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Tuesday, April 21, 2015

What If

Thank you to everyone who has shown support with Facebook, text, called, sent cards, provided meals, come to visit, etc. I can't say how much we feel loved and supported. I have talked with the kids and told them that there is support out there if they want someone(s) to talk to. So far I think that they have talked amongst themselves. I am not sure if they don't know what to say to me or don't want to burden me but either way they have taken in the information I have shared but have not shared anything further.

Tom had a stent put in his liver on Saturday it didn't take long for the doctors to state they still were not liking his numbers and looking at option two. On Tuesday Tom was told that he needed a drain inserted into his liver that would help to get his Bili numbers to drop. The tricky part is that he had already been a few days on Heparin and now they need to thicken up his blood for this surgery. This time he was under a General ansethesia and not intubated, which was very rough for Tom the Saturday before. He was prepped and by 8:30 pm all his numbers looked good and he was taken from his room for the procedure. It was about 11:00 when they brought him back to his room and he seemed to fair this procedure better than the ERCP. Since I had left so late from the hospital I told Tom that I would try to sleep in and be back to see him in the morning before heading off to work.

Wednesday morning before I left from home I called Tom to see if he needed anything before I headed out. He didn't say much and I asked if the docs had been in to see him. He said "We'll talk when you get here" Now, being married to Tom for almost 26 years I knew this was not good news. I also guessed that he didn't want me driving up to the hospital in tears or upset. I responded with "OK" but my heart sunk at this reply. On the drive I kept praying that God give me strength for whatever I was about to hear. When I got to the room Tom keep a even expression during out conversation as he relaid to me what the docs had said to him. They took him off the chemo effective immediately. His liver may or may not continue to function and in such a state there was no other chemo option for him. It appeared we were at this crossroad once again & neither of us wanted to hear what was being said. The Oncologist also wanted a consult with me the following morning at 8:00 am. I called into work and cancelled my dentist appointment and spent the day with my loved one. Trying to keep things as light as I knew how and looking out the window when I thought my emotions would overtake me.

Thursday morning I was back at the hospital bright early...again neither of us slept well. We first had a visit from Radiation Oncology who had more questions that answers. He was going to see what he could do for Tom (if anything). About 1/2 hour later the Oncologist came in to say that Tom's Bili numbers were finally going down. To review they were 15 when Tom was admitted, went up to 17 and then down to 14 after the stent was in place, then up to 17 after the drain was placed and finally down to 13.8. The Oncologist stated that she felt Tom should talk with Radiation Oncology at the U of M as they were aware of his complex radiation from a couple of years ago. No promises were made or roses were thrown, but we would grasp what we could. During his week Tom had a wonderful and very compassionate nurse for a few days in a row. He had mentioned to her that he missed his furry baby. Thursday morning she said that Tom had a special visitor. She had arranged for one of the hospitals Canine and his handler to stop by; what a smile they put on Tom's face. I think that made Tom's day, maybe his whole visit tolerable! By Friday Tom was taken off the Heparin and shown how to give himself shots twice a day. We were both instructed as to his drain care and he was on his way home.

Tom has come home a different person than when he went in a week ago. Tom seems to be overwhelmed and at times confused. I wonder if this has to do with the medications he has been put on, if this fight has fatigued him, or if he is just tired from this long hard fight with this nasty disease. Tom also had a visit last weekend from his "brother" Dan. These two have been friends since the age of 2 and even though we are over 4 hours apart, that didn't stop Dan from coming to check on Tom. Dan picked up Chris on his way to our house and the three amigos spent many hours together. I think this also lifted Tom's spirits immensely.

In this past week I have taken a few minutes to escape now and then and read my Kindle. Timing in everything and I noticed that when my Kindle is in the "off" position the advertised book is called "What If" I could do this for a million instances (as could so many of us). What if we didn't go to AZ and Tom had kept his GR Oncology appointment, What if Tom went to get his labs done a week earlier, What if his liver would not function at all, What if U of M is unable to Radiate, What if I did not have this much support, What if Tom did not have his beliefs, What if....

