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Saturday, February 27, 2010

Upcoming appointment

I forgot to mention in my last post that we have an appointment on Monday morning to see the Radiation Oncologist again. (We originally saw him a week after Dave was diagnosed back in December. He said that Dave needed chemo first and then they'd add radiation halfway through chemo.) Last week the medical oncologist (chemo doctor) said we should still discuss radiation even though chemotherapy failed. The purpose would be to temporarily shrink the tumor to make it easier for Dave to swallow. (It's temporary, because the tumor will grow back as far as they're concerned, and I believe he told us in December that they can only radiate an area once.) Dave has no desire to go through radiation, mainly because they've told us it's not a cure, and  we believe it will likely do irreparable damage. The doctor we spoke with a week ago said that it would actually feel worse than it does right now at first as it will be inflammed for a while. We will meet with the doctor, but will definitely be discussing all of our options and side effects. I am trying to research what options are out there, so I'll know what questions to ask. Please pray for wisdom/direction in this next step to alleviate some of Dave's discomfort.

Dave has been having more discomfort and pain over the past two weeks. (He noticed that his swallowing, and the tumor in general, felt different a few days before the catscan 2 weeks ago.) Swallowing is becoming more difficult for him. He does have the feeding tube in still, which he hasn't used for over a month, but may become necessary again. (He could take carrot juice etc... through the tube directly, he just seems to be pretty stubborn about that right now.) The pain in his upper chest from the tumor has been steadily increasing this week. In general, mornings seem to be better for Dave, and by the evening he's whooped. He hasn't really been taking any pain meds for quite a while, but did take a Tylenol 3 last night

Today a friend came by before dinner with their dog to play with Brady in our yard. (Thanks James!) Brady & Beau had a blast. We have a big yard and Beau will chase balls thrown with a Chuck-it endlessly. Although Brady isn't a big fetcher, he does like to chase Beau! The best way to drain a dogs energy is to throw another dog in the mix! Brady has currently gone with another friend this evening. (Their little girl called and asked if Brady could go over for a sleepover with their dog Bear. Very cute!)

We had planned on going over to friends this evening to watch the Canada-Slovakia hockey game. Dave really wanted to go, as it's nice to get out, but then started to feel pretty bad as we were getting ready to leave. Although he can be fine for a while, he will get pain that comes and goes and it's just awkward. He's just more comfortable at home right now. 

 I know this post sounds a little depressing, but thought we'd let you know what's going on so people can pray effectively. Please pray for relief for Dave from this pain and discomfort. Also pray for direction on Monday with the Radiation Oncologist. We'd like to be referred back to the Thoracic surgeon again to see if there's a less invasive outpatient treatment that could be done in lieu of radiation, like laser therapy to open the esophagus up somewhat. Although it's hard to stay positive when he's in pain, we still believe there's hope! Although he's still really tired, most of the chemo side effects have faded. The neuropathy seems to have gone completely, as well as the mouth sores that were starting up. He has lost weight, but his skin looks really good, and his hands were really dry and a mess, but are looking much better this week.

A few times a week, the VON nurse comes in to check on Dave, and make sure his feeding tube site looks OK. (I unfortunately have to work every day, so I rarely see them.) Today he said there was a new male nurse from Turkey. He was obviously aware of Dave's cancer and commented that it was great to see how positive Dave was. They got talking, and Dave told him about the Raw Living Food diet, detoxing, & wheatgrass juice that he's started to fight the cancer and the nurse was very interested and wrote down a lot of stuff, including the name of where we went in Michigan. He ended up staying and talking for over an hour and said that although Western Medicine is great, there is a lot to be said about the food we eat. He said back home they only eat fresh food - little packaged food is available. You go to the market buy your fresh fruits & vegetables, and many homes don't have fridges, so they have to buy fresh food every day or two. He said the extent of our illnesses are unheard of back home. He told Dave that he was amazed how positive he was and his ability to make people around him feel positive. Anyway they had a really good talk that seemed beneficial for both of them!

I apologize again if this post seems a little depressing at first, but we are trusting in God and are not panicking.

Dave hopes he feels well enough to hang out with friends on Sunday afternoon to watch the gold medal hockey game. (Like I said, he feels best in the morning, and worse in the evening, so hopefully the afternoon isn't too bad.)

Have a good weekend!
Val

10 comments:

Anonymous said...

Hey Val - thanks for being so open about what is going on...you shouldn't feel the need to appologize for stuff you write or laying out the facts or how you are feeling etc...that's what a blog is for after all, eh? :-) We're all blessed to be travelling on this journey with you if only in the smallest of ways - I think everyone wishes we could just flick a switch and Dave would be back to 100% health...but instead God is in control and clearly is more interested in our spiritual health than bodily...and I know HE is teaching us as well as your selves and I think "healing us spiritually" throughout this...Keep the faith as we continue to as well...we continue to petition to God and pray for bodily/physical healing and we are trusting God to hear our combined prayers with so many others on this!
Praying for a better day today and will be thinking of you both on Monday.
Mel

Anonymous said...

