Monday, December 20, 2010
Fabulous weekend!
Thank you so much Father Postell for celebrating the mass with us on Saturday, what a blessing! For those who got to come, I am quite certain that Joseph would have marveled in the support that we have. Can you imagine how the story would have changed if the people in Bethlehem had opened their homes to he and Mary. As always we were blessed by everyone there. We heard a great message not only about Joseph and what type of man that he was, but also about family and what we should all strive to be (Thanks Father Postell). We enjoyed beautiful music (Thanks Andrea and the Praise Band) and enjoyed wonderful fellowship. (Thanks to all of you). I can't tell you enough what you all mean to us.
Thanks to all of our awesome help at the Uniform Shop. You have to know that they work themselves hard to take up the slack much of the time. They do it very unselfishly and I am sure we don't show them often enough how much we appreciate them. Hope you enjoyed your evening out.
And on to Munday for more church. I must tell you that my kids were a little distraught about attending church 4 times in three days. I have to brag how wonderful they were. I did not hear one complaint all weekend long. That should tell you something about how God was working in every church we were in. I have no doubt, at least on Saturday and Sunday, that they could recount each service we attended. We were touched in so many ways in each building that we entered. Let me tell you, there are lots of good folks out there all giving glory to a God that promised us eternal life.
I started this post two days ago thinking I was going to post a video of Abby singing. Due to technical difficulties and Christmas shopping, I am just now getting back to it! Still haven't figured out why I can't get the video on here, but maybe another day. Love you all and hope you have a very blessed and restful Christmas holiday.
Friday, December 17, 2010
GOOOOOO BLUE!!!!
Busy weekend. Ballgame and then to Judy's to spend the night. Do a little early Christmas shoppin' and head home for church at 4pm and Uniform Shop Christmas party at 7pm. Then to Munday early so Abby can sing at Believers Chapel in the am and possibly at First Baptist, Munday in the pm. Can't wait to see everyone - everywhere!
Mark was back on chemo Mon. - Weds and is very thankful to be done with this round. In those couple of days, his hands and feet became a real challenge. Not a lot of improvement yet, but we know it is coming. No chemo for 2 weeks. He is really looking forward to the break and hoping to feel well for a while.
Thanks to everyone for pulling church together on Saturday. I am sorry I have to depend on your energy because mine seems to be dwindling daily! You guys are all GREAT! Love you all, Missy
Wednesday, December 15, 2010
Church happenings
Saturday, December 18th
4:00 P.M. Mass by Father Postell
Scotland, Texas
This Mass is for Missy and Mark Brown, offered for their behalf as a Thank you to
the communities/family for their help/friendship during the benefit and all the
support over the past few months. This mass does count as your Sunday Obligation.
All are welcome, please pass on this information to your family and any friends that
might be interested.
We know that this is an extremely busy time of year, so please feel no obligations! ONLY if it works for you!
Love to all, Missy
Monday, December 13, 2010
Still Rolling.
We have had a pretty good weekend. Of course it started off great, curled up by the fireplace, listening to the Trojans on the radio GETTING ANOTHER WIN!!!!! WOOOOHOOOOO!!! We made a last minute very difficult decision not to make the trip to the game. We knew the decision would be great when we didn't have to make the trip back home! Mark wasn't feeling up to it and I was just plain worn out. We are so proud of the boys and are getting prepared for next weekend. State Championship in Mansfield on Friday. Hope it all works out! Austin is having a great time getting to be a part of this run.
Chemo is having its ugly effects again. There is just not a great deal of fun with cancer treatment. Don't you wonder why that is! You would think just having the disease is bad enough, but noooooo. You have cancer and guess what, We're gonna give you a horrible medicine for it. So, not only do you have this stuff, we're are gonna try to make you better by making you feel like you are dying! Something seems a little twisted about that! His appetite has been poor and energy pretty low. Last week his hands and feet were very bothersome as well and they decided to stop his treatment for the weekend to give him some relief. Hands and feet seem to have gotten a little better. He is supposed to call back today for more direction. The good news is he is resting fairly well. Oh, there is the occasional SPAGHETTI SAUCE that keeps him up all night, but other that that he is sleeping quite a bit. It's kind of like the JALEPENO JELLY that Mark absolutely loves. It only took twice for me to know he can't eat it, but he had to go for three strikes!! (I know ya'll thought I was the persistent one!) There are a few thing so far that are absolute NO NOS, but he has to TEST them every now and then!
I almost forgot, huge congrats to my niece Shannon who graduated Saturday and will embark on medical school after next semester. We are so proud of you and all of your hard work!
We love you all and thank you so much for your keeping up and supporting us.
Tuesday, December 7, 2010
Some days.....
And then there was the legal world. How I longed to be inside the head of the attorneys. To be able to know the processes and anticipate what might be thrown out next. To be on the stand in a courtroom and be able to give back some of the stress that you are being given. To not be helpless and at the mercy of some cut throat shameless plaintiff attorney.
And wouldn't life I have been grand if only I had become a CPA so maybe I could figure out how to prevent the government from taking so much of our money!
And if I could only have been a doctor, then I could treat all of my friends and family and noone would ever have to wait for an appointment or a phone call or a result.
Or maybe a scientist so I could work on a cure for cancer!
I could go on, I suppose. Don't get me wrong. I am very happy with what I do and who I am. I wouldn't change it for the world. God put me right here where I am supposed to be. It is ironic that I even want all of that knowledge because the path to getting it is more EDUCATION, which is not my forte.
So all of this babble for nothing really, except to say that TODAY I want to be a psychiatrist. Some days I really don't understand PEOPLE! And if I was a psychiatrist, then I would have to work on myself as well and what drives me to feed my understanding and be the best that I can be. Virtuous or control??? Hmmmmmm? Maybe I'll work on both! :)
Extra prayers for Mark today. He was feeling the scratchy throat and signs of having the crud that everyone else has had. We have been so fortunate he has been avoid any bugs or viruses. Hopefully he won't get down with anything. Congrats to Melissa for another victory with clear scans last week!! Best of luck to the Trojans this week in Sweetwater!
