November 21, 2009

Well here I go again. I didn't write last night because: a) I'm too lazy b) I was watching TV c) I forgot or d) all of the above. Well, if you picked d) you were right. Thank God Anne reminded me this morning. I had promised I'd write while we were out here to keep everyone informed about what has happened.

Anne spent a rough night Thursday after the liver embolization procedure. She had a lot of pain in the right shoulder with certain movements (referred pain from the liver), and between that and the need for vital sign monitoring (blood pressure, pulse and temperature) about every hour or so, she didn't sleep much. Her pain meds did help a lot, and the resident that was on call that night at the hospital spent a lot of time with her. She was a lot better by the time I showed up in the morning. Her labs looked good, although her hemoglobin dropped a bit. They "dismissed" her (everywhere else in the world it's called "discharged" except at Mayo) around noon, and we came back to the hotel and had lunch. She then proceeded to sleep most of the afternoon. By the time she woke up, her pain had largely disappeared. We ate at one of our now favorite restaurants, Victoria's, which is right around the corner. It has a huge menu of pretty decent Italian food--way better than anything in Saginaw, I'm afraid to say, and the portions are huge as well. The calamari in my pasta dish were real--tentacles and all! We saved half for lunch today, but we wound up having such a large breakfast (OK---I did), that we may not be hungry for it.

After dinner we watched TV (and I read as usual while watching--now I can't remember what I watched OR what I read), and as Anne was passing out in her chair, we hit the sack reasonably early. It's 9:45am now, so we have to kill some time before we go to the airport to head home.

So, again, we had a pretty decent experience at Mayo Clinic again. The motto "The needs of the patient come first" was again witnessed everywhere. I have been put on a committee at Covenant for patient satisfaction for the operating room services, and I plan on stressing that motto. I'd suggest that we all adopt this motto: "The needs of the other person come first". If we all can think of that in our daily work and relationships, wouldn't we have a better world? We shouldn't think of ourselves first. Christ surely didn't, or He wouldn't have died for us on the cross.

The following verses express what I feel right now about "Our Faith Journey":

"Come, let us sing for joy to the Lord; let us shout aloud to the Rock of our salvation. Let us come before him with thanksgiving and extol him with music and song." Psalm 95:1-2

It has been a bit of a wild ride, but God has been with us throuhgout the whole journey. I will shout this for all to hear, and I have been singing for joy all day long.

God Bless,
Tony

November 19, 2009

I'd like to thank you all for your prayers. It's amazing how many of our friends are on Facebook, but after getting it to work on my Blackberry, I was able to read each and every birthday wish and prayer for Anne.

We got to Methodist Hospital at 6:45am this morning and went to Admissions. Apparently, Anne wasn't in the system to be admitted, although she was in there for the procedure. After waiting about an hour, they got things straightened out and she was brought, by escort, to the oncology floor. Nice private room, but fairly small. I wish my patients could have such a room. Mine get a double with not enough room for one bed no less two. And her bathroom was large enough for 4 patients at once (although there was only one potty!)

Her team of doctors came in to introduce themselves. There is an attending "consultant" physician who we met later in the afternoon, a resident, and an oncology fellow. They were both wearing suits. When I was a resident, I wore a scrub shirt, white pants and a long white lab coat--full of plaster. Turns out the fellow is from Edinburgh, like Anne, so they hit it off right away and reminisced about HP sauce, Haggis and Rybena. It was lovely, and picked up her spirits. She was a bit nervous as would be expected. They finally picked her up around 11:30, and I left to get in some lunch. I took a stroll through the gift shop, which would put Stroebels in Saginaw to shame, then went to the family waiting area until she got back at around 3:30 pm. She did incredibly well. I didn't speak to the interventional radiologist, but Anne said he was a bit "older" so "he must have known what he was doing." It's nice to know that just getting older puts you in the category of "knowing what you're doing".

