Sunday, October 23, 2016

No Tater-Tot Hot-Dish Please.


Over the past year and a half, we have been very quiet about Ginny’s health.  In February and March 2015, Ginny underwent 25 rounds of radiation to see if we could put that “bastard tumor” in its place.  In this past 18-months we have enjoyed a cancer free season.  There have been challenges in the past year however.  The radiation, although effective in shrinking the tumor, left a wake of destruction in Ginny’s “innards”.   The side effects have been difficult and very inconvenient for sweet Gin.  She has put up with much and I have been amazed at her determination to not let it get in her way.

Four weeks ago, the discomfort felt daily shifted from distraction to pain.  The never complaining Gin started becoming more and more vocal and expressed that she was not able to stand it any longer. 

Two weeks ago we began doctoring at Mayo again.  We have been working with several departments and there is a great deal going on.

1) We need to control Ginny’s pain.
2) We need to keep her kidneys functioning and her colon working.

Let’s start with the stents.  Gin has had 8 stents placed in her ureter over the past 2 years (they have a 3 month shelf life).  These stents have kept her right ureter open, keeping her right kidney alive and the Gin peeing.

Ginny now needs a stent placed in her colon.  The radiation obliterated her colon and the already battered colon/intestine (previous bouts with cancer) is a maze of scar tissue.  A stent is needed to help her with proper function and to help prevent bowel obstructions, which is a relatively common occurrence for Gin.

Now for the pain…we have elected to have a pain pump placed.  Gin is requiring daily pain meds and a pump will provide more accurately placed medication and is easier on her systems as it does not have to be digested and make its way through other systems before getting to the site of pain.  It will be placed under the skin (her left front side) and a tube will tunnel under the skin to her back.  The tube will be threaded along side the spinal column and placed precisely at the point where her pain “receptors” send the signal up her spine to her brain to let her brain know she is in pain.  The pump with provide very controlled drip.

All of this is necessary because in the past month the bastard tumor has woken up.  Last week Gin had an MRI and we were told Tuesday that the tumor is growing and growing quickly.  It is larger than it was when we first discovered it almost 7 years ago.  It has been a difficult week as we, more importantly she,  believes the writing is on the wall. 

Tomorrow (Monday 10/24) surgeons will attempt to place a stent in the colon.  This will be a challenge but we all agree this is the best place to start.

Wednesday 10/26 Gin will have the pain pump put in.  This is a 2-3 day procedure.  The surgery is quick and relatively routine.  The hospital stay is for the pain folks to monitor Gin and establish her pain control needs.

The following week Ginny will begin a round of oral chemo therapy in the form of a daily pill.  The hope is that this will keep the tumor from growing any more and give Gin more time to complete many projects she is longing to get finished. 

Doctors were clear that the chemo options left to us are not expected to shrink the tumor, but hopefully control the growth.  The team has said we have a couple of options with chemo.  Each treatment is expected to give 6-9 months of time if effective.  This puts us on a 12-18 month timeline.   I hesitate to type this as we ALL know that these timelines are guesses and doctors have been wrong about Ginny’s life and death timeline in the past.  At the same time, we hear it and want to make sure we are ready in the event they are right.

So…

No tater tot hot-dish please.  We are busy living at 1818 6th Avenue NE.  We are loving fiercely and enjoying these fall days.  We are looking forward to snowy days and are talking about what to plant in the garden next spring.

We want those we love to know, but are not ready to sound the alarm to the masses. 

We covet your prayer in the days ahead.

Kir & Gin


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