Sunday, April 12, 2015

It's Complicated

What I wanted to talk about is the kids finishing Spring Break and the week before how much fun we had in Arizona seeing sights and being in the warm desert sun. I still want to thank my parents for their generosity of getting us out there and toting us around and for my Aunt Ruth to have opened her home and allowing to be at home in her "loft" Looking back I can see that Tom was sicker than I realized. He made mention of the Sunday before of how he was feeling nauseated. By Thursday of our trip I noticed that his eyes looked yellow. I mentioned it to him, but he was "fine". By the time we got back home I tried to convenience him to call a doc ~ any doc. He told me that he was tired from the trip and ate more in one week than he does a month. Looking back I wonder how much I should have pushed (or told Kyle & Cody to put him in the car) even if it was against his will. The girls at work told me to have him get into the car and tell him "We're going for a ride"

This past Sunday I noticed how shallow his breathing had gotten, and as I couldn't sleep, realized how much he was getting up because of his pain. During the next day I bugged him enough so he finally gave in and let me e-mail the U of M nurse. She was on vacation and I got a response by Thursday. She wanted Tom to have some lab work done. It took Tom another day for him to get to the lab. So Friday he went and by the evening the Oncologist from U of M called our home and requested that he make his way to the emergency room. They preferred Tom to come to Ann Arbor but Tom asked to stay here in Grand Rapids. We arrived at 8:00 pm and Tom has had a series of procedures since. He likes to think the he'll be going home the next day, but I think reality is he will be here for a while. It's good for him to have goals though.

Tom was admitted for having blood clots in his left chest. This is causing pain under his arm and is also why his breathing has been shallow. They have also stated that the clots have formed because of the mass in his chest. He also had a blocked duct that is causing the Bile numbers to be high (not sure if I have the correct medical term). A person should be a 2 or 3 and he is at 15. Today they were able to put a stent in during his ERCP (scope). Tom has seen GI, Pulmonary, & Oncology docs during this visit.

Next week I am sure that all these teams will come together and talk with the team at U of M to plan his long term care. Until then I am taking it a breath at a time and trying to breath. I appreciate all the comments to our Facebook statuses and know there are a lot of prayer warriors out there keeping the lines open. I have talked with the kids and try to also keep them informed while trying to keep myself at a "calm" state.

On a side note, Tom was in an auto accident on his way home from the lab work. His truck took the crunch and I was glad to know that he was ok after the semi took him on and he was able to walk away. When he called me at work on Friday the first thing he said is...."Take a breath, I am ok" For now I will concentrate on taking that breath through this difficult time.

I do not have my bible with me today but will quote a verse that many of us know...

"The Lord is my Shepard" Psalms 23...many of you know the rest

Wednesday, March 18, 2015

How To Be

The snow has almost disappeared! We had 60 degree temps that melted most of the snow in the last week. It helped to soar everyone's spirits & though we are now hitting the 40's we all anticipate what lies ahead :) Kyle has now completely moved into the basement & has his own "man cave" He is very focused on getting better in his programming that even over Spring Break, he spent countless hours working on the next class project. Cody & Tom were able to again participate in the annual Bunny Hunt during the first Saturday in March. It was a sunny but cold day. Tom got one, but Cody didn't see any thumpers hopping around the fields. However, they both scored at the Prize table during the dinner & mamma loves her new roaster that Tom picked. Cody is on the final countdown to his high school career. He has been working out after school & trying to eat healthier but has decided not to join the Track team. Katie however has joined so we're back to supporting our child outdoors! She has picked her classes for next year & again will have a heavy course load. She has also started drivers training & will be on the road soon. I know that she will not be like her brothers who did not want to drive and we will be taking trips around the area to help her improve her skills. I have a feeling that she will pick the course to the mall (I'll be compelled to go along....twist my arm)!