She rested a bit and wasn't allowed to get out of bed until 8:00pm. She did have some soup and juice, but started getting some sharp pains in her right shoulder--referred pain from the liver area. They seemed to get better after she got up and walked around, and went to the potty. The oxycodone didn't hurt either. I left her just about sleeping at 9:00pm and I wound up eating dinner finally in the bar at our hotel. We're hoping she'll be discharged by tomorrow.

They did let us know that we're scheduled to return on December 14th for a CT scan and some other tests, and then she'll have the big surgery--removal of a lot of liver and the colon tumor--on the 18th, so I'm planning on being out here for Christmas. We could be in a lot worse places--think of those poor kids in Iraq and Afganistan for instance. We'll keep praying that God watches over us. A concern would be her getting a cold or the flu which would delay surgery. They're thinking she should get a flu shot, which we were avoiding because of the chemo, but apparently they think it's a good idea out here. They are the experts, so we'll do what they say.

My verse for the day is:

"And it is impossible to please God without faith. Anyone who wants to come to
him must believe that God exists and that he rewards those who sincerely seek
him"
Hebrews 11:6, NLT

Our faith through this journey has only gotten stronger. We have seen with our own eyes and with our own hearts how great is our God. We believe that He has indeed rewarded us with incredible miracles of healing. The oncologists here were amazed at how well Anne responded to the chemo--but she wouldn't have without God intervening for her. Praise God from whom all blessings flow!

God Bless,

Tony

November 15, 2009

I want to start this blog out with the lyrics to a song by Chris Tomlin, and I think you'll see why when I get to the meat of the blog:

The splendor of the King, clothed in majesty
Let all the earth rejoice
All the earth rejoice

He wraps himself in Light, and darkness tries to hide
And trembles at His voice
Trembles at His voice

How great is our God, sing with me
How great is our God, and all will see
How great, how great is our God

Age to age He stands
And time is in His hands
Beginning and the end
Beginning and the end

The Godhead Three in One
Father Spirit Son
The Lion and the Lamb
The Lion and the Lamb

How great is our God, sing with me
How great is our God, and all will see
How great, how great is our God

Name above all names
Worthy of all praise
My heart will sing
How great is our God

Name above all names
Worthy of all praise
My heart will sing
How great is our God

How great is our God, sing with me
How great is our God, and all will see
How great, how great is our God
© 2004 Six Step Records

Yes, God is GREAT! And all I have is praise and thanks for Him.

Since I last blogged, a buch of stuff has happened. We had been waiting to hear from Mayo Clinic on when we would be going out there for Anne's surgery. We initially thought we might meet with a different oncologist than we had met when we were out there in April, who was the director of the department and a colorectal cancer specialist. Instead, Anne got a call from Dr. Banck whom we had seen last time. She was enthusiastic about Anne's response to the chemotherapy this time (apparently she didn't know so many people had been praying for us and that God had interceded). She had talked to Dr. Nagorny, the number one liver surgeon in the world, and they felt that Anne's liver was indeed now able to be operated on! The next step was to get a PET scan, which apparently shows tumor activity. Mind you, her lab work has been normal, but there was still a chance that the tumor was still active. As it turns out, Dr. Balcueva had set the PET scan up for Friday, November 6th. Dr. Banck was excited to know that things were already scheduled.

