Time Will Tell

Thanks again to Dawn and Tom for putting us up for the night. Also, thanks to Grandma for taking the kids for the night and getting them off to school. It was nice to know that all was well in the home front as we traveled across our state. Tom and I joked about how well we are learning Ann Arbor and how we can get around so that we did not even bring the map this trip! OK, so I forgot to pack it, but it was not needed anyway.

We met with Dr. Prince this morning and had a good "Meet and Greet" He stated that he had looked over the September scans and patiently answered my questions. Basically the consult was covering this once again:
Only the thyroid can create C-cells (calcitonin)
Calcitonin levels means that these cells are somewhere in the body
Calcitonin levels can fluctuate but a steady increase means an increase of levels indicating activity
These cells can grow rapidly or take a longer course of time to form into a tumor

Choices are either to do nothing or repeat scans. Here are the scans we can choose:
Octreoscan - Most of the time the dye is receptive to this type of cancer, small possibility that it will not be receptive
CT scan - Shows lump size where there may be infection, does not indicate activity
PET scan - Active cells show up the more active the cancer is the brighter the indication, hard to decipher if there is cancer if there is any infection or what is possibly the effects from a surgery
PET/CT scan - Done together is the most effective way and as we have a history of the cells uptaking this type of dye there is a good indication this will happen again

So with that being said, we will choose the course of a PET/CT scan. This will be done sometime in December on our side of the state. Dr. Prince also explained the reason for waiting a minimum of 3 months between scans. The first and foremost is that when these scans are done they do contain radiation and there is precaution as to how much a patient should receive. The other reason is that doing scans farther apart gives the active cells time to form and to find where the cancer is. He stated that the tumor could likely be either in his lungs or in the lymph nodes behind his lungs. He did not feel that it would be in the neck area due to the extensive surgery and radiation in that area, but would not entirely rule it out. Simply stated "They can't treat something that they can't see."

For now we are in a wait and see pattern again. As Tom and I were heading home we once again talked how this is possibly what life will be like for the rest of Tom's life. It is hard for Tom and I to understand all the whys and hows, but once again we will go on as life as usual, no with a better appreciation for life. I will thank God everyday that he is here. One year after surgery is a huge accomplishment and I do not take that lightly. Thanks Prayer Warriors, as you have covered us in your prayers, you have help us through one more step. My last thoughts I will share with you comes from 2 Corinthians 1:3-4 "What a wonderful God we have-he is the Father of our Lord Jesus Christ, the source of every mercy, and the one who so wonderfully comforts and strengthens us in our hardships and trials. And why does he do this? So that when others are troubled, needing our sympathy and encouragement, we can pass on to them the same help and comfort God has given us."