I want to thank Tom's cousin Martin for taking him for his scans last weekend. It's nice to know that when I am not able to go that we have people willing to take Tom so that he is not alone. He said that the waiting rooms were practically empty and he was in/out in no time. It sure beats the alternative of being at the hospital for scan at 6:30 am which is offered during the week. Our trip was also a in/out deal today with the Oncologist. We barely got to the office when we were called back to the exam room. The nurse said again how much better Tom is looking at this visit. All his scans came back stable with no new growths. This means that the higher dosage is working to slow the cancerous growth. She also gave me some of Tom's statistics (since I'm a numbers person I could relate) Just thought it would be interesting to share: in 2007 Tom's Calcitonin was 16,521 when he was first diagnosed, in May '12 when Tom was taken off the clinical trial it was 57,000 & today it's down to 12,000. Also that his CEA has also dropped to 2485 from a high of 5291 in December '14. These are the two markers that the studies used to determine where his cancer stands. Both she and Dr. Worden were very pleased as to how Tom is responding to the chemo. They are concerned about his liver functions & the longevity of of the chemo. There is a new chemo that Tom could try once his current chemo runs it's course....but for now we will stick with what is working.

It was a beautiful drive today and I think for once it took longer to drive there or back than it did to sit in the exam room. I enjoyed having my hubby's attention all to myself. We are due back in June with Tom seeing an Oncologist here in GR monthly between. On our drive we talked about many things and our conversations went from light & funny to serious topics. I am glad that we feel comfortable talking about things that only a couple of years ago could spin me in a depressive state. I believe that our open conversations and my faith has helped me to walk through these very real topics. I was also able to visit my 98 year old Grandmother this past week. We had a great conversation and talked about our scathed lives. I had to smile when she told me that for many years she wakes up and before she gets out of bed thinks "I will be happy today" In this past week I have said that to myself many times throughout the day. What wise words & sound advice. I have always looked up to her and how she has handled life...Lord help me to follow in the steps of this wise woman. When I read Proverbs 31 my mind goes to her & my beautiful mother. I have had some big shoes to fill as a mother!

Proverbs 31:25-26 "She is a woman of strength and dignity, and has no fear of old age. When she speaks, her words are wise"

Sunday, February 15, 2015

Love Is....

The sun is shining today making it look beautiful outside but it is totally deceiving....the high today is 5 degrees here is MI. Kyle has decided that work and a full college schedule is too much. He is a lot like his mom where he struggles with worrying about the things he can't control. He has relaxed after making his decision to concentrate only on his studies and I am glad to see that his stress level is down a few notches. Cody was feeling a little jipped that he was not getting snow days during his Senior year, but not to fear, there have been a few in January to make him feel better. He has been working out with the Boys Track team and we'll see if he decides to try out for Track this year. Katie is enjoying her high school career, but I do see her stress a little with some of her classes. I know that she can make it and will look back glad that she pushed herself with the classes she chose. Last weekend she attended the Snowcoming dance, and she looked beautiful. It's hard to see my baby looking all grown up!

For doubling the chemo, I have not noticed a big difference in Tom's typical day. He continues to struggle with pain and sleeping but the prescription that the GR Oncologist gave him last month seems to be helping in his up and down cycle of pain. He does not like to admit that he is even having a hard day & I have heard a few times when I ask how he's doing....wonderful. He pushes himself more than anyone I've known. I wish that I had half of his stamina to handle this disease with such a positive attitude. Last Friday he again saw the Oncologist here in GR and did not come back much of anything different to report. We keep in the back of our minds that next month we head back to AA to get the next scheduled scans and hopefully good results.

Yesterday was Valentine's Day & my hubby made sure that I felt very special once again. I went through the day reassured that I was loved. I was also glad that though the weather was not very cooperative, we were able to enjoy dinner with Tom's cousin and his lovely bride. We had a nice night out together catching up.