Of course, I didn't get the results of the darn PET scan until the following Tuesday night, after calling myself to get the results. Anne had Fed-Exed a copy of the PET scan to Dr. Banck so she could have it by Monday, November 9th. I looked at the PET scan myself multiple times, but honestly, this was the first one I had ever seen one, so I really didn't know how to read it--but I thought everything looked great. I saw only "black holes" in the liver where the tumor WAS, but no increased uptake like you should see if the tumor was still active. There was some uptake in the colon, I thought, but there was no blockage of the colon. Well, the radiologist here felt the same way (not bad for an Orthopod, I thought). Dr. Banck herself called Anne Wednesday night (are they awesome at Mayo Clinic or what? I personally hate calling patients--but maybe I should start--it is very uplifting for the patient). She told Anne that the Mayo Clinic radiologists felt that the PET scan was ENTIRELY NORMAL!!! They felt there was NO TUMOR ACTIVITY LEFT. PRAISE GOD!!!! She told Anne that the new plan was to do a procedure to cut off the blood supply to part of the liver that was diseased (full of dead tumor--embolize it) which would then allow the normal liver tissue to hypertrophy, or grow bigger. This is done through the femoral vein, like they do for cardiac catheterization. She'll stay overnight after the procedure. The plan will then be to return to Mayo Clinic for the definitive, big surgery, where they will remove a good portion of her liver to get rid of the dead tumor, and also remove the portion of the colon that is diseased. This is a lot more surgery than we had initially thought, as we didn't think the liver was resectable, but thank God it is now. That means that she will be CURED, and not just palliated.

Apparently, this procedure has been pioneered by a surgeon at MD Anderson in Houston, Texas. I can only thank God for him--God has seen fit to give this doctor the skills to be able to come up with this technique that has improved the prognosis of patients with Stage IV colon cancer tremendously. I thank God with all my heart and soul that Anne has been so responsive to the chemotherapy so that she is a candidate for this type of surgery.

So, we head out to Mayo Clinic this coming Wednesday, November 18th, and Anne will have the procedure on my birthday, November 19th (it's my sister Margaret's birthday too, and my cousin Christine's). I couldn't ask for a better birthday present. The big surgery will take place anywhere from 3 to 5 weeks later, which means we may be spending Christmas out at the Mayo Clinic. For what this means for Anne's treatment and recovery, I couldn't ask for a better place to be, although I will miss being home. We'll have to see about the girls coming out too, but we'll have to see how that goes. I will keep everyone posted on how things go out there by blogging every day while we're out at Mayo. We're planning on being back on the 21st, so this is a short trip. Next time will be around a 2 week stay, we think.

God Bless,
Tony



Now to the King eternal, immortal, invisible, to God alone who is wise, be honor and glory forever and ever. Amen
1 Timothy 1:17

October 30, 2009

Yes, it has been a long time again since I "blogged" but honestly, there's good reason for it. As you already know, Anne finished last her chemo treatment 2 Mondays ago. She did great as usual. We were waiting for her to get her abdominal CT scan, which she had this past Tuesday. They also got a chest xray at the same time. Her lab work, including the CEA, was all NORMAL. The abdominal CT scan showed that the liver tumors were much smaller than they had been before--great news. And the colon tumor itself was smaller--only 4.5cm (from about 8 cm I believe). Unfortunately, the chest xray showed a lesion in the left upper lobe--something totally unexpected. Well, we met with Dr. Balcueva yesterday during lunch, rather than waiting until next week--and he was very optomistic. He was happy with the results of the CT scan and recommended that we head out to Mayo Clinic in a couple of weeks rather than waiting for December. In the meantime, he ordered a CT scan of Anne's chest to evaluate the lesion seen on the chest xray, and a PET scan, which will see if there is any tumor activity left--I think it's all dead, personally, and what we're seeing is scar tissue. The PET scan is scheduled for next Friday, November 6th. Anne had the CT scan of her chest today. When she went to pick up the copies of the scan from the radiology department, the girl at the desk, who also goes to Hopevale, asked if she would like to go over the films with the radiologist. Pretty neat, I'd say. Well, the bottom line is that the radiologist DIDN'T SEE ANY TUMORS IN THE LUNGS!!!!!! Praise God over and over again!!!! She can see the lesion on the chest xray, but not on the more sensitive CT scan. She thinks it may be only pleural scarring, which can be a side effect of the chemotherapy. Personally, I think God heard our prayers and made the thing GO AWAY! How awesome is that?