Good Morning Dave, Val & Cale,
Hang in there guys!! Easy for me to say, I know! I am just thinking out of the box (probably crazy like) but could they put some kind of a "stent" (like a underground tunnel) to kind of prop the esphaghus open under the pressure of the tumor?? which would still allow liquid through? I think about you guys everyday and pray that god will deliver relief and healing and even a miracle. No one will ask questions except to know that he is the only one that can deliver this kind of a request. I will attending North Park tonight and will continue to pray!! All my love
Jan

Anonymous said...

Good morning to you three...first, how is Cale's leg? Hope it has continued to get better for him.
It's so wonderful that your family is such an expression of the fruits of the spirit in a time of great trial...to be used by God to show others how complete trust in Him can bring peace in a storm is such a testimony to all who have the privilege of knowing you.
Many prayers are lifted up every day...

Phyllis C.

Anonymous said...

Dear Dave and Val,

I've been meaning to write to tell you that Tony and I have been thinking of you. I stopped into Clarke Road at the beginning of January (to apply for an extended parental leave) and of course visited Sharon who told me about your illness and directed me to the facebook page.

I have been following Val's blogs and really appreciate the updates. I hope that your healing from chemo continues and your son's knee is good as new soon!

Not much new to report from my home front. I'm enjoying being at home with our 2 little girls (Marley is 3.5 and Kevay is 1.5)... most of the time. I do miss teaching especially moments when the girls are whining or not napping like how I would like them to! But for the most part we have fun playing with friends, visiting the library, etc.

I'm taking one more year of parental leave and then returning to Clarke Road Sept. 2011. Tony has a sabbatical year starting this spring, so we are heading to Victoria, BC. TOny will be writing a book, and me and the kids will be enjoying the westcoast:)

Baby crying, got-to-run....

Thinking of you. Jenn Gilbert

Jessi said...

Not depressing - just real and honest, Val.
We are all thinking of you and appreciate your honesty.

xox Garnet and Jess

Anonymous said...

Dear The Richards,

I have been following your blog since you started it. Something stood out in your blog today so I did some of my research and wanted to share something with you. A very good friend of mine is a doc in the USA, any how his father is a doc as well and 'thorasic" stood out in your blog and I had just relized that my friends father is one of the best thorasic surgeons in toronto. Here is a link if you wish to take a look at it. I also e-mailed my friend to see if I could get more information to pass on to you. Once I get it I will pass it along. His name id Dr. Robert Zeldin, and this is his link, Im sure there is more information online about him and his surgeries or articles written by him. Praying and thinking about you each and everyday.

http://thoracicsurgery.utoronto.ca/faculty/zeldin.htm

Stacey Sprowl

Judie Webb said...

Hi Guys ... from Florida!

I have been thinking about you both, and have missed being able to check the blog site. I am all caught up now.

I am so impressed with how strong you have been in light of some challenging and disappointing outcomes from that nasty chemo!

My thoughts and prayers are with you. The diet seems to be a great help, and will give Dave the much needed energy to keep fighting!

I now have internet at the condo .. so I will be able to keep checking the blog site. Thanks for sharing this with everyone that cares so much for you guys.

Judie Webb (in the not so sunny south ... see ya mid-March)

Crystle said...

Hi Dave, Val and Cale!
This post is not depressing...its honest. It is hard to read and hear that Dave is in pain etc, don't get me wrong...but I am glad as I am sure others are too that you guys are keeping people posted as best as you can on Daves condition.
I am praying for you guys!
Thinking of you guys all the time

Crystle

Anonymous said...

Dave, Val and Cale,

Brother Dave, Zeny and I continue to pray for you many times every day. Ane we will continue to pray in the name of Jesus Christ to a God so awesome that He can hold the entire universe in the palm of His hand. This is your God! This is the God we pray to, that He will not only comfort you but will heal you!
Dave, Zen and I want to thank you and Val for the inspiring way you are conducting yourselves in the most difficult of circumstances. Your lives are a testimony to both those who know and who do not know Jesus Christ. We have seen positive changes in our family because of your example! So, from the bottom of our hearts we want to thank you!
Isaiah 40:31

May God richly bless you,

John & Zen

Valerie said...

Hi All! Thanks for your support.

Hi Jan. A stent is an option, but not a great one. (It's a flexible mesh tube about 1/2" in diameter.) The surgeon mentioned that he might have to put one in the week Dave was diagnosed, while he was doing the biopsy. We're actually thankful now that he didn't at the time. He told us after the biopsy that once in place for a few weeks, they can never be removed as the tissue grows through it. They're resticting, uncomfortable and can slip down and be even more uncomfortable. Regardless of what the doctors believe, we believe Dave will be healed and so now want the least damaging option possible. I think we will push for laser therapy, which is an outpatient procedure where they simply cut the tumor away. We asked about this very early on and they said that it would just grow back in about a month. Regardless, I think this is the best treatment with the least side effects and so we'll see what they say.

Stacey. Thank you for the info. We will take his info with us to our appointment tomorrow with the radiation oncologist. If it seems necessary, we will ask for a referral to see Dr Zeldin. Always good to have a Plan B!