Wednesday, March 30, 2011

A peaks and valleys sort of day.

A lot of progress was made yesterday by our dear, Jim. He was doing well enough to have the ng tube taken out of his nose, this was really great because it was causing him a lot of discomfort. (He still has the feeding tube, but that will come out soon, hopefully.) He no longer needs oxygen, and they were able to get him off most of the noisy monitors. Jim is still getting up to walk and can sit longer. In the course of his surgical recovery, these things are huge steps! We are so happy and grateful for the good progress! So that was a peak, and we were enjoying that peak, Jim and I even celebrated by taking an extra stroll around the hospital floor. While on that celebratory walk the Dr. caught up to us and said he had the pathology report in his hands and wanted to tell us. So right in front of the elevators on the fifth floor is where he told us (we did ask him to tell us as soon as he knew) that the report said it is for sure cancerous and 7 is the mitotic rate, and it is considered high and so he is in the high risk/high grade category. The Dr. said this so casually, as if we were talking about a score for the latest basketball game. Although the air had just been taken out of our sails, we answered in the same manner, casually. "Oh, okay, I see, well not what we had hoped, but we'll deal with it", Jim said. The casualness didn't seem to go along with the way I felt inside. The Dr. proceeded to tell us that he will have to go on the drug Gleevec for atleast a year. The side effects can be hard for some, but they can help him with those. "This is not something we will worry about until you are all healed and doing well from the surgery", he said. Well, I'm glad that he won't be worrying about it, I thought, because I know I sure will. So strange all of this is, so strange and unnatural it seems to me. Jim took it in stride, as always and just kept telling me "remember, peaks and valleys". I agreed. So to help you all understand, they don't give this sort of cancer called GIST a "normal" staging number like they do with other cancers. They take size, mitotic rate and the type of mutation and assess it and come up with categories. Low, Med, High. Once we meet with the oncologist again, (not sure when that is), we will know more about prognosis, etc. Our valley won't last long, we won't let it. Too much to look forward to. We are already looking ahead to our next peak which is, getting Jim home and out of this Hospital! Onward and upward!

3 comments:

  1. It's great news that the Dr. thinks Jim's cancer will respond to Gleevec. Gleevec is one of a new class of drugs that target the 'mistakes' in chromosomes that cause certain cancers. There's a great book about the history of cancer that just came out called: "The Emperor of All Maladies: A Biography of Cancer". It pretty much ends with the discovery of Gleevec, how it works, and how it can CURE people with certain cancers. Quite amazing and a great read. http://www.amazon.com/Emperor-All-Maladies-Biography-Cancer/dp/1439107955

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  2. Can't wait for the next post to read... "Jim is home now and doing GREAT!" and I know he will be soon. Keep your chin up Nic. We're rooting for you both, and sending prayers, good thoughts, love, etc.

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  3. Your mom told me the "Bad" News about the number 7! I am so sorry Nic and Jim! But agreed peaks and valleys will be the Norm for you now as it has been for your sweet mom all these years. Its not doom and gloom and you guys proove that each time I speak to you, so possitive, and we are right here to help you through those valleys if you need us! We love you guys so much You are constantly on our minds and we keep you in all of our prayers from sun up to sun down, if anyone can beat this Jim can..strong willed and a sense of humor go along way! Tell Jim I saw the big RED rolling ball commercial and thought of him ;0)
    ***Hug***

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