Friday, October 28, 2022

Recovery Day 11

Thankful God is with us. This setback could have happened after Alan was released. We could have been rushing him down to the MDA ER. But God. His timing is perfect. He allowed this valley to occur the night before release was suppose to happen!


This morning at around 3:30 Alan had the NG tube placed again. It was definitely the right call. The amount it immediately and has continued to suction out of his stomach explains all of vomiting and nausea. 


All the doctors have concluded that his bowels and stomach all decided to shut back down. They said Psych! Given the trauma they have been subjected to, I can't really blame them. Dr. Wise One, Dr. You, and their teams have all reassured us that this is common for HIPEC patients. So we will keep walking to wake up his GI tract! 


By 3:30 he's done almost a mile around the floor today. I expect it will be close to a mile and half by the end of the day. 


There isn't much else to update. We are just playing a waiting game for his organs to stop playing games! They need to wake up and work. No estimated time of departure from this place until he is back off the NG Tube. 


Prayer Needs:

  • Competition for girls and TWHS Band tomorrow
  • Patience
  • GI Tract to work and stop playing games
  • Wisdom for doctors
- Mel

Thursday, October 27, 2022

Recovery Day 10

Alright so today has not been what we planned. And trust me it has totally gotten to me. I am mad. He was suppose to come home! I am tired. There is a reason I don't work in town! I am sad. My girls haven't seen their dad other than FaceTime since 10/16! I am angry. Cancer sucks and even after it's gone the effects still stay!


Alan has continued to be nauseated all day. He hasn't vomited since before 7 am. But he is on 3 different anti-nausea meds to try and control it. If he vomits again, they will place the NG tube back in. So yay, prayers are working for 9 hours now. 


Take that back. He just vomited at 4:10 as I was writing this. 


I HATE CANCER!


Both Dr. Wise One and Dr. Big Sis stopped by. Dr. F reassured us that this is not a stomach bug but quite normal for Shake N Bake patients. He believes in 12 to 36 hours Alan will be better. Dr. Big Sis defers to Dr. Wise One's insight on HIPEC. He also said that his patients have the longest stays because of this very thing. The recovery is not a straight vertical line like most surgeries. It has a lot of hills and valleys. We have hit the first valley. 


Lord, please stop the nausea and heal my husband so he can come home!


- Mel

The Setback

The setback. He was bound to have one right? I mean he can't just fly the coup today like we were planning yesterday. Yep, you read that right. When Dr. F came by with the fabulous pathology report, he told us he was going to cut us loose today. 


Funny how quickly things can change. Which is why I didn't share that tidbit until we were walking out of the hospital. I've learned with this SuperUnicorn, that things and plans can change on a dime. 


Last night after having some gas trouble in the early evening. Alan battled nausea and then at 2 am began vomiting. They did X-Rays and said that Dr. F would make the call on what to do this morning. So at 4:30 I left to make sure I got here before any doctors came by. 


One of Dr. Big Sis's fellows came by close to 6:30, not long after he threw up massively again. She hadn't seen the X-Ray but was concerned since they had moved him to nothing by mouth again overnight. She said the last drain would come out today! Yay! But that she would coordinate on his troubles with Dr. Wise One's team. 


With 5 minutes, Dr. Classy, one of Wise One's fellows, stopped by. She said the X-Ray showed no obstruction and his white cell count was elevated slightly yesterday. She is hoping he just somehow caught the 24 hr stomach bug that is "going around." The plan is to monitor him and if it gets worse then they will put the NG Tube back in. He does not want that. He would do anything to avoid it. 


So we need some prayers. Prayers for whatever is plaguing his GI System to go away! Prayers for NO NG tube replacement. Prayers for no more setbacks. Prayers for his heart as he was ready to come home. Prayers for patience. Prayers for wisdom for the team, specially Dr. Wise One (Fournier), Dr. Classy (Ylu), Dr. Bubbly (Dana) and Dr. Big Sis (You) and her team. Everyone else had cleared him to be discharged today. So prayers for their wisdom on when that is now realistic. 


Thank you all for walking this journey. 


- Mel

Wednesday, October 26, 2022

Pathology Report

What a mighty God we serve! What a mighty, mighty God! 