Love to all, Missy
Sunday, December 5, 2010
Unbelievably
I am sure many of you know the routine I speak of. I am paddling really, really hard but feel myself sinking deeper and deeper! So frustrating!!!!
Mark is okay. He has been sleeping well. We had a good visit with the oncologist last Wednesday.By the time our appointment came, Mark had started not sleeping again and being very restless. So, he is back on his Remeron at half the dose. Seems to be resting better. Side effects of sleepiness and cloudiness seem to be a little improved at this half dose. Chemo has him draggin' just a little, but it seems to be tolerable at the present.
Here's hoping everyone is happy and healthy and WARMER days are ahead!
Love to all, Missy
Monday, November 29, 2010
WOW!!!!!!!!!!!!!!!!!
Several people asked about the band last night. Pam (the lone female vocalist!) is a friend of mine from Labor and Delivery. (She is also the mother of Melissa, our friend and young mother that has been battling oral cancer. She loves to sing and has been performing here and there recently. She sings with this band fairly regularly. Their name is SOUTHERN RAIN. They sing every Monday in Bowie as well as other places. The steel guitar player was from another band called the Troubadours (sp???), and the regular drummer was not able to play with them last night. I think they did a fabulous job and they were all so kind to come out of the goodness of their heart to entertain us. Thanks Pam for the wonderful surprise. We love you. Many prayers for all of you that Melissa's scans next week are clear!!! AMEN!!!!
Thanks again to everyone
We love you all so much!!!
Saturday, November 27, 2010
WooHoooo!!!!
Mark has had a couple of really good days. He finished his last chemo dose on Wednesday. On that day he also quit taking some of the medicine to help him sleep. He feels much better. He felt like the medicine was keeping him in a "fog" all the time ( a very sleepy one at that!) Whatever we attribute it to, he is having a much better week. Thanksgiving was nice. (aside from getting called in to work and missing the Himmels Thanksgiving!) God provides and obviously knew that I did not need to eat TWO thanksgiving meals in one day! Mark and the kids enjoyed visiting with my family and we had a good time with family in Munday as well.
Congrats to Heather and Shannon on their new house. I wish we were closer to help you with all that wallpaper stripping! You will be so proud when it is done and it will be beautiful.
Love to all, Missy
Saturday, November 20, 2010
Just catching up.
Wednesday, November 17, 2010
Just to let you know....
The cost of the meal is donation only. I really do not have any details as I haven't been involved in the planning, so for any questions, please notify any of the people listed below. We are surrounded by a community of such great people. So much so that I am forced to learn more lessons the hard way. This one being to have peace in accepting God's blessings through other people! Just like PATIENCE, it is a lesson that doesn't come easy for me (actually worse than patience I believe!). But I work hard to see all of the help as another reminder that we never walk alone. He carries out the plan the way He sees fit, and He is good all the time.
Love and blessing to all of you, Missy
Oh heck!. I can't make it work. Should have known this wouldn't be easy. I'll keep working on it.....
Finally. Here it is.
Monday, November 15, 2010
Beautiful Weekend.
Mark had a pretty sluggish weekend. I have been seeing improvement, but he hasn't really been feeling it so much until TODAY!!! Today he says he actually woke up and felt RESTED. WOOOHOOOOO!!! There are several positives since last Wednesday. Mark is less anxious, less restless and hurting less. He resting more soundly. The down side is that while I see these things, until today, he hasn't been feeling the effects of the positives. Each day will get better. The other thing that comes in to play is that he his back on chemo now. While some medicine is helping, some of the sluggishness is likely coming from starting the new round of chemo. So - We haven't found the WIN-WIN yet. Such is LIFE.
The kids had a good weekend as well. Four new kittens keep ABBY busy (as well as keeps her allergies very active!) Thanks to Uncle Danny for helping get the pens ready for the chickens. Birds come this week!!
Love to all, Missy
Saturday, November 13, 2010
It's the weekend!
Yeah, Mark rested a little better last pm and seems to be doing okay this evening as well. Hoping each day will be better still.
Best wishes and lots of prayers for a great recovery for our niece, Heather. She had surgery this afternoon to repair a ruptured disc in her back. I hope you woke up with much less pain and are back to yourself in no time.
Be sure to cuddle up and keep warm! Love to all, Missy
Thursday, November 11, 2010
Doctor's appointment
We had a good visit with Dr. McCollum yesterday. He listens so intently to us and always seems to have the right things to say. You might have picked up that we have met a few challenges over the last two weeks. Mark has been struggling with energy, sleeping, anxiety and restlessness, appetite, motivation, and a nagging intermittent discomfort which enhances several of the other symptoms. Overcoming our initial fears of having something medical complicating his recovery we are now faced with the task of having to dig - just a little deeper. Dr. McCollum reassured Mark that everything he was experiencing was so very expected and normal. He reminded him that he suffered a huge blow a couple of weeks ago, one that requires him to re look at some of his goals going forward. For so many of us, it is a reminder that he really is human! For so long he has kept our spirits high and our hearts just a little less heavy by his ability to carry this cross over the last couple of years with such grace and strength. Dr. McCollum has much confidence in him getting back to himself before too long, but warned that these highs and lows will present again and can be even more exaggerated.
I tend to shy away from this blog when I can't just lift you up with something, but I mention these things not to make you sad, but to give you another specific focus for prayer. I think that visiting with Dr. McCollum yesterday made Mark relax just a little bit, reaffirming that with a little work, this too will get easier. While these symptoms are normal, he does agree that he would probably not be struggling so with them if he were getting better rest. So he is giving him medicine that he feels will remedy his sleeping and in turn many of the other things.
That being said, treatment wise, he has started all over with a new regimen. They worked Mark in for his IV Avastin yesterday. That is the drug that enhances the effectiveness of the Xeloda that he will be taking by mouth. He will take a total of 7 pills a day for two weeks and then get a week off. So we will go to Dallas in three week cycles. He will stay on this regimen for as long as it is working to control progression which he will monitor with scans. The biggest side effects are bowel related and hand issues. Not so much the neuropathy that he had before but sensitivity and skin integrity. Mark did this regimen in '08 prior to his first surgery to remove the cancer. He tolerated it very well at that time.
