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Tuesday, December 22, 2009

with acknowledgement and understanding comes acceptance

Please bear with me because unlike most of my other
blog entries these next few ones may be jumbled
and lengthy and not so much thought out like my
usual blog ways.
Partly because my head is full of jumbled information
lots in a little bit of time.
The way I sort these things out is by writing
and lots of thinking but I know that all of you out
there are anxious and curious to know how all
of this stuff is turning out,
so I feel like I need to sort out here on my blog
instead of on paper first. So here is my first attempt.
THIS VANDERBILT PLACE IS HUGE AND VERY
KNOWLEDGEABLE. RON AND I GOT INTO THE PLACE
AT 10:30 am and didn't leave until 2:00pm
So much stuff was discussed and it is still being absorbed
in my internal computer system I call my brain.
Let me try here to begin to explain some.
All my records from 1968 from Touro hospital
were destroyed in a fire. They received no records
from there.
So what they did is they researched treatments that were used
for Wilms' Tumor back then and summarized my care around that.
The ironic thing is that in 1969 they began a Wilms' Tumor
research and treatment protocol and everyone diagnosed from
that time on is in a history bank and all treatments were followed in
the same way according to this research.
Because I was diagnosed and treated the year before,
basically they could have done essentially what they wanted.
However they do feel that my protocol was probably very close
to what was used at the time.
My name was not in the data bank so no information was
obtained there.
Basically there were only two chemotherapy drugs used on children
back in those days and it was one or the other not both
so they are fairly certain on what type of chemotherapy
I received. Both make you extremely ill and both make you
loose your hair. However because I have no nerve damage or
problems with nerves in my arms or legs they do believe
they know which of the drugs I received.
This is one of the good things I found out.
The other one causes lots of neuropathy issues and since I
suffer from none of that, I probably got the other one.
I would have been given this drug for a total of 15 months.
This also makes sense to me since I have memories of going
into the hospital every few months for a long time.
My teeth problems, ridges and stains are all from the
chemotherapy but besides that it has not had
any long lasting effects on me which is good news, very good news.
They feel that to have a recurrence of cancer from
having received this drug is slim to none since 41 years later,
I would have had it already.
Now for the radiation part:
Basically all my problems from my back to my abdominal issues
I have had in the past, are all caused from the radiation I received.
This has always been speculated in the past by doctors
who just didn't know or had no history to know.
Now I know, no more second guessing whether any problem
I have is from this radiation, it is , pure and simple.
The scoliosis, the sacrolisthesis, the osteoporosis,
the bone fragments floating around in my back,
all from the radiation.
In 1969 radiation was used only after the kidney was removed.
the fact that I received it 6 weeks before and 6 weeks after
means I received twice what another child would have gotten
just one year later.
Basically I was cooked then reheated later.
The good news, They are quite certain that my breasts, heart, and
lungs were protected in some way and that the bout I had
last year with my heart is not related to radiation
nor is my thyroid issue.
Other good news is that they would have radiated everything from the
spine to the right of my body but the kidney on the left
has been protected and is still working wonderfully.
The doctor read the quite extensive surgery notes from
Dr. Faucheaux when he did my hysterectomy and
she said that the mess my abdomen was in can tell
her about just how the bones must have suffered.
She was quite surprised that I have no stomach or bowel
issues at this time after reading the surgery report
and warned me of the possibilities of future intestinal problems
and the need to see my gastroenterologist with any symptoms
I may get.
I explained that prior to Dr. F. doing the hysterectomy I had
many abdominal issues and was hospitalized a few times
with weird fevers and fluid found in my abdomen but since
that hysterectomy all those problems have subsided.
They have studied all my reports from many doctors and
I must say I was quite impressed with how much
time and studying was spent on my case.
All my MRI's and CT scans show many issues that
are bone related and one of the questions I had was
would back surgery take care of my pain issues.
Unfortunately she said that although on xray most
of it looks like it could be fused by an orthopedist,
what a normal orthopedist does not know is that
the pain would still be there.
It may help some but it may make it worse because
the fact is the majority of the pain is just from
bone damage from radiation and that cannot be surgically fixed.
I have tried to explain to her what the pain feels like and the
best way I can explain it to someone else so you can get an
idea is it's like having a toothache that always hurts.
Sometimes the toothache is bearable and you can go through
your day, it's always there and certain things you eat may make
it hurt more but all in all you can get through your day.
Then there are those days that eventually the toothache gets
so bad that you have to go to the dentist.
Well, these are what I consider my bad days, the days
I can hardly make it out of bed.
So they pain is always there and from the news I
got yesterday will always be there.
There are also many things they still cannot answer for me.
There is no way to know what the future has in store for me,
although every year the cancer survivor ratio increases,
from way back in the 60's treatments were so different and
because we are the oldest surviving groups no one did studies
or even worried about late-effects.
They explained that this is a new field of medicine
soon there will be places everywhere that specialize in late effects
because there are now millions of survivors out there
so the need is finally here.
The questions of will I be able to continue to work until retirement,
will I ever be wheelchair-bound, etc.
Well these are unanswerable because it is individual for each patient.
I know, too much information to understand,
I'm having trouble myself.
So in a nutshell, I must now find a way to stop fighting
and denying that this pain is real and not going anywhere.
There are lots of new things being developed out there and
today I will have an MRI of my whole spine.
This will then go to their chronic pain cancer doctor
and their cancer orthopedist for consultation.
I will probably have to come back to meet with these two specialist
or they will consult with physician's in my area if they
can find some that specialize or can treat me closer to home.
There is a chance that I may be a candidate for a
spinal pump that could be inserted in my spine for pain relief
but they will have to see if there are doctors who are in my
area who could maintain this for me in case of emergencies.
Even if it is not something that I can have now, in the
future it may be achievable because this field of
medicine is just growing.
They will help me to find a counselor who specializes
in cancer survivors in my area to help me
accept the fact that this is my life,
I cannot do what I used to do and I will
have to be on some type of pain regimen.
I have fought this for too long and I have to
come to some type of acceptance of the fact
that I will have to be on some type of drugs.
This is the hardest for me,
many fears come with this realization,
none I'll go into detail about because it is a personal thing
but I will have to find my way.
So I hope this helped some of you be able to understand a little
better, if my thought are jumbled it's because they are jumbled
in my head right now.
Love to all!!!!!!

