Because God knows we haven't had any for at least 3 months!
LR has not been feeling well for a few weeks. He's been tried, dizzy and gets out of breath easily. I knew he was really feeling bad when he made a doctors appointment with out me nagging him. The doc listened to his complaints and ordered up a chest x-ray. It came back fine so the next step was blood work. It didn't come back fine. LR is very anemic, so much so that he's taking iron twice a day. The doc is concerned that the varicose veins in his esophagus may be leaking. That is not a good thing. Last time it happened he was vomiting blood and almost died.
How he came to have varicose veins in his esophagus in a long story. I'll share the short version with you now.
LR was diagnosed with colon cancer Feb. 15, 1994. In working him up for surgery it was discovered that the cancer had spread to his liver. Kaiser did the colon surgery then sent him to UCSF* so they could deal with his liver. The UCSF docs decided to perform surgery as the tumors were just in one lobe of his liver. The surgery was risky with a 15% of dying on the table. During that surgery the discovered more colon tumor and that the liver tumors were too deep to remove safely.
Has it happened UCSF had an experimental program studying colon that spread to the liver cancer treatment. They installed a port in his amdomium that delivered the chemo drugs directly to his liver. An interesting side note: the first port failed. When we visited the Kaiser oncologist he said "well you're going to die anyway". The UCSF docs had told us if we had any problems, clearly implying Kaiser problems, to let them know. We called them about the port, a new port was installed a week later. And we insisted on a new oncologist as well. 2 1/2 years of weekly chemo ensued and all was well.
That is until we decided to go to France for 3 weeks. The port had been left in "just in case". Every 2 weeks LR went in an had a heparin solution injected in the port to keep the catheter portion open. Since we were going to be gone for 3 weeks something had to be changed. The Kaiser Infusion Center nurses called UCSF to find out what might work. They got the answer and tried. Unfortunately it was a disaster. LR ended up with massive, and I do mean massive, internal bleeding.
Then came the day of we entered the ninth circle of hell. He was bleeding but the docs didn't know where it was coming from. The GI docs called in the surgeon. He immediately wanted to perform surgery but LR WAS BLEEDING so I was informed he would probably die on the table. As you can imagine that was rather stressful news, I spent the rest of day sitting at the head of his pre-op bed just above his head so he could not see me cry.
For most of a day the GI doc and the surgeon battled it out. He was going to surgery, he wasn't, he was, he wasn't. You get the idea. They made a final (yeah right) decision that he wasn't going to have surgery so I sent all our friends who had been there to support us all day home.
Not 5 minutes after they'd left the surgeon decides once again LR is going to surgery. I raced to the nearest phone and left a message with my friend Penny's husband to please send her right back to the hospital because I couldn't go through this alone.
Shortly after Penny arrived the decision was changed once again. LR had been getting transfusions all day but was losing so much blood that the docs called a hematologist in for consult. He said send LR to ICU, pump him full of Vitamin K (helps with clotting) and do surgery the next day. He ended up having 15 units of blood that day.
The next evening surgery was performed. I had been told it would take 2 hours. I had a terrific support team. My sister had come up from Gilroy. Along with her were Deb, Fred, Rob and Erin. We waited patiently in the surgery waiting room. At the 2 hour mark a nurse came out, only to tell us that it had taken the better part of 2 hours just to get through the scar tissue from his previous surgeries and it would be another 2 hours before they were done.
When the surgeon was finally finished he came to talk to me. I could tell by his demeanor that things had gone well. Since no one else had met Dr. K before they were convinced that LR was still going to die. Obviously he didn't but much hilarity ensued before he was released from the hospital
*UCSF, University of California at San Francisco
to be continued...