn my world upside down.

I’ll make it through this, though, just as I always do. I just had to moan for a bit.

Melissa

Thriving

November 6th, 2009 at 10:31pm MST by Melissa

Morgan is home and thriving!  He and Kasha made it to Lauren’s birthday party then the four of us headed out for a long overdue date night.  It was Morgan’s first time out for fun in a long time!  What a blessing to spend these times together~ we are celebrating!!!