Anne was of course pretty depressed after the chest xray and abdominal CT scan results, but has come out of that completely. We're still wating to hear about when we might go to Mayo. I'll have to rearrange my schedule (actually Linda, Carol and Denise will), but hey, who cares? I only care about "the wife" at this point in time. (Well, I do care about Linda, Carol and Denise of course, but I think they understand). There's no question that prayers have helped all along the way, so please keep them coming!

I sent the following Bible verse to Anne Thursday:

"God blesses those who patiently endure testing and temptation. Afterward they will receive the crown of life that God has promised to those who love him."

James 1:12, NLT

How appropriate again! It's amazing how these verses show up in my email just when we need them. We need to patiently endure these trials rather than give up and lose hope for the future. Our prize is ultimately in Heaven when we will be able to see God face to face--how awesome will that be? In the meantime, these tests are to see how strong in Him our faith is and to make us stronger believers--able to withstand the onslaught of unbelievers and Satan himself. I pray that Anne and I will continue to do that, regardless of what happens. Chalk up the chest CT scan as another miracle that we have experienced. I does make it easier to have faith, but shows that our faith is rewarded, as would yours be in similar situations.

I pray that all of you experience the love of God and friends, both known and unknown, that we have.

God Bless,
Tony

October 13, 2009

Well, we finally made it! Anne had her last dose of chemotherapy yesterday. Well, actually, she won't get the catheter removed until Wednesday, but she's as good as done. And no side effects again, praise God! She had lab work drawn yesterday, but we haven't gotten the results back yet. She should on Wed. when the catheter is pulled. She'll be getting a CT scan in 2 weeks and then we'll know what is going on after that. We can't wait. It is hard to believe it's been 6 1/2 months since she was diagnosed, but I won't deny that it does seem like a long time.

Of course, she did great with this final dose. She actually went out Monday night after the chemo to an American Cancer Society event--something about feeling good and looking good (whatever--what's important is she had a nice time). She met a bunch of other woman with cancer and they got makeup and other things to help them feel better about themselves. Anne was the only one in the group who hadn't lost her hair. They were all jealous.

Of course, she's not one to just sit around, and the past 6 months have been full of that. A couple of weeks ago she saw an article in the Saginaw News about the American Cancer Society here in Saginaw. They have a library/resource center at St. Mary's Hospital. So what does she do? Volunteer to work there of course! Her idea is to help other people going through cancer as an advisor or something like that. She went for training last week. This may just be her new calling. They will be setting up a new unit at the Mackinaw Office building where I do my outpatient surgeries--a lot closer to home. I guess she'll be able to make her own hours. I think it will be great. They like the fact that she is currently undergoing treatment for cancer--the other patients will be able to identify with her better and she'll have a lot more empathy for what they are going through than someone who's never had cancer.

We have had a medical student from Kansas City, Nathan, staying with us since October 5th. We met him in Nigeria in June of 2008, and hit it off well. He was given permission by his med school to spend a month following me around, so I've gotten to do a bit of teaching again, which I haven't done in a while. I've enjoyed having him around. Since I'm doing the driving back and forth from home to work, I have done a better job at leaving work and coming home rather than linger. I then get to spend more time with Anne. Of course, she doesn't stay around much. This past weekend she went to Grand Rapids with some of her friends on a girl's weekend away. They actually celebrated the 50th birthday of Anne and one of the other women (a year late), and had a great time. It was great to see her spend some time with her friends--which she couldn't do if she didn't feel so well. As it turns out, it was the midterm break for Michelle and Heather, so I got to spend some time with them without mom around. We had fun, except there wasn't a whole lot going on around here this weekend. Ah well, we got to watch some movies together and spend time together which is well worth it. I also got to spend lots of money eating out...

I really liked this following Bible verse with the devotional comments that followed from the Living Water Life Application Daily Devotional:

For our present troubles are small and won't last very long. Yet they produce for us a glory that vastly outweighs them and will last forever!
2 Corinthians 4:17, NLT

Our troubles should not diminish our faith or disillusion us. We should realize that there is a purpose in our suffering. Problems and human limitations have several benefits: (1) they remind us of Christ's suffering for us; (2) they keep us from pride; (3) they cause us to look beyond this brief life; (4) they prove our faith to others; and (5) they give God the opportunity to demonstrate his power.

