Friday, May 26, 2017

Moving on...



Greetings Friends and Family,

To say May has been a busy month is quite an understatement, which explains why this note is so lengthy. My third diagnosis of brain cancer has led to big, unexpected changes for the Kelly Family. Though we would much rather not be dealing with a third cancer diagnosis and the mess it creates, we are hanging in there and looking forward to some awesomeness among all the muck. A few things cancer couldn’t mess with: Alex’s 9th birthday, Mother’s Day, a May snowstorm, end of the school year activities, date night with Erin, and my courage in the face of adversity. 

First, I’ll update you on my health. There is a lot to tell, so I’ll rewind a bit. I had brain surgery on Monday, May 1st and learned that same day cancer was back. Needless to say, my family and I were devastated that this diagnosis resurfaced for a third time. Three bits of good news amidst the bad were that pathology revealed it was the same type of tumor I’ve had twice before: Medulloblastoma. This is good because it wasn’t a different, more aggressive type of brain cancer. The second positive outcome from surgery was that my neuro-surgeon removed the entire tumor (a.k.a. total resection). The third, and the most important bit of good news post-surgery was that as soon as I woke up from anesthesia my cognitive and neurological abilities were all intact. I was/am still Sareana!

The day after surgery, May 2nd, I was discharged from the hospital. Sounds quick, but part of the health professionals’ reasoning is to get a patient up and about and out of the hospital (where many germs reside) and see how he/she does on the “outside.” So, I walked away with hardcore pain killers and detailed instructions on how to care for my incision. The incision instructions were important because it is the area most susceptible to infection, which is very serious. My incision is rather significant and strangely enough in the shape of a big question mark. Why? Well, they needed to make a longer cut than my two previous surgeries based on where the tumor, or what we had hoped was only scar tissue, was located. I’d post a picture of the back of my head, but I’d rather you just use your imagination. It’s not for everyone. However, to my surprise Alex and Dean have proven not to be unnerved one bit by the back of their mom’s gruesome-looking bald head. In fact, they have even taken to arguing about who gets to clean my incision with peroxide each day until stitches are removed! Alex and Dean are remarkable human beings. Future Dr. Kellys perhaps?!?! 
The first two weeks post-surgery were spent taking it easy at home. Restful sleep sounds like it would be a big part of that recipe, but lying down was (and still is) my most uncomfortable position to be in. At first my neck muscles were so sore and weak that I needed help lifting my head to get out of bed. I can’t lie on my back comfortably because that is directly where my incision and prickly stitches are located, rolling over to my left meets more stitches and discomfort because of the pressure on the area of my brain that is trying to heal. The right side of my head has also proven to be tricky to sleep on because of hip discomfort (there’s not a whole lot of “meat” on my bones right now). To cap it off, lying on my stomach is off limits due to neck pain. Plain and simple, it’s hard to get comfortable no matter how many pillows get involved. I wish it was possible to sleep standing up! After rereading this paragraph, my description, though accurate, actually sounds a lot worse on paper. I’m hoping next week when my stitches are removed, that restful sleep resumes. Nothing I can’t handle.

At the end of Week Two post-surgery I had a spinal tap (a.k.a. Lumbar Puncture or LP) to determine if any cancer cells had metastasized to my spine. Fortunately, the risky procedure went smoothly and I didn’t suffer from a painful spinal headache, which is a possible side effect I experienced in 2008. More importantly, the LP results were negative= no cancer in my spine!

Week Three post-surgery (this week), I began the first of two treatment phases designed by my neuro-oncologist at Duke. I am taking a daily chemotherapy pill. So far, I’m tolerating it well. I stress “so far” because I’m well-aware that four days is not enough time to determine how I'll manage long-term. I’m slated to take this daily dose of chemotherapy for six months. The second part of my therapy involves a monoclonal antibody (a fancy way of saying “targeted” cancer therapy). This comes in the form of a 30-minute infusion that I’ll receive every fifteen days at the local cancer center. To summarize, my combined therapies will be a daily dose of chemo in the form of a pill and an IV infusion of a monoclonal antibody twice a month. Both therapies are planned for a total of six months, but I take this timeline with a grain of salt knowing that it is dependent on how I’m tolerating the therapies. In addition, a new therapy could be introduced at any time, which is left up to the experts. 

