Tuesday, April 21, 2015

Chemo or No Chemo...that is the question!

So I know it’s been a while since we have updated the blog but we wanted to make sure we had some more information about her progress and possibility of chemo before adding a new post.  So to bring everyone up to date about Sarah and how she is doing…….Sarah is doing wonderful!  The sleepless nights are getting a little better but healing from this type of surgery takes time.  She got her last two drains out yesterday because Dr. Rhee said no more than 21 days of having those in….so they came out whether it was time or not!  Her drainage was still somewhat high up to yesterday (40cc on the left & 32cc on right drain for a 24-hour period).  Sarah says it feels so much better to have those out…her arm mobility is getting better on the right side but still very limited on the left.  This is due to the fact that the cancer was in the left breast and the lymph node removal (total of 14) was on the left side so naturally the left side will take longer to heal.

There was still concern pertaining to a possible significant blood clot in a vein that runs inside of the armpit and extends down the inside of the bicep of the left arm.  The vein is so tight that when Sarah lifts her arm up you can see it protrude like a rope through the skin….yeah apparently it’s very painful too!  She says it doesn’t hurt to bad when at rest but when they lift the arm to examine the area that is when it hurts like 10 out of 10!  They like to examine it a lot so I’m still waiting for her to punch of these doctors at some point….boom in the face!  HAHA  So after last Friday’s appointment with Dr. Rhee he decided that an ultrasound of the area is necessary just to rule out the concern of a blood clot so he sent us to the ER for imaging and immediate results….he suggested  the Castle Rock hospital since his building is right next to the hospital that it would faster….yeah um let’s just say it wasn’t “faster” (finger quotations in the air)…..a 30 minute post-op appointment turned into 5 hour stay in the ER!!!  What a great experience let me tell you…Sarah was getting pretty pissed off at about hour 4…lol!  I thought it was quite comical at that point since hospital and doctor appointments have become a regular occurrence in our lives….grrrrr!
Well after long waiting and two separate ultrasounds it was determined that there was no blood clot and that the vein was compressing and that mostly likely the vein is just aggravated and pissed off from surgery!  So just wait….take an aspiring a day and use warm compress on the area and it should eventually calm down….you think we would be very calm individuals at this point since everything is a waiting game in this cancer treatment process! 

Sarah did not get any expansion in the expanders on Friday since she is still debating on her current size…Dr. Rhee says she has some thinking to do and needs to know soon!  She says there is discomfort after each expansion so I think she is battling between more gain = more pain…literally!
So onto the chemo talk….we met with the oncologist today to discuss the findings from the OncaType DX testing to determine the likelihood of chemo.  Let me tell you my stomach was definitely very vocal leading up to the oncologist coming into the consultation room…it probably didn’t help that she was running 55 minutes behind schedule.  So nerves definitely got the better of me today.  So the test results came back NUMBER 24….so what does that mean!??!  Good question….here you go….so 1-18 score means that you are low risk of reoccurrence….19-31 intermediate risk of reoccurrence…31+ is high risk of reoccurrence (mind you the score is 0-100).  Her number being 24….again in the middle as all things have been through this entire process (the infamous grey-zone that we have called it)!  So will she benefit greatly from chemo??  Maybe….maybe not!  Can you say FRUSTRATION!?!?!

Everything taken into consideration we have done our best to take these things light-hearted and with faith that God will lead us down the appropriate path.  Remember her motto “Hey Cancer….You messed with the wrong bitch!”  So what does Sarah do to ensure that she kicking cancer’s ass……she take the hard road…the one with more challenges and temporary physical setbacks…the one that will cause her to lose her beautiful hair…the one that will potentially cause her fatigue, nausea, and feeling crappy…she chooses the one that will suppress her immune system and destroy all those cells that multiple quickly to ensure again that cancer will not get the best of her!!!  When faced with the opportunity not to have chemo because it may or may not help…..what does my wife do?!?!….she says screw that…no easy way out and give her the best possible option that gives her long life and cures cancer!
So CHEMO IT IS!!! 

Sarah is continues to amaze me every day….her spirit and fight makes me cry…..tears of joy, happiness, and pride!  I’m at a loss of words for how amazing she is……I can’t even begin to tell all of you how well she has handled all of this over the last month or so!  So when you see her or talk to her please make sure to let her know how great she is and how proud we all are of her…..God bless her!
So what’s next….she still needs to heal more and be in good physical condition to handle the chemo and handle it well!  She needs to healed completely from the surgery and have her immune system ready….the game plan is to start chemo late May or the 1st week of June.  She will have a mild cocktail of chemo that will be 4 separate session 3 weeks apart ending sometime beginning August….then she will wait an additional 8-10 weeks to allow the body to recoup from chemo to start the second phase of the reconstructive surgery.   We are just taking one thing at a time so right now it’s healing and getting the body ready for chemo…then she will tackle the next phase of treatment!

So there you have it chemo is the next phase of treatment to get her one step closer to “cancer-free”….hopefully we will be able to have that celebration party and first cocktail that is way overdue sometime soon!  Until then please continue to pray and send words of encouragement!  The meal calendar will most likely open back up for the first part of May as I return to work tomorrow and need to see how that adjustment works out.  We will look at the chemo dates and most likely 5-6 days following chemo and open those days as well, I know that many people are still interested in participating in “meal calendar” moving forward so I will keep you informed once we open more days.  The food has been so wonderful and so helpful so thank you so very much to each of you that have participated since my last post…..so thank you to Crystal & Mario Jimenez, Kristin LaValley, Amy Hester, Mike & Emy Ross, Stephanie Brady, Brooke & Nick Kelsey.
Until next time…..Sarah will continue to heal and keep getting better!

Thank you.....Mac!

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