Wednesday, November 19, 2008

GOOD UPDATE!!!!


Dr. Zhang came to yesterday morning and stated he had a very long talk with Dr. Maillard (the one who wants to scrape out my entire neck) and he actually said that what he explained made complete sense. So, a couple of hours later Dr. Maillard called me to his office (luckily it is just a few floors up from me).

This is what he said:

1. He stated that the best course of action is to FIRST do the uptake scan of the entire body to see if the cancer has metastasized - this was already planned to take place in January.

2. If my scan "glows" and shows any cancer then he thinks we should first nuke it again with radiation and then do another uptake scan 6 weeks after that to ensure it has been "killed". If it was not killed then I need surgery and radiation again. I am sure it will glow since it did before. He said nuking it is much easier on me and worth trying first to save me from surgery if it works.

3. If the scan does NOT glow then he said they will have to go in surgically to find it because sometimes with this particular type of cancer the tumors do not intake the radiation(remember that 21%). He said they are sure the cancer is there so we actually WANT the scan to glow to guide them to exactly where it is.

4. He wanted to make sure that before my uptake scan the doctor does NOT take me off my thyroid medication for 5 weeks like I was told would happen. He said these days there is a new technique where they give you a certain hormone and therefore you don't have to suffer - I WILL TAKE IT!! That was my biggest fear was after taking 5 months to get the medication regulated only to have to get off and start over. I did not want to feel that way again and he said there is NO reason to do that! YEAH! That just made me over the moon happy!!!!

He warned that surgery is the last resort because my complication risks are very high since I have already had surgery, they include partial or complete vocal cord damage and/or damaging the para-thyroids which will cause a calcium issues which are very dangerous.


I mentioned to him that I have been having an increasingly difficult time swallowing and my voice is also having some issues. He said that made complete sense after looking at my CT and then he showed me the CT and explained everything in great detail. This is what he said:


1. My esophagus was shifted over about 3/4" to my right due to the surgery and there is scar tissue pressing into it causing the swallowing issues. The good news is my trachea is completely open and not affected. We just have to hope that the scar tissue doesn't keep growing and then have to have it taken out.

2. He pointed out a "very large" area of concern, it is to the left of the trachea which he states is either a very large tumor or a large growth of scar tissue. To me it just looked like a big blob! Since my ultrasound in July showed a "suspicious" lymph node in the area he pretty much thinks it is a tumor but he said we will know for sure when I have that uptake scan because it should "glow".

3. He also pointed out the residual thyroid tissue. He explained that when they "clipped" the thyroid off they basically left the "stem". He said it usually is "killed" be the radiation and does not work but of course you know my body has never given me the easy route! :-)

So, at this point I can just sit back and relax and enjoy NO DOCTORS APPOINTMENTS until 12/30 & 1/8/09. Those are the next 2 and we will know the specific plan after the 1/8/09 appt.

I am not sure at this point if I will go to the doctor at Methodist since these 2 doctors seem to be on the same page now and it seems pretty clear cut to me. I just have to make sure to get that hormone from my endo, she might have a different mindset.


So at this point I am all for going through the radiation again FIRST to try to kill it and avoid another surgery which will be more risky. Not that the risks are really that bad (I am sure certain people would mind me losing my voice permanently - HAHA!!) but looks like we could get Madge with just some more radiation - YEAH!!!




The radiation was not difficult except all the contamination rules and the cramping and saliva gland issues. That is SMALL beans my friends!


I just feel rejuvenated and excited. I woke up full of energy and life! Just to know that it could be an easier journey and that I don't have to think about it until JANUARY! I am looking forward to taking a break from all the appointments and daily changes in the plan! :-) I am going to do my best to ignore Madge and just maybe she will get pissed off and want to leave this next time! :-)


GO MOMO!!!!


** I just want to thank you again for always giving me such encouraging words of support and I feel like such a "sham" sometimes because people always tell me how positive and inspiring I am but most people don't get to see me crying in the shower, having days where I just ask God to take me home, etc..... I GET ALL MY STRENGTH FROM GOD AND MY FRIENDS AND FAMILY who are always there for me! You guys keep me going and because I know He is using me it gets me out of bed every day!


WHO WOULD HAVE THOUGHT YOU WOULD STILL BE READING THIS BLOG 7 MONTHS LATER!


QUICK SYMPTOM UPDATE:


* Acne is really clearing up now! So HAPPY!


* I had 5 periods in 8 weeks - hormones are a b*itch!! So was I - HAHA!!!


* The dizziness is back just when I stand up but I think that was due to me accidentally missing a dose or 2 of my medication and then adding the steroids and massive antibiotics, my body just probably needs time to adjust (sounds good)


* Hair is extremely brittle - this is from the thyroid med


* Weight is still holding steady at 142lbs


* I have to eat a snack around 9-10am or I get really nauseous (I am sure from the morning meds)


OK, you are ALL caught up on the latest! This was a LONG one so it should hold you over until my next update which I HOPE is not until JANUARY! :-)


LOVE YOU ALL!

2 comments:

Anonymous said...

Bill and Ginger's baby is so cute. She looks like Ginger. Have a great Thanksgiving!

Anonymous said...

That was Lea who just left that comment