Mark had a pretty good day yesterday after leaving the doctor. We stopped and had a very nice lunch. You know the kind where you are miserably "starving" and then you are miserably STUFFED! It is good to see him eat well. We have also been in the market for a new bed, so it was a perfect time to stop at the mattress place just after filling our bellies! No new bed, but stretching out to try them was nice! AAAhhhh - the simple things!
Love you all, Missy
Wednesday, November 10, 2010
Many Thanks
Today brought another great moment for me. We got to eat again with Grandma and Grandpa Berend today. Mark ate a full meal, with seconds, and dessert! He hasn't had much appetite, so it was nice to see a glimpse of "normal" for a bit. We have been very blessed by gifts of great food. God is so great in His timing. It seems that food just seems to show up right before my time with Grandma and Grandpa. It has allowed our whole family some quality time with them. Good times and great memories.
Congrats Trojanettes for your 3 game victory over Poolville this evening. Good luck in Lubbock.
Trojans play in Abilene on Nov 19th
Please pray for good sleep. Mark is struggling to get there and we have a very early morning. Headed to Dallas tomorrow. Really have no clue what the day will bring. We will let you know.
Much love, Missy
Saturday, November 6, 2010
Daily challenges.
Grandaddy is home and doing well. Hoping he will feel like a million bucks with his new pacemaker. Extra prayers for my cousin Marsha who is faced with new health issues. Many special blessings for the Tina Neeb Family. May all be comforted and lifted up during these very difficult days.
Go Grandma! Woohoo. Grandma Berend is doing so well at home. She is an awesome amazing woman. She has worked so hard on her recovery and has done everything that everyone has told her to. What a fabulous example of strength and faith she is to me. I see that I only think I know what patience is when I watch what she has been doing over the last several months.
Love to all, Missy
Tuesday, November 2, 2010
1 Week later
He lacks an appetite, but has been forcing himself to eat. (with a little encouraging) We have talked about trying to come up with the perfect menu, knowing how important that is to his health. I must say that is challenging to say the least. There are a great number of "cancer" menus as well as "j-pouch" meal plans, but I haven't quite come up with what the heck to do for the combined issues. And, throw in the latest gastrojejunostomy and it becomes totally beyond me! How food will affect him is so unpredictable, and foods that are best for cancer patients aren't always the best for j-pouch patients. The only guidelines we have so far are stay away from sugar (which happens to be a favorite!) and eat lots of asparagus (which he seems to be okay with). Any nutritionists out there who want to take on a project???!!!!
Mark did get to go to Munday this week for Austin's game and a family visit. On Friday, he made it through 3 quarters of the football game. Sorry all you Mundayites but GO TROJANS! On Saturday, he watched Landon play baseball and of course through the weekend sufferd through the world series! He also got a surprise visit from some high school classmates on Sunday. Thanks to Kregg and Kelly. He really enjoyed seeing you and reminiscing.
Looking forward, Mark has an appointment in Dallas on November 10th.The oncologist has given us a preliminary plan of maintenance chemotherapy that he will alternate with aggressive treatment if there is change based on subsequent scans. I am sure we will fine tune all of that when we see him. We have also been given a multitude of alternatives to look into. We are so thankful to have so many people who care and offer suggestions. I have begun trying to research numerous possibilities, but mostly I feel like the answer is going to come through lots of prayer. I said once before that I don't think God intends for us to go to the end of the world, or to spend all of our time and energy and money finding the "cure" for Mark. (Especially since many incredibly smart people haven't found it yet!) I believe that if we do our part, He is going to bring the answers to us. Our part, right now, is to lean on Him when we are weary and don't know what in the world to do next. We absolutely have to leave it in His hands because we are only human and our mortal existence will only carry us a short distance.
You can't imagine the love we have for you all. We are so grateful for each of you and all you do for us. Missy
Tuesday, October 26, 2010
Made it Home
Mark is doing fairly well. We are hoping a few days of quiet and rest will get all of his systems back in order.
Hope you enjoy the picture. There can't be a more peaceful place for us to get to go home to. Just a few notes: The flagpole was put up while Mark was at the hospital. He LOVES it! And check out the flowers around the house. You might remember my friends planted those for us back in the spring and they are thriving still. We have much to be thankful for.
Missy
Monday, October 25, 2010
Going Home
Sunday, October 24, 2010
Still at the hospital.
This morning the doctor came. He said that his white count was stable, so there was no obvious reason for the fever. And his hemoglobin had dropped in the last 24 hours for an unknown reason. He felt like he was okay to go, but figured with the drive and all, it would be better to continue to be monitored and have labs drawn in the morning. Planning for all to be good!
Mark took the new plan pretty hard. He was so set on getting home. So, instead, we worked on getting the kids to come today. Uncle Danny is bringing Abby and Landon from Scotland, and Teresa McAfee is picking Austin up at six flags to bring him. Mark is really excited and mama is tickled too.
So, we try again tomorrow. Love to all, Missy
Saturday, October 23, 2010
Tired of me yet?
And in walks Father Postel. Many of you may not know him, but you can't imagine our hearts delight when he walked through that door. Father Postel is a family friend (Thanks Uncle David). He has done many family masses for us at family reunions and anniversaries and such. We were touched by his visit. It's gonna be a great day.
WooHoo! Rangers Win.
He is doing real well and doesn't look like he belongs here today. It should be a good restful day.I know we will be ready to get home first thing in the morning. Pain is controlled, incision looks great, bowels are getting back to normal and he he'll probably come home on a full liquid diet and start cheating here and there to make sure he tolerates it all.
Duty calls.
Friday, October 22, 2010
Batting 1000.
more constant. Pain pills are working fairly well, but the toradol will help with any inflammatory discomfort. He will change his diet up a little tomorrow and foresees him going home on Sunday.