I know that when we are in the everyday bump and grind that we're not always looking out at the world with love starry eyes. However, it was confirmed (what I already knew) that he appreciated me and that he loved me. I did my best to reciprocate. All in all I reminded again about the acts of love and the importance of confirmation we all need. Sometimes my mind goes back to the very early days that we were still getting to know one another. I was head over heals in love with Tom, but I was not willing to tell him that at that time. We were walking into one of your favorite restaurants and he told me he wanted my heart. I told he he had a quarter and he said, that's not enough I want the whole thing. Funny that I almost said a line like "You had me at hello"! After spending 28 years with this man I have a hard time imagining life any other way. We get one chance to show those around us what they mean to us and share the love we feel. I attempt to show my love in the little things I do, that could go unnoticed, but I know that many times they don't. We all have our unique ways to show what Love is.

Let love and faithfulness never leave you; bind them bind them around you neck, write them on the tablet of your heart ~ Proverbs 3:3

Saturday, January 3, 2015

Hello 2015....PLEASE BE KIND!

The start of a new year. The looking back of a year past (the good times, the hard times, the laughter and tears). The hopes of a new year, the promises it holds, and the resolutions we put on ourselves wondering all along if we will follow through. Let's all hope for a good 2015 and let life's ups and downs wash over as they may.

The younger two kids will be starting school again on Monday and I know that Cody's senior year will continue to fly by. Ready or not...this Mom and Dad need to get our plans into action! I remember when I was a youngster and my mother stating that as her first child went through High school and graduated time just seemed to fly by faster as we three kids got older. When I was 12 years old I didn't understand, but as they says "Mom's always right" and now I know what she means :)

Tom celebrated another birthday yesterday...this year less mobile than last. As his pains increase his sleeping decreases causing a downward spiral & a much slower lifestyle. Let's back up though for a moment. In December U of M presented Tom's case to the tumor board. The current chemo that Tom is on has failed. While it has kept some of his cancer stable other areas such as liver, bone & lungs have seen increased activity. Some of the legions on the liver has increased 25% from his last MRI. This resulted in the decision to double the current dosage of his chemo for the next 3 months. However, the chemo is causing a lot of the kidney function issues so his labs will be monitored closely to ensure the effects are not too dangerous. Tom also had his scheduled infusion yesterday (yeah, happy birthday my love) and saw the Oncologist here in Grand Rapids. Tom has had a bad couple of weeks dealing with pain and management has not been easy or always successful. They went over his prescriptions and added another pain med that should help Tom to keep his pains at bay. Because of the medications he is on and his organ functions he will be seen again next month in GR. They also increased his Zometa infusion yesterday and he once again had a hard time afterwards. He barely ate yesterday and even laying on the couch couldn't find a comfortable position. I felt so bad for him I wanted to cry.

This week as we rang in the New Year with friends and celebrated being able to keep awake past midnight. I enjoyed the companionship and the light atmosphere (taking first place in Euchre didn't hurt either) :)
I look back on these last 28 years with my loved one ringing in the new year, plans we made, the good and bad we walked together through, and the hopes we still "dream" about. I know that I have been much loved, forgiven for my wrong doings, appreciated for what I've contributed, and have attempted to reciprocate the same to my family.

I typically end with a verse but instead would like to attempt another poem this one to my hubby:

To A Wonderful Life

To the man that I love and made me his wife
He has worked so hard to give me a wonderful life
The children we raised and the time that we share
Are treasured in my heart and deeply buried there
Times has flown past and held both ups and down
But how you've made me laugh through them, I couldn't keep a frown
For so many dreams we shared from the start
So many made true so many from the heart
I couldn't imagine life another way
Feeling so blessed as we wake to another day
My dear husband how can I say how much I love you
Everyday how I am blessed to spend it with you too
Thank you my dear for a wonderful life
With all my love, your wife

Saturday, December 20, 2014

Merry Christmas

We have been busy getting ready for Christmas in the Andrews family. Kid are officially off school for the Holiday Season and are all glad for the break.