Of the 13 areas that were taken in surgery, 1 was Mooney with active present cancer. To quote Dr. Wise One, "which would have killed you." Pathology showed that it had been altered by immunotherapy and still had cancer. Thank God for Dr. Big Sis and Dr. Wise One operating. 


4 other areas that they removed while suspicious had no evidence of cancer ever having been present. Huge praise!!


The 8 remaining areas all had evidence of previous cancer. BUT currently there was none! So while we only ever saw 3 tumors on the scans, at some point there were 3 times that amount of tumors. It appears immunotherapy worked on all but Mooney! 


Additionally, all 16 lymph nodes removed were negative for cancer! All around an incredible report. 


So while Mooney was a stubborn little booger! A scalpel took care of him! And all visible signs of cancer are gone. NED - No Evidence of Disease so far with another set of tests and results coming back in 6-10 weeks!


Next steps: 


Discharge

6-10 more weeks of recovery

Follow ups next week

CTDNA Blood Test in 2-4 weeks to test for microscopic evidence of disease

CTDNA Results 4-6 weeks after test m

Regular Follow Up Scans etc


From this point forward, Dr. Dude, Dr. Big Sis and Dr. Wise One will be actively following Alan! We cannot begin to express our gratitude! While we still have a long way to go on his recovery and on adjusting to some permanent changes, he's here! Praise the Lord, he's here. 


Thank you all for your prayers! This could not be a better report! Thank you, thank you, thank you!


Recovery Day 9

He's doing so well, but there have been challenges. And there definitely still will be while he recovers at home. Yes I said home! We aren't there yet but getting much closer!


Today will be known as Drains be gone day! All the drains from plastics are gone now! Dr. F's fellow removed his drain today! Now we just need Dr. Y's drain, and he will be tube free!


We took two big walks! We went up to the observation floor again. And then later we went down to floor two and walked around "The Park."


He is struggling with some stomach gas issues this evening. We are praying that gets resolved soon. Otherwise it's been a good day!

Tuesday, October 25, 2022

Recovery Day 8

Two more tubes are gone!!! He's down to "just" three drains and the IV is in but not connected! Alan was able to eat more today! They also gave him the 4 vaccines he needs since he no longer has a spleen. 

This morning we took an adventure walk! Alan wanted to ventured off the 10th floor and went to the Observation Floor! Such beautiful views! It was a big walk and three different elevators involved. I was so proud of him. 

We also had the pleasure of a visit from one of our dear friends, Paul. Mr. Brown has been texting Alan and I daily throughout his cancer journey. It was wonderful to spend some time with him. 

There has been some issues with his colostomy bag. We are working through them. A lot of this will be trial and error as we figure out what works. Part of the challenge is how close it is to his incision. The other challenge is that just learning his body and what's going to work for him.  

Lord, give us and the doctors wisdom. We have lots of little details and things we are working on before release. Pray for the rest of the drains to go. Please also continue to pray for the girls with school and UIL Area Competition this Saturday.  

- Mel

Monday, October 24, 2022

Recovery Day 7

What an incredible day! So a full night without the NG Tube was much easier on his ability to sleep! 

First thing this morning he was moved to soft foods! So breakfast consisted of eggs and half a banana! Then lots of walks!

We received some training for when he gets released. Yes, those discussions are starting! That's a great thing. His epidural was capped to test if he was ready to have it removed. He was also switched to oral meds!

He had some lunch as our awesome pastor, Justin came by for a visit! Alan enjoyed the visit, but was tired so it was short. His fabulous wife, Jennifer brought me lunch and I got some girl time!

When I got back from my lunch date, Alan's epidural had been removed! His mom also came to visit! After a nap, his catheter was removed! More walks! And more walks! 

Then the best news of the day! HE HAD A SHOWER!!! It was challenging with 4 drains and an IV still in place, but he managed with assistance! Now we are walking after his grilled salmon, mashed potatoes, and strawberry jello dinner. 

Dr. Wise One said this morning that he has never seen someone walk this much! I cannot sing Our Lord's gracious praises enough. He has managed Alan's pain and given Alan incredible strength and fortitude for this fight! I am so grateful for a man who fights this hard! 

- Mel