Dr. McCollum visited with us at length. He says that now that we are looking at longterm chemo that the regimen will have to change. One cannot tolerate aggressive chemo indefinitely. Because of this he will alternate aggressive treatment,( treatments Mark has been receiving up to this time) with a maintenance chemo. That will keep everything in check with fewer side effects to the patient. The maintenance will be in the pill form (Xeloda), and will be combined with the Avastin to enhance it's effectiveness. He plans to start in 3 weeks. Mark has taken the Xeloda before with very few side effects.
I asked if we could go straight to the latest and greatest instead of messing with what we have already done and has been around a while. He said that all of the drugs Mark has received have just come out in the last 3-5 years. There were 5-10 drugs that came onto the scene about the same time. There was a lot of money and time put into researching the right dosing and combinations of these drugs. During that time, less emphasis was put on the next generation of drugs. The new drugs are in the first phase of study. This means there is little known about their effects. He is not prepared to go with the unknown just yet. This would only become an option if the planned regimen proved to be inneffective.
Mark and I had a good visit today during which he learned all the details as we received them the other day from the surgeon. As you might have guessed, his attitude was positive as always. He reminded me that God didn't promise that there was going to be a miracle in the operating room the other day, but that didn't mean that we weren't going to see one." All true, but I sure did have my hopes up. Oh well, now we wait......
We love you all. GO RANGERS!!!!!!
How 'bout that?
We have had a busy morning! Mark got clean up (unfortunately by the old stand by nurse. He didn't even get the cute young one from last night!) So after bathing and shaving he was a new man. God bless those pain pills that allowed him to do it all. That is the ticket. We shouldn't have to worry to much about his pain now. We even made a round in the hall. He did real well and even picked up a cup of coffee on the way back!
Since this picture he has gotten his central line out also and a lunch tray has come. Yuummmm. Strained chicken soup, jello, milk and tea. I know he will fill his belly and be ready for a little siesta. Love you all, Missy
By the way, no oncologist. And yes, I have already called his office to make sure he didn't forget us! :)
Good Morning Everyone.
A doctor came in for Dr. Lamont and gave new orders. He started pain pills. I am really glad because I know this will keep his pain a little more evenly controlled. His catheter is out and they are going to put an IV in his arm and take his central line out.
He is anxious to get cleaned up and headed out of the bed. Duty Calls!!!
Love you all, and missing everyone. So good to hear from so many.
Thursday, October 21, 2010
Bedtime
We are finally in a room.
Mark is just now beginning to process everything in very tiny bits at a time. We have talked, but not in a lot of depth. He is aware of the basics, but because of the busy recovery and pain and getting rest. Hopefully we will have some quality time in the hours to come. We are still waiting to see Dr. McCollum as well.
Thank you so much to everyone here yesterday. It was a challenging day to say the least. But even still, I know that God was a part of it all. He was in that room full of speechless people who waited to hear the dreaded news. I even believe he was so close he whispered in Uncle Donny's ear to remind us of a time 10 years ago when most of us were gathered together to hear a report of Grandaddy's surgery and we witnessed a miracle when they resuscitated him. We were as close as can be to losing him then, and look where we are now. Not a day or year go by that we and he are not eternally gracious for the time we have been given.
In the preop area, the anesthesiologist visited with us. he said a couple of things that were dead on for us. After hearing Mark's history and visiting a while he said, "Well, all I can say is you must be a pretty good guy. This is the kind of stuff that only happens to good people."
You all are so wonderful and your kind words are so touching. You don't know how much love we feel from all of you. Once again, we are blessed by you. Missy
Wednesday, October 20, 2010
Still in recovery
Much love, Missy
Okay.....
So the surgeon came out after approximately 2 hours to talk with us. We were all able to be in the room for this. Basically, things were more complex upon visualization than the CT indicated. There are more lesions than could be seen on the CT scan and more than could be operated on. So, the liver was not resected, and the lymph nodes were not removed. multiple areas were biopsied and all were cancerous.
These findings excluded him from being a candidate for a surgical cure. He did proceed to remove the gallbladder and reported that it will inevitably cause trouble down the road. Also, the largest tumor is compressing his upper intestine (duodenum). He is concerned that this could later cause a blockage. He did another procedure to reroute the small intestine to empty in another part of the stomach. By doing so, if the compressed intestine did become blocked, then it would divert to the reconstruction.
Tomorrow we will see the oncologist again who will dicuss any medical treatment available.
Dr. Lamont Here.
Love you all, Please send prayers for all of Mark's family here.
They have taken him away.
Dr. LamonLt came in too see us and we were very pleased with our visit. He answered all of our questions and when finished he was agreeable to letting us pray with him. Our personal preacher Uncle Donny - (He works CHEAP) Did a phenomenal job of asking God to give this man all the tools he needs to do what is best for Mark. We are confident that, while the plan during Mark's case may change from minute to minute, he definitely has Mark's best interest at heart. He said that the goal in this type of surgery is to work on a cure and he plan's on hitting a home run. We have to appreciate his optimism.
Today could be very long. We were blessed last time to get regular updates. They will attempt the same, but would not promise. We will see. I will update as I know more. Keep 'em coming. Missy
We're here.
God, please hear us and all of our friends and family today. We need your healing grace more than ever today for Mark.
Just called back for vital signs. Getting closer!!!!!
Monday, October 18, 2010
2 Years
We had a decent weekend here. Lots of football. A bittersweet (at least in my opinion) victory for the Trojans on Friday night as they defeated rival Archer City. Our kids played a heck of a game, but the scene from the AC sidelines was overwhelming for me. A whole side of students and fans who were seemingly staring into another world and in disbelief of the reality at hand. My heart was very heavy for them. Archer City is in dire need of prayers for one of their students. A tragic accident has sent Adam Smith (Coach Smith's son) to Cook's Childrens in Ft. Worth. He collapsed at football practice last week as a result of a stroke in his cerebellum that has also affected his brainstem. As a parent, that is very hard for me to grasp. Just another reminder that we all will face trials.
