January 22, 2010

All –

Here is our latest news:  We met with surgeons at Duke on Tuesday of this week.  The primary surgeon, David Harpole, believes I will benefit from surgery to remove my left lung and some surrounding tissue.  We are thrilled that God has seen fit to grant us this opportunity!

Doctor Harpole is one of about 3 surgeons nationwide who do this type of extensive surgery regularly.  He averages about 20 per year and trained with the doctor who developed the procedure.  He is in his words “the surgeon of last resort” in the southeast US.  His interpretation of my tests is that my left lung is not functioning very well at all, and is not oxygenating the blood flow as it should.  Essentially a “dead” lung that is working at about 5% capacity.  If he can go in and cut the blood supply to that lung and remove it, my remaining lung function will be more efficient.  And the remaining cancer in the left lung will be removed.  Those are his plans for Feb 10.  We will do pre-op work on Feb 9. 

The chemo drugs I am currently taking are good, and could continue to work indefinitely, but I have really exhausted most of my chemo options.  This surgery is my best chance for the long term, a curative approach.

Doctor Harpole went through the possible complications with us and I am including them below, among the things that we ask you to cover in prayer for us, please. 

1. There is a chance that the scarring done to my lung and other tissue from the chemo and radiation could be too extensive to remove.  If that is what he finds when he begins the surgery he will not proceed with the removal.

2. The risk of blood clots is great with this surgery and given my circumstances.

3. The risk of infection is always a threat with any surgery and especially one this extensive.

4. Please pray also for my family;  my sweet little boy who doesn’t want his Mom to have her lung removed, my dear husband who just WOULD NOT GIVE UP until he found a better option for me, and my awesome Mother who works tirelessly to hold us all together.

5. That God will close the doors that lead down the wrong path.

We have been praying #5 for awhile now and on Tuesday am before the appointment at Duke I was praying that God would not only close the wrong doors but would PUSH us through the right ones.  We believe He has done that and it is with much rejoicing and thanksgiving that we approach this surgery.  Dr. Harpole is a Christian and we told him about you, our prayer warriors.  He welcomes that intervention.

Yes, I am scared.  But I know I am not alone and it is thrilling to see how God is working on our behalf.  Thank you for your part in that too. 

In the meantime, I was instructed to “get fat” before the 10th so I am working hard on that.  Andrew celebrates his 11th  birthday (Oh. My. Goodness.) on Feb 4th and we will be celebrating the “goodness of the Lord in the land of the living” (Psalm 27:13) as we go forward.  Once again, we covet your prayers and we thank you dearly for them.

“…Be strong and of good courage, and do it; do not fear nor be dismayed, for the Lord God, my God, will be with you.”  I Chronicles 28:20

Kay and family

January 12, 2010

My dear Prayer Warriors,

Happy New Year! I hope everyone had great holidays.  We certainly did.  Andrew declared ours the “best Christmas ever!” (as he usually does) so I know you have all been keeping the prayers lifted for us.  Thank you. 

At my last writing we were preparing to have more tests done and investigating the possibility of some extensive surgery.  Overall my tests came back pretty good.  The area of concern has decreased in size and contained in its original location.  There is no evidence of metastasis!  The fluid around my lung is still present but continuing to decrease in volume!   Both of these were very good results.  My pulmonary function test however showed a decrease in my breathing capacity.  We were surprised by this development as I have been told that my breathing function all along has been “superb”.  Unfortunately it seems the chemotherapy drugs can have an adverse effect on “good lung” tissue.  The UNC surgeon did not feel that my lung function was good enough to pursue the surgery.

Doctor Socinski (my oncologist) has suggested we visit a surgeon friend of his at Duke and we are awaiting that appointment to get another opinion.  In the meantime I have been exercising my lungs to try to see if the good lung capacity can be increased and re-visit the surgery option.  I will be seeing a UNC pulmonologist to discuss this further.  For now I will continue to have a lighter version of the chemotherapy I just finished, since it seems to be working to keep the disease contained.  The fluid level has decreased significantly and we have been very encouraged by that.  Overall I am feeling pretty well, actually getting back into my office some starting this week. 

We thank you so much for your continued prayers.  While we wish we could go ahead and get the surgery question answered, we are learning that waiting on the Lord may be just what He intends for us to do.  Seeing the fluid level reduction as we wait has been an important lesson.  Please continue to keep us in your prayers.  There are several things that need our Lord’s attention:

1. Encouragement and peace of mind for my dear family

2. Wisdom for us and the medical team as we pursue future treatment options.  Please pray that the Lord will close all doors that lead down incorrect paths.  Please pray also for a hedge of protection around us as we continue on this journey.

3. I am developing some sensitivity to one of the chemo drugs.  Please pray that I would be able to continue receiving this drug.  We are on a schedule of treatment every 3 weeks, beginning on 1/19.

4. Vein access (enough said!)

5. My overall endurance – physical and mental

6. Restoration of my health

We want you to know that your prayers mean so much to us.  And please know that God hears your prayers.  We are convinced of this many times over as we see God’s fingerprints all over our situation and the many blessings that continue to pour our way.  We thank God for you and your dedication to us.   And we trust Him with all the details and with the outcome.   

Psalm 57:3  “He sends from heaven and saves me…God sends His love and His faithfulness.”

Kay and family