Hi everyone,
Well... we're done with the appointment and here are the major points from the radiation oncologist. There's some good news and some... ok news. Here are the main points:
- The frontal lobe area looks excellent. I'm not sure what excellent is but... that is definitely good news.
- The cerebellar area most likely has some necrosis (or dead tissue) left over from the laser therapy... the necrosis is causing some swelling which is causing Anderson some discomfort, the cause of his come-and-go headaches, and probably the reason why he's having more instability. He may have to up his steroids. He's only on 1mg right now but the doc recommends him to go back to 2mg and possibly 4-8mg a day...if he keeps having headaches. Steroid treatment would normally be the way to go and just wait for months until the necrosis clears on its own... the only thing is that...
- A major problem that he sees is that the swelling from the cerebellar area is that it's causing some hydrocephalus. The swelling is blocking the drainage of the spinal fluid and causing an accumulation in his ventricles. The main risk they foresee is that the increased pressure could cause his brain to expand, be pushed against the skull (very painful and possibly irreversibly damaging) and worst case scenario be pushed out of the base of his skull. OK it sounds horrendous and it IS life threatening if it does happen. I can't believe I forgot the technical term for that but it's bad bad news... thus...
- We are meeting with the neurosurgeon next Tuesday morning to discuss further and we'll also take this week to pray and ask for wisdom and direction. It's not very serious yet, but we should probably do something soon. Our options are:
- Take the high dose steroids and see if it resolves on its own. It may take a long time to resolve and the increased pressure may cause those horrendous side effects that I mentioned in point #3.
- Another craniotomy where the neurosurgeon opens up his skull and "sucks" out the necrotic tissue. The rad-onc said that this type of tissue is "suckable" (I seriously don't know if that's the technical term but that's what he said) so they can vacuum it out fairly easily and if he sees any tumor, he can also take that out the old-fashioned "unsuckable" way which is to cut it out. If it weren't such a serious matter, I might have had a chuckle at his suckable vs. unsuckable surgery description.
Anderson's main fears are going into surgery again and coming out with more deficits and also he really hates the recovery. It's not going to be an easy decision but it's one that we're going to have to make pretty soon.
SO... we might be here a little longer than we had planned on... once again. I can't believe that our 10 day trip to Houston became a 3 month one which might become a 6 month one.
The both of us had our cry and our cry out to God this morning. We go through periods of time where we wish that we had "normal" lives and struggled with what everyone else our age struggles with... like finding a job, buying a house... fighting with their gf/bf over who didn't call who and when... but in the end, this is our lot in life and we are thankful that we don't need to worry about the things that other people worry about. We have been blessed IMMENSELY by everyone and their generosity with care packages, with their words, their time and their love. Sad to say but I think that our church body really shines during a crisis and I'm glad that we were able to bring things out in people that wouldn't have come out normally (i.e. our miracle wedding and the unity and teamwork we witnessed, the prayer chains... and people saying such encouraging words to us that they normally probably would have kept to themselves, etc.).
The past few days, I've had this verse in my mind... every good and perfect gift comes from above (James 1:17)... and another one from 1 Corinthians that says "what do you have that you did not receive?". Our life, our love, our marriage, our friends and family... are all gifts. We did nothing to earn it and we're not going to hang on so tightly as if we did earn it. We mourn some things that didn't turn out the way we would have liked but we're both trying, by God's grace, to keep things in an eternal perspective and still try to honor God in all that we do.
It's a pretty nice day today so we're going to go out for a bit. Just thought I'd send out an update before we left the house.
Please be in prayer for our decision on whether or not to do the surgery, for the swelling/necrosis to resolve on its own miraculously, and for peace for both of us. And for the doctors to have wisdom and discernment as well.
Love you all,
Tiff (& Anderson)