Adam has a carepage being kept up by his mother and his father. If anyone needs a little inspiration, I encourage you to check out that website. You can't help but be uplifted by the amazing good that can happen through sharing with others.
Mark hasn't had the greatest weekend. He hasn't felt 100% and has slept poorly. Needless to say he is ready to get yet one more milestone behind him. To date we are still on for the 20th at Baylor Dallas. He has his preadmission interview tomorrow, has had his preop lab completed and has been getting his preop injections of Lovenox (Which he looooovvveeesss!!!!!)
Thanks to everyone for your outpouring of support. I am working real hard to be organized and get it all together, but who am I kidding? I will fly by the seat of my pants right up until we get there! Good intentions though.
Hope everyone is well
Love to all, Missy
Tuesday, October 12, 2010
Surgery Scheduled
Wednesday, October 6, 2010
Tentative Date Set
Dr. Lamont did say that he would need to block a whole day for Mark's surgery due to the uncertainty of what he will actually do. This does make for some scheduling difficulty, but hopefully it will not be moved any further out. Should have confirmation tomorrow. Thanks for checking in. Missy
NO CHEMO TODAY!
The surgery will begin as exploratory. The plan is to head for an area of lymph nodes in the epigastric area (upper abdomen), remove them and have the pathologist in the room to determine if they are cancerous. If they are, the options become fewer. If they are not cancerous then he will proceed to evaluate what he can do with the liver. It appears, as before, that one lesion will be no problem. The other could be no problem or big problem. We are hoping that lesion will lift right out as well. If it does not, then proceed to plan C or D, whichever we are on by that point. The next option would be an ablation of that tumor which could be done in surgery. If that can't be done, he could place markers for radiation to be done at a later time. So, you see it is not cut and dry. Oops, gotta get kids to school. I'll be back.
Okay, I'm back now. Back to surgery. While everyone wants the particulars, we will have to be PATIENT and let the answers come to us as God works through the experts to pave the path for what is best for Mark. The long and short of it is that you have to believe in miracles to be on Mark's team. If you believe that He can - He will. Remember, CANCER is bad, but GOD IS GOOD, and He is definitely on our team!
As always, I am open for any questions, here are a few you might already have thought of.
Q. How long in the hospital?
A. Provided everything is routine, the expected stay is 4-5 days. the majority of the hospital stay is to watch the incision, watch for bleeding or infection, and wait for return of normal bowel function. Historically we have seen Mark recover quite well, so routine recovery will be just what we order!!!!
Q. What happens when you only have part of your liver?
A. If things work as they should, the remaining liver will continue to function normally and the removed area will regenerate and be able to function normally following a recovery period.
Q. I thought they already said the lymph nodes were cancerous?
A. This is true, but is based solely on pictures that have been viewed through scanning. However, lymph nodes can, and often are enlarged for many reasons, especially when someone is ill or fighting infection. The oncologist has assured us that those nodes could go either way and the only way to know is to biopsy them.
Q. If the lymph nodes are cancerous, can they remove them?
A. That poses a little more complicated problem. The number of enlarged lymph nodes would make it very, difficult if not impossible, to attack by cutting them out. That would lead them to plans C and D as described earlier.
Q. What is the plan after surgery?
A. Mark will have to fully recover from surgery before resuming any other treatment. That will be at least 4 and possibly 6 weeks. It is likely that it will not be the same medication. Dr. McCollum informed us that it is common for the effectiveness of chemotherapy to level off after 3 to 4 months. Typically you see the majority of the "good", ie shrinkage, during that time. He was not surprised then that the last scan did not show any more improvement. Ultimately, this could result in a change of medication following surgery - but, first things first.
We will let you know as soon as we have a date (hopefully today)
Love to all, Missy
Sunday, October 3, 2010
Plan tomorrow.
Wednesday, September 29, 2010
New plans.
God bless Uncle Ralph and all of his wonderful family and friends. We will all miss him so, but our loss is Heaven's gain. Lots of good folks are having a big celebration upstairs. The services today had all the signs of the passing of a good man. A packed church, so many kind words, lots of tears as well as lots of laughter, a military tribute. Many people were truly blessed by Uncle Ralph during his 90 years.
Mark had a good day physically. He wanted everyone to know that he felt better today than he has in a while. He really was uncertain how he was gonna make it. God gives us what we need each and everyday. Thanks to all the "mothers" he adopted while there. You are all very kind and caring. Love to all, Missy
Friday, September 24, 2010
Quick note.
Tuesday, September 21, 2010
Tuesday
Sunday, September 19, 2010
Update
We made the trip for the EUS on Wednesday, remember, the one that was intended to evaluate the operability of one of the liver tumors that Mark has and guess what? We found out Mark has cancer. You read me correctly! (Just in case you didn't know.) It is such a long story I could spend much time on, but I really don't want to give the whole situation that much attention.
So the bad news is that a physician did a repeat of a procedure that had already been done. Mark had another liver biopsy which produced the same results. Yes, even at Big Baylor, things can happen. We were very pleased with the process and the staff and the anesthesiologist that Mark had. Fortunately all was not lost. The good news is that the physician did do the EUS and he reported there was no invasion of the tumor into any vessels or other tissues surrounding tissues.
What this means? I guess it means Mark gets another chemo on Wednesday and follow up scan the next week. And, that hopefully someone is going to let us in on a more definite plan at that time. We feel a little in the dark regarding a surgical plan or if there will even be one. But patience has been good to us so far and we will continue to be challenged to have lots and lots of it. God has been and will continue to be awesome. Missy
Wednesday, September 15, 2010
Still on for today.
Mark is scheduled to arrive at at the GI lab at the hospital at 1:00 pm today. Our appointment yesterday confirmed that he will have an endoscopic ultrasound and a needle biopsy. Mark will be asleep and a scope will be placed down his throat with an ultrasound probe on it. This allows them to get very close to the liver, gallbladder, pancreas, stomach and lymph nodes from the inside. This is in an effort to better visual the tumor and evaluate its operability. Also, the doctor will be able to visualize and get samples of a lymph node in close proximity that is being monitored. There is a possibility of having some results today, but we are not holding our breath! Some test results may take longer. The procedure may take about 45 min. Our time at the hospital is said to be 4 hours. We will see??!!