As if all the above paragraphs about my health weren’t enough information, there are a myriad of other things going on in our lives. The biggest and greatest piece of news to share is that we’re moving to Portland, Oregon in July! We not only bought a house in Portland last week, but we also sold our house in Fort Collins on the very same day! The markets are rather hot in both places and we have Nicola and my brother-in-law, Dave, to thank for helping make the purchase of our new home from afar a success! We toured our new home via Zillow and FaceTime—not ideal, but these are not ideal circumstances.  

There’s no doubt we wouldn’t be moving to Portland (at least not so soon) if I hadn’t received a third brain cancer diagnosis this month. It makes me terribly sad to leave beautiful, sunny Colorado, our friends and neighbors, the access to outdoor awesomeness from our driveway, the boys’ school, my sister-in-law’s family, the school where I worked so hard to establish myself as a teacher again. But alas our family’s way of life has been interrupted abruptly and turned upside down by cancer once again. It’s nothing Erin and I haven’t weathered before in the last nine years; it was tough the first two times, but this third recurrence has put an even darker cloud over my unknown prognosis. I’m most broken-hearted for Erin and my boys. I’ve wiped away an endless stream of tears the past several weeks, but the fact is that I’m still here today, so I continue to put one step in front of the other and carry on the best I can as mother, wife, daughter, sister, and friend. Part of my ability to breathe fluidly right now is knowing that with this move to Portland, Erin and my boys will be taken care of no matter what. Living close to my sister and Dave brings calm to the beating of my heavy heart. My sister’s children and my boys will attend the same elementary school and we are returning to a familiar city and neighborhood that we love and know so well.

Aside from living closer to my sweet sister’s family, another positive of moving to Oregon relates to Erin’s job. Living in Portland will significantly decrease the amount of time he commutes to his pilot base in San Francisco (where he starts and ends each trip). And the hope is that someday he’ll even be based in Portland, which would be a benefit to all of us because he’d be able to spend more time at home and less time commuting, plus it would be a huge benefit to his overall wellness. I must add here that I may be tough and resilient, but that my dear husband has those same inherent characteristics. Erin has endured so much over the years because of my poor health status, but he has never wavered or given up on me. He has the great responsibility of being a dad, a husband, a caretaker and all while being the sole provider for our family. From the outside I imagine our situation could be viewed as unfortunate, unimaginable, and unfair; from the inside, it feels unfortunate, unimaginable and unfair, but not always. Cancer has given Erin and me a unique perspective on the power of love and commitment not only to each other, but to our children in the face of uncontrollable circumstances. It has forced us to appreciate each day we have together. I’ll always be grateful for that chapter in our love story. 

I’d also like to publicly post a special thank you to my mom and dad who are a remarkable example of what parental love and support looks like throughout a child’s entire life. 

Thank you for reading this long note and for your continued thoughts and prayers. I hope you and your family are well wherever you may be.

Love,
Sareana 

P.S.: My next post will likely be after we are settled in Portland at the end of the summer. 

 Uncle Wright in Durham with me

 Mom and Dean at Mother's Day Tea
 Erin, Alex and the Cub (future pilot? yes.)












Erin, Dean and the Cub (future pilot? yes.)
May snowstorm in Fort Collins!!!!

 Dean and Alex's last day of school, May 26, 2017
(future doctors? maybe:)

Monday, May 1, 2017

Surgery Complete

Dear Family and Friends,

Sareana is safely out of surgery and recovering well. Unfortunately, the initial pathology indicates that the growth is a recurrence of medulloblastoma (the same malignant tumor she's had in the past). They were able to remove the entire tumor ("total resection"), and we are thankful that the surgery went smoothly. She's mentally sharp, and we will keep our focus on a strong recovery. It will be a couple of weeks before we get final pathology results, and we'll have more information after that.  

I'm thankful to all of you for keeping her spirit full and reminding us all of the love that surrounds her and her family.

With love,
Nicola