I guess in comparison to what Jesus went through for us, having cancer is pretty small. It doesn't always seem like our troubles are small, however. I think what's important is how we use those problems and deal with them. We can certainly feel sorry for ourselves, or we can fight them head-on. A lot of my patients will say to me that they feel their problems are minor when they see some of the children I take care of. We can always compare ourselves to others and feel we are better off or even worse off. But I think if we use these opportunities of our troubles to witness to others of how God is working in our lives, we will all be better off. God has been so incredible to us I can't help but let everyone know. If Anne is an inspiration to anyone that would be awesome. And now that she'll be helping out with the American Cancer Society, she'll have opportunities to tell others of how God has helped to heal her--spiritually and physically. We can both shout from the mountaintop as I promised!

Now that Anne is doing so well, I decided to get myself checked out a few weeks ago. Of course, I'm too fat, and my blood sugar and hemoglobin A-1c were high (but still normal). I'm supposed to be on a diet, however, which is not working out all that well. I'm trying to eat less, and not so much junk food (no more cake for breakfast or ice cream at night unfortunately). I'm convinced God wants me to look like this anyway--every time I lose weight, I just gain it right back again! I had a stress echo test which showed my heart is OK, but I have to go through a colonoscopy this coming Thursday. Oh what fun the bowel prep will be!!!

God Bless,
Tony

September 29, 2009

Well, now it's 11 down and only 1 to go!!!! It seems like a long time to get to this point, but obviously a lot has happened from the first diagnosis to now. Anne continues to amaze me with how incredibly well she tolerates the chemotherapy. She has had basically no complications from the chemo for a very long time. She's not even tired after the treatments anymore. And her spirit is high (praise God). Now we just have to get through the next chemo dose, and then a CT scan of the abdomen to see how things are going. Then, hopefully back to Mayo Clinic for her colon resection. That's our plan--we'll see what God plans for us.

We were able to get away--out of state this time--for a few days last week. We went together to a meeting in Boston for a new surgery that I have been wanting to do for a while. It requires going to an instructional meeting which included lectures, demonstration of the surgery on a cadaver, and then we were able to do the surgery ourselves on a cadaver. Thank God that people donate their bodies to science. The training is invaluable. You get "hands-on" experience with real anatomy (instead of plastic models), and if you make a mistake, the patient doesn't complain (or sue you). I actually had the surgery scheduled on one of my patients for this past Monday---and it went great thanks to the training. The best part of the trip was the fact that we were finally able to travel. We have been to Boston a few times in the past. This time we met up with a few friends. We had great fellowship and great meals. I tried to stay on my diet (really, I did). It was hard to pass up the Boston Cream Pie at Legal Seafood--so I didn't. We did a bit of sight-seeing as well. We went on a "duck-boat" which is amphibious and can go on land and sea. It's a leftover from WWII, actually, and was used for troop transport. We happened to be on a replica, but originals are still around. We drove around the city, then got into the Charles River for a tour that way. It was quite fun. We walked the "Freedom Trail" as well which is well worth it--there are a number of sites in Boston related to the Revolutionary War that are still standing--like the building where the Declaration of Independence was first read from.

At the meeting, I happened to mention that I needed to get back for my class on Creation and Evolution at church on Sunday night that I am helping to teach. I had to speak about Biblical Worldview and why it matters, which I am learning about in the Centurions program. One of the engineers overheard me talking and now we are new friends. He was involved in teaching the same subject years ago. It was great to speak with another Christian in a secular setting where you don't expect to hear about God. But, as I've found out, if you don't bring it up, you might never be able meet Christian friends, or start a discussion about God with a non-Christian.