I actually do have some video, or at least audio of Mark's first self taught lesson. Working to get it on here, but not certain I am that computer literate!
Monday, September 13, 2010
Weekend over.
I am pretty sure he will be sore this morning from playing for so long (or at least attempting to play). Honestly, we were all pretty impressed with how well he picked it up. He was actually playing real songs! I hear he might need to spend some time with Aunt Nina so she can give him a few pointers. We have some earplugs handy too, so he can just practice away!!!! I think he might be planning to have the chicken dance down pretty soon. I am sure you can look forward to a concert in a couple of months??????
Appointments Tuesday and Wednesday, we will let you know how they go. Thank you everyone for your kind words. Every time I read comments I think to my self, "I am so glad people are inspired, but really, we are just simple people trying our best to get by each day and take what has been dealt to us and cope in a positive way. It is a bible truth and a fact of life that a positive disposition has a positive impact on your life an health. While we never welcome anything like sickness or pain or weakness, we have definitely experienced the fruit of having to endure them over the last couple of years. You know I have mentioned that word patience rather frequently!. We have grow in patience, in relying on and having faith in God and in being grateful to God for the many blessings we have. Sometimes, you can forget about how bad things are when you look around to see all that you have been given. WE ARE BLESSED.
Much love, Missy
Saturday, September 11, 2010
Chemo #7 complete.
We got a call early Wednesday from Dr. Lamont to tell us he would be referring Mark to a Gastroenterologist specializing in endoscopic ultrasound. Dr. Lamont plans for him to do a scope and give him more information about the characteristics of the largest liver tumor. Following that, Dr. Lamont t (surgeon) spoke with Dr. McCollum (oncologist). They devised a plan which includes doing more diagnostic testing of the tumor. During this time, the plan is for Mark to have 2 more rounds of chemo followed by a scan at the end of September. They would like to see the largest tumor shrink, thus making the surgery less complicated.
Mark has an appointment on Tuesday with Dr. Mallat (gastroenterologist) who is also at Baylor.
He is also scheduled for an EUS procedure (endoscopic ultrasound) that will involve passing a scope internally and using an ultrasound probe to better evaluate how involved the tumor is. A biopsy will possibly be included with this procedure as well. We will know the particulars after we meet with Dr. Mallat on Tuesday.
Each round of chemo is proving to be progressively more difficult to tolerate. Mark is trying really hard to keep positive. Strange as it may seem, he is really hoping for a surgery, so that he can have a break from the chemo! Thanks to everyone for thoughts, prayers and acts of kindness. As always, we are blessed by you. Much love, Missy
P.S. Uncle Danny wants everyone to know that we have all enjoyed a nice, relaxing, lazy day at his house! Thanks for the hospitality.
Tuesday, September 7, 2010
Just a little note...
The good news is that no amount of frustration could negate the wonderful weekend we had. In spite of the horrible winds and low lake levels, it was beautiful and peaceful. The kids had a magnificent time. It absolutely thrills me when they say, "Mom that was sooooo awesome!" They rode a train, and fished and swam on the beach and went geocaching and hiking. We grilled burgers and played games, built campfires, roasted marshmallows and visited with Oklahoma friends and family. Thanks to Donna and Chris for putting the plan into action.
So, totally against every willing bone in Mark's body, we are headed back to Dallas tomorrow for Chemo #7. He was so imagining how great he might feel this coming weekend if he were to not get chemo this week. Hopefully, maybe later in hindsight, he will see it as one more behind him and one less to go. We will let you know as more information is available to us.
Much love, Missy
Thursday, September 2, 2010
Doctor's visit
He advised that the surgery is huge and he feels that in order to undertake something of this sort, he needs to be clear on how he would attack all areas, possibly including lymph nodes.
So, he will visit with Dr. McCollum, view more scans, review scans with the radiology team at Baylor, and possibly order more test to clear up some of what is not real visible on the CT, He said he will call us back to let us know what they have come up with.
So we didn't get the plan we were expecting, but at least we did find another physician that God is going to work through to bring Mark through all of this. That in itself brings a great deal of peace of mind.
Mark is doing fair. I think that is my pat answer when he really feels like cow poop, but he wouldn't let too many people know that. His mouth is full of ulcers and his bowel function very difficult to deal with and his rest at night is hit and miss. He feels very tired and just run down, but keeps on going. He works so hard to keep everything going as normally as possible.
We are looking forward to the long weekend and are hoping for some rest, relaxation, and great memory making at Quartz Mountain. I already know the trip will be far too short!
Love to all and please pray for God to embrace all of these physicians and work through them to rid Mark of this horrible disease and restore him to good health. Missy
Thursday, August 26, 2010
Updates.
Secondly, I am once again asking for extra prayers. My grandma has broken her leg and is spending some time at Healthsouth Rehabilitation Hospital. She is really missing her home and my heart just breaks for her. I pray for peace and healing for her.
And now for a little Q and A.
Q. Do you have an appointment yet?
A. We are scheduled to see Dr. Jeffrey Lamont at Baylor Dallas on September 2, at 0900.
Q. Where will he have surgery?
A. Baylor Health Care, Dallas, TX
Q. Do you need your liver?
A. Your liver serves many functions in the body. Yes, you need your liver. However, you can function with only 1/3 of a liver. The liver has the ability to regenerate and resume normal liver function.
Q. What about the lymph nodes?
A. Dr. Mccollum assured us that the lymph nodes will be monitored very closely. He said that the lymph nodes were not very "hot" on the PET scan. He is not convinced that they have cancer in them. He says that lymph nodes can be enlarged for so many reasons. We will not assume it is cancer unless it acts like cancer. They will be monitored closely for growth with scans. He says he has another patient with the enlarged lymph nodes that have been there for 10 years with no change.