7 comments:

  1. got the gros cur again........

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  2. Wow!! I had no idea! you are in our prayers at work!! love you and if i could help let me know.

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  3. I was so praying for a different outcome, as I know you were too!!! I'm reminded of the prayer that's become such a part of my life....

    GOD, GRANT ME THE SERENITY TO ACCEPT THE THINGS I CANNOT CHANGE....

    THE COURAGE TO CHANGE THE THINGS I CAN.....

    AND THE WISDOM TO KNOW THE DIFFERENCE!!

    I love you, Lil, with all my heart and soul!!!! I'm here if you need anything!!!

    All my love,
    Tiff

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  4. don't have the gros cur anymore .... took me two days to read this one ..... i can have the gros cur if you want me too but it's my guess you'd prefer me not to b/c it really doesn't help the young aunt lil .... soooooooooooooooo can you get an extra handicapped thing-a-ma-doodie so I can have one (it sure comes in handy at the mall with a bunch of kids) ohhh and i said a teeny tiny prayer for you with some thoughts (can't say I'm not a team player)... and when you get that scooter ... make sure you pimp that ride!

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  5. OK, Mikie, now you are in the pray for Aunt Lil club! On a lighter note, I have known for a long time your story and can only imagine how much pain you have been in all these years. I wish I could take all of it away, because you have been so inspiration to me. You are the reason I chose to become a nurse, and reading your blog today reminds me why I became a nurse. I have always prayed for you everynight, and will continue to do so FOREVER! I LOVE YOU, FOREVER!!! Be
    Tie

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  6. Nope... I'm in the "get Lil to talk to God and find my fire bowl club!"

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  7. Mikie, if you join this club it is almost garantee that your fire bowl will be found!!! Come and join the clug, and pray to St. Anthony to find you fire bowl!

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