Anne drove to London, Ontario on Sunday to go to her sister-in-law's baby shower. Rebecca and John are expecting their first child in a couple of weeks. It's very exciting as this will be the first baby in the family in 18 years. We are anxiously awaiting the arrival of our new neice or nephew. They don't know the sex of the baby yet--I think that's cool. Anne and I were happy that we didn't know until the last moment. In fact, one of my patients told me today (who is also expecting in a month or so) that she knows she's going to go through a lot of pain, so to be surprised with the sex of the child is a bonus she is looking forward to and will help to take away some of the pain. Neat-o.

"Instead, you must worship Christ as Lord of your life. And if someone asks about your Christian hope, always be ready to explain it."

1 Peter 3:15, NLT

Yes, Anne and I have lots of hope, from hoping and praying that the cancer is all gone (I'm thoroughly convinced that it is of course) to the hope that someone who reads this blog will come to Christ because of the witness that this blog brings of God's greatness. I have gotten deeper and deeper into the word of God and feel reasonably comfortable speaking about my faith with others. I will bring it up frequently in the office (actually almost every patient). I guess I used to be embarrassed, but if I can help one person, it is worth it. So far, no one has said anything negative to me, so I will continue to plod along witnessing to others. And I said early on in the blog that I would shout from the mountain top when Anne is cured--so be ready.

God Bless,
Tony

September 16, 2009

Ten down and two to go! Anne just completed her 10th chemo treatment with flying colors. Her labs remain normal (WBCs, neutrophil count, hemoglobin is 11.2 which is good for her). She made it through this dose with no problems whatsoever.

We've been blessed by a few visitors recently. First, my sister Anna came to spend a few days with us. We had a lovely visit. Anna herself is a cancer survivor--both breasts. She is doing and looking fabulous. I don't know how she made it through all of the chemo and surgery as a single mom--it's hard enough with a loving husband around (thank you, thank you), but to do it by yourself has got to mean great stamina and determination. I'm so happy she's doing well now. She's been back to work full time at Robert Wood Johnson Medical Center (where I started medical school) as a cardiac operating room nurse. She scrubbed on the first-ever in the world totally implantable mechanical heart. Very cool. We had a great visit. It was awesome to see her again and find out what she has been doing with her life. I was especially interested in learning more about my nephew, Brian, and what he has been doing.

Next came my other sister, Margaret. It was a lovely visit--too short of course. We reconnected after many years of not seeing each other enough. It was wonderful to see her and get to spend time with her and get to know her more. She is truly a great mom and now grandmother, as well as a gourmet chef! If you looked at her, you'd never guess she was only 2 years (to the day-we share Nov. 19th as a birthday) younger than me. Of course, she had to bring brownies and cookies--now that I've started a diet!

Anne's Aunt Helen and Uncle Doug came this past weekend. They are tons of fun. Helen has got to be one of the happiest and busiest people I've ever met. She is very selfless and volunteers for just about everything. Doug is outrageously funny--quiet yet a riot to be around. It was great to see them as well. I did go off the diet with them around-- and gained back 3 of the pounds I had lost.

My verse for this blog is:

"You thrill me, Lord, with all you have done for me! I sing for joy because of what you have done."

Psalm 92:4, NLT

I am thrilled in so many ways: visits from family and friends, food brought to us by neighbors and other friends, the number of prayers and cards we have received, and the miracles that God has provided for us. Office hours have been longer than expected because so many of my patients are asking about how Anne is doing. We are overwhelmed by the love we have been shown by all of you. I am totally convinced that God has heard all of your prayers and responded with His miracles for Anne. This is all about God's grace--something we don't deserve but God gives to us. How can anyone not believe He exists? I ask myself that all of the time. When I was an atheist, I had no idea what I was missing. As I have been preparing for a class I am helping to teach at church (The Beginning--discussions about creation vs. evolution), I am more and more convinced of His existence. God has so much love to give us--and I am thrilled! "Praise God from whom all blessings flow" as a popular old hymn says.

God Bless
Tony