Q. How long will he be in the hospital?
A. Because we have not seen the surgeon, we do not have a good idea yet. Broadly speaking it will be 5-10 days?
Q. If the tumors shrunk with the chemo, then why not just keep doing that so they will shrink some more?
A. Chemotherapy is primarily used to shrink tumors and slow progression of cancer. The resection is utilized to actually rid the body of the cancer and give the best chance for a cure.
And Finally.....
Q. Why would you get a new boat?
A. Because we wanted to.
Love to all, Missy
Wednesday, August 25, 2010
Good news!
itself out and won't happen again. You don't know how happy Mark is. He's not sure where he is going to muster the energy, but he sure wants to get out on the lake again.
And, for the important news you really wanted to hear. As I said, Mark's scan showed progress of cancer treatment in some areas and slight growth in other areas. Dr. McCollum was pleased with Mark's scan and was able to clarify some of the findings for us. He says that he feels the chemo is being more effective than the pictures really indicate. While the scan shows spots to be larger, it also shows areas of tissue death within those spots, meaning that the cancer is dying. He says he is confident that the shrinking of the lung nodules and the changes in the liver nodules are an indication that we should continue with the plan using Folfiri to get a total of 12 treatments in. In addition, it is time to start intervening procedurally. There are four areas that they are wanting to eliminate. Of greatest concern are the areas in the liver, so they will address that initially. They are working to get in with a surgeon, Dr. Jeff Lamont. Dr. McCollum assures us he is one of the best he has worked with. He is very confident in his technical skills as well as his aggressiveness which make him a good fit for Mark's plan of care. He plans for him to remove the portion of the right side of the liver involving both lesions. It looks as though that will happen within the next month. In preparation for that, he must be off of one of his chemo drugs, Avastin, for 4-6 weeks. Yesterday was treatment he received treatment #6 without Avastin (Unfortunately, he told Mark leaving the Avastin out probably will not help to make him feel any better following chemo.)
The lung nodules appear 40-50% smaller on the scan and he is planning an ablation procedure to eliminate them. He thinks this will be done with ease and it will be scheduled following the liver resection.
While now we are are faced with the anticipation of another surgery, the news felt like a blessing to us. We, and especially Mark are very TIRED and have been praying that there is relief from all of this at some point. It feels kind of like having a bad job. You have to trudge through it, dragging yourself there everyday because it is what you have to do. Now there is a tangible plan to rid ourselves of this little inconvenience and look forward to life - without cancer! God is always good.
I am certain everyone has some questions, and I would be happy to answer anything. You can leave in the comments or e-mail to me at mmbrown@nts-online.net. I will probably do a little Q and A this evening with questions or things I have forgotten. Thanks you all for caring so much about us. We couldn't do it without you.
Also, a few special thanks this week to a couple of great people. Thanks Kristi and Danny for covering for my failures. Can you believe they actually arranged courier service to Dallas to get us something we forgot. True love, and we appreciate you and enjoyed getting to visit with you. And to our parents who we can always count on to make sure our kids are taken care of. It is such a relief to be able to leave and know that they are in good hands.
And before Landon left for school, as I mentioned changes earlier, he was reading and said "Hey, maybe you could mention what we did this morning," and so I must! Thank you to Austin and Landon who got up on there own and got themselves ready to go, on time, without force! For one of these two that is a HUGE accomplishment. Can anyone guess who? I know that princess Abby will follow the trend as well!!!???? God, please help them to remember how proud I was today!
Love to all, Missy
Tuesday, August 24, 2010
The joys of having a boat!
happen either. Sound familiar!!! Kind of put a damper on our great plans dor the weekend.
Happy birthday to Barbara C. Hope you had a great day.
Mark's scan was done today. It wasn't much different than the last. The best news is that the lung nodules are about half the size they were. Everything else is pretty much unchanged. How that will affect the plan - find out on Wednesday
we don't know. I will let you know as we learn more.
Gotta go. Hope this makes sense cuz I am falling asleep repeatedly!!!!!!
Saturday, August 21, 2010
Whew!!!
Back to last weekend, you might remember Mark's mom and dad were coming to stay with him and the kids while I was away. What a treat! Grandmother stays busy, busy every time she is at our house. Mark said they ate and ate and ate. I sure didn't hear any kids complaining/ We so appreciate everything they did while here. I was a little jealous about missing the cookin', but I did have a few really good meals as well. The convention was very nice with great accommodations. Thanks to Barbara and all those at Catholic Life for making the weekend possible. Wish Mark could have been there, but I did meet some really nice people and had a good time. I took a leisurely ride home - if that is what you call 30mph on I35 on a Sunday afternoon. I made it as far as Austin and met with my sisters in Cedar Park. That was enough. Good ole 281 you are my friend! The big city folks can keep their horrible traffic. That might drive me to insanity (your right! not far to go, but still!)
Mark is scheduled for his scan on Monday at 1000 am. We will fax reports and take cd's to Dr. McCollum on Wednesday and review the plan of care then. We are praying for God's healing hands to embrace Mark and hoping He will send only good news our way.
Better go. Kids at home wanting to get to the lake. Hope everyone has a great weekend. Love to all, Missy
Friday, August 13, 2010
Well.
Best wishes to Doug and Dottie today. They are moving, and it is HOT. Hopefully Dottie is taking lots of breaks to rest to take care of my new little niece or nephew. Wish I could be helping you guys more. Thanks mom and dad for being there for them.
Also, just found out about my friend Michael from Olney. He was the young man from Olney that was diagnosed with cancer shortly after Mark. Michael had 3 1/2 months cancer free. Just last week they found his cancer to have returned and he will again be receiving chemotherapy. Many prayers for strength for Terri and Michael as they get back in the ring.
Hope everyone has a splendid weekend. Oh and that reminds me. I forgot in my last post to let everyone know how wonderful last weekend was. My sister had a cabin at pk and she took my kids for the weekend. Mark and I were able to pop in and out as well. We had a fabulous time on the lake, and with family and visiting friends. It was so good that even running out of gas didn't seem so bad! Thanks to Wayne and Laverne for taking care of us. We owe you big.