Normally I would have a lot of information after our two day stay at the U of M hospital. On this trip the results from the MRI of the abdomen were not ready and Tom's Oncologist wanted to discuss the findings from the CT scans further. Tom's blood work shows some elevated levels which are effecting his blood pressure and kidney functions. This can be contributed to the Chemo and they will be making adjustment to his medications but he will remain on the same chemo dosage for now. Tom's case will be presented to the Tumor Board next week to discuss the results of is MRI and the recent activity within his bones. lungs and liver.

Tom has asked that I hold off blogging. He would like to enjoy Christmas, New Years, and his birthday without dealing with his cancer. We are going to pause and enjoy the reason for the season for now. I will have a full blog the first part of January to go over the results from the Tumor Board and how we will proceed with Tom's cancer in 2015.

Once again we want to thank everyone who helped us through this year. Your thoughts, prayers and generosity means so much to our family.

John 1:14 "And Christ became a human being and lived here on earth among us and was full of loving forgiveness and truth"


Tuesday, November 18, 2014

Can You Handle it?

Kyle has been hard a work both for his college classes and has taken on a 2nd shift job at UPS. He leaves for work when I go to bed, it's been a little hard to sleep know that my boy is on these icy Michigan roads lately. I'm sure it's hard being a broke college student, but Tom and I try to make it as pain free as we are able. Kyle seems to enjoy this job and is very excited to take advantage of the Tuition Reimbursement next semester. Cody had his senior pictures taken & it has been hard to pick which ones to display. For a boy who never smiles for the camera we have it narrowed down to 6 (yes he is smiling in many) after much discussion and looking at them time and again. Last week Katie had her Swim Banquet and Tom and I laughed as the Team Captains gave out their own "fun" awards. She was awarded as "Most likely to ask a question" Tom and I nodded to each other and said "That's our girl, they know her well"!!! I have many times call her my mini-me, but she is not the shy teenager as her mother so painfully was.

Tom has been again having better days. His sleep pattern has still been iffy and he still needs his sleep meds to get any sleep at night. Though last night I heard him get up a lot & when I questioned him he said it was just one of those nights. He has tried to keep himself busy during the day & I appreciate all that he does for our family. He has even been in the mode of trying new recipes. Not that he is eating them, but he prepares them for his family. I tell him when he gets a taste for something to eat it. Sometimes it takes a couple of bites and he's done, but it sure does beat cereal or ensure drinks all the time. Tom even felt up to deer hunting again. Though he does not hunt as in years before cancer, he was able to enjoy mother nature and took two deer. It is good to see him looking forward to things such as this and a big thanks to Alex for being able to be out there with him.

Medically speaking the U of M did confirm that they received his MRI, but they will wait until the December visit to get the results of his liver legions. Tom's PCP called yesterday to say that the Radiologist in GR looked over his MRI and stated that they compared past and present scans and though all the legions are still present, it appears to be stable. As he is feeling better I would not want them to up his dosage and have Tom go back to a lesser quality of life unless absolutely necessary. We both know that his team of doctors will do what is best for Tom's quantity/quality of life.

Over the past years there have been many people who give us the cliche sayings and and I know that they have meant the best by it. I have also heard others show a little frustration about the same saying as it is not comforting to them. The one that comes to mind is that "God will never give you more than you can bear" I hear that and think positively. My faith states that He brings us to it and will lead us through it & to me is it comforting to hear. I think that anything in life is done by design (whether we understand it or not is another matter). Some people crumble under trying circumstances and some people turn to other things (can be substances) when they are having a hard time in life. I have always turned to the one I know with certainty will help me through a trial just like He does through the good times (when I am less likely to call on him). Sometimes we make it through with little scarring and other times we wonder how we made it at all. The question is not whether someone will have highs and lows in life because we all do. The question is how is one going to handle it?

There are so many verses that I want to post, but this is the one I chose for this time:

Hebrews 12:12-13 "So take a new grip with your tired hands, stand firm on your shaky legs, and mark out a straight, smooth path for you feet so that those who follow you, though week and lame, will not fall and hurt themselves, but become strong."