Love to all, Missy
Thursday, August 12, 2010
Okay, Missy has had it!
AAARRRRRGGGGHHHHHHH.
Okay. I am a little better now. Mark is right in the middle of treatment #5. I will remove his pump tomorrow. Then he will probably sleep most of the weekend and will get to enjoy being pampered by by his mom. Grandmother and Granddaddy will be helping Mark and the kids while I am in San Antonio. This weeks treatment was a little unusual. Always something NEW for us to experience. We were so thankful to get some new medicine for Mark to help with the anticipatory symptoms he was having prior to returning for treatments. We would have a good weekend and come Monday, he would start feeling poorly again. This time he took the medicine on Tuesday and had a better day than usual. It would appear that if you take too much of this medicine you will have difficulty talking, walking, driving, holding on to your coffee cup, holding on to your newspaper, remembering things you have said, censoring the thoughts in your head before speaking, and staying awake! Whew, he plum wore me out. But, the good news is he doesn't remember any of it. Oh, bits and pieces, but the treatment is a blur to him. probably because he could hardly open his eyes the entire day!
The plan now is to get scans prior to returning for chemo #6. We have decided to wait until the 23rd of August, anticipating a good weekend and then only having a couple of days to have to think about any results prior to going back to Baylor on the 25th. At that time we should be developing the next step in the plan. We hope for only great and positive things, but our prayer is really that God does what is right for us as only he knows what that is. And, that whatever the test show, he gives us the resources we need to persevere and continue fighting this dreaded disease. Mark is really awesome. It is amazing to be with him through this process. We all have much to learn from him.
Auntie N, I have not forgotten. My work for you is done. I must rewrite or retype as scratch on a papertowel is not acceptable form, but I will deliver ASAP. Thank you so much for all your hard work and if I can help in any way, please call on me.
Love to all, Missy
Tuesday, August 3, 2010
SoooooooEXCITED!!!
Well, while we were technology deficient, chemo #4 came and went - as did the plan to do a CT scan this week. Because Mark had a descent treatment last time ( a good 5 out of 14 days) Dr. Mccollum said he would feel better taking a look after 5 treatments as opposed to 4. The rationale is that there is a possibility that results after 4 treatments would be definitive, but there is a certainty that results will be definitive after 5 treatments. For example, if there was no change in condition after 4, he would question whether we just didn't wait long enough, but no change after 5 treatments will mean plan proceeding to plan B. Perfectly logical reasoning, but sort of a let down as the unknown is always awful to wait for. I said all along that I, for one, am learning great patience!!!
We did get to spend the weekend in Ft. Worth visiting with Mark's family. It was very laid back with lots of R and R. The kids had a great time with their cousins from California. New Mexico and the metroplex that they don't get to see real often. Mark is still trying to come around from treatment. He is mostly struggling with the weakness, tiredness, and lack of energy, and fairly constant diarrhea. Overall pretty miserable, but hoping better days are to come this week.
So I have made the lunch and chauffeured the boys to football, watered, done a couple of loads of laundry, and the dishes, had breakfast, posted on the blog and killed about 100 crickets today. Yuck. While bad, certainly not the worst we have seen. The grasshoppers on the other hand, they have eaten every leaf off of every rose bush and are working really hard on the rest of the bushes. Amazing. Sure wish some fisherman would come harvest some good bait from my house!
Hope you all are doing well and staying cool indoors. Austin says the 100 + degrees outside is a little warm!!! As for how hot that new turf is, he confirms all the rumors are true! On fire!! God bless all athletes as they swelter in the heat while conditioning their bodies all so they can entertain the spectators on the court or on the field. Keep them strong and safe. Love to all, Missy.
Monday, July 26, 2010
New Week
You may have noticed that there was no post for a while. There actually is a legitimate reason for this. I have had no home computer. If anyone has a remedy for getting my windows to load, it would be greatly appreciated!!!! The computer comes on and starts to boot, but stalls when trying to load windows. I have started in the safe mode and have tried to restore to the last working time, but haven't had luck. Guess I will probably be forced to take a deep breath and take it to let someone else fix it. Aarrggghhh. Computers, love em and hate em. At any rate, the ipod is not my preference for posting.
This week brings chemo #4. To Dallas on Wednesday for that. So we'll make the most of Monday and Tuesday. Love to all, Missy
Monday, July 19, 2010
My Dear Nelda, This one is for you.
Give Mrs. Schreiber my best. Hope she is feeling well these days (it sounds like it!). And pardon my aging, (feeble mind) but what story might you be talking about?
All my love, Missy
Saturday, July 17, 2010
Chemo #3 complete.
Woohoo!!!!!!. Thanks to a j-pouch forum on the internet we have found a "miracle" cream. Finally he has some relief from at least one effect of chemo - well at least for 24 hours he has. We sure hope it continues. God bless all those people smart enough to put together great websites for the good of others. Really some valuable information on there. Besides the medicine, one thing I have found most valuable is confirmation that there is no black and white. There is no "answer" it is all just trial and error to see what works with each individual. I guess for now, we are all really just guinea pigs in this deal.
So nausea started on the trip home from Dallas which seemed a little earlier than before. He is still very tired and has a hit and miss appetite as well as hit and miss "good nights". All of that is about the same.
We got some new information from the doctor. We are going to do a scan following Chemo #4 which is on July 28th. He said that following 4 treatments is usually when you will begin to see progress if there is going to be any. After 6 treatments, if there was no progress, he would be assured that there was not going to be any with this medicine. He felt comfortable looking after 4 so that we can change if necessary. Remember progress would be shrinkage of tumors or at the very least, no growth of existing tumors. Any growth or any new spots would NOT be progress. Soooooo, come the first of August we better dust off the old knee pads and kick it in to overdrive praying for God's healing grace. I know he will provide for all our needs.
Just heard in passing today of a 2 year old girl with stage four cancer. Can't even imagine. Why is it that when you think you have it bad, there are constant reminders of how bad things can be. Isn't God awesome?