Thursday, October 4, 2007

Pictures from the riverboat trip

Here are some pictures from the Mississippi Riverboat trip in June. These are pictures Michael asked me to post, so I am happy to oblige.



My dad sliding down the waterslide on the back of our boat while Michael and Mark are jumping off the top deck. You can unfortunately only see Mark's arm. (Actually, my brother picked another picture to include, but I like this one better.)



My dad, Muriel and Kyle "holding up one of the bridges". This was my dad's idea, and the kids enjoyed playing along.



Finally, my dad is finishing up a John Grisham book on the beach.

A stent enters the picture

I was at the doctor's appointment today with my parents. Many changes are taking place in my dad's treatment.

The CT scan showed a narrowing of the lower portion of the duodenum. (See the diagram below.) The narrowing is caused by the tumor in the pancreas placing pressure on that portion of the digestive tract.


Dr. Ritch set my dad up to have a stent put in tomorrow morning. A stent is a small plastic or metal tube that will keep the duodenum open. It will be done as an outpatient procedure using a GI scope, so no incision! This procedure will be performed by Dr. Kulwinder Dua. Dr Dua was Dr. Ritch's first and only choice to perform this procedure on my dad.

Also, the chemotherapy treatment for today was cancelled. Dr. Ritch wants to wait and see how thing go; then he'll decide about restarting the gemcitabine (chemotherapy drug) or going to another alternative.

I am very hopefully that this stent will improve my dad's quality of life. Ideally, it will stop the vomiting. It is also possible that the stent would enable my dad to eat without "feeling full" on small amounts of food.

Wednesday, October 3, 2007

The see-saw continues

Last night (Tuesday) my parents came back from Door County. My dad has an appointment with Dr. Ritch scheduled for tomorrow morning along with a CT scan and a chemotherapy treatment. The CT scan will be used this time to try to determine what is causing my dad's vomiting, so we can better manage that symptom.

Unfortunately, my dad has started vomiting again this evening. Hopefully, this bout will be short. More news tomorrow.

Saturday, September 29, 2007

A new day

After getting a full night's sleep (plus a couple of extra hours), my parents had a very good day today. My dad's mood has improved considerably. My mom first noticed an improvement in my dad's attitude after he talked to my brother and I last night. He has not vomited today and, thus, was able to keep some food down.

There are weeks where I lose track of the days. For me this has been one of those weeks. While listening to the clock radio Friday morning, I was confused about why there was a Friday only program on. It took many minutes before I realized that it was actually Friday.

I have shared with some people how this has affected my memory. Schedules and names have suffered the most. However, I have recently noticed an improvement. I no longer have the chronic feeling that I'm missing a scheduled appointment, event or activity.

The journey is by no means over, though. We are proceeding on this path. Along the route, we must sometimes make decisions about when to move mountains and when not to. Often without even realizing it, others have moved mountains to make things happen for us. Sometimes these people are strangers or people we hardly know, but most times it is an extended family member or a family friend. My family and I are extremely blessed to have such generous and caring people in our lives. Thank you.

Friday, September 28, 2007

"A see-saw battle"

I just talked to my dad on the phone. After feeling better yesterday, he is vomiting again today. It is very discouraging for him, and he described it as "a see-saw battle". I reminded him that he went through this after Christmas and eventually got better. I told him that it took a while that time, too. Hopefully, things will turn around soon. It is hard to see his spirits so down.

My mom has talked to Dr. Ritch who ordered some additional medications to try to get the vomiting to stop. Dr. Ritch also mentioned using an nasogastric (NG) tube to empty the stomach. My dad had an NG tube last time he was admitted to the hospital. He hated it, so Dr. Ritch and my parents are exploring other options.

On Thursday my dad has an appointment with Dr. Ritch. Hopefully, Dr. Ritch and his team at the cancer center will have some new ideas to keep my dad comfortable.

Wednesday, September 26, 2007

Wishing for better news

This morning I talked to my dad on the phone. He was feeling better, but tired. However, in the email I just received from my mom she writes that my dad has started throwing up again. My mom has started another IV of fluids. Please continue to pray. Hopefully, tomorrow will bring better news.

Thanks for continuing to read this blog. My family and I appreciate having so many people take the time to check the blog and keep up with my dad's progress. A special thank you to those of you who have left comments on the blog, visited my dad in the hospital or call him on the phone. That includes our family friend Allen Miller who is using the alias "Mr. Buquerque" in his blog comment! (For those of you wondering who "Mr. Buquerque" was.)

Tuesday, September 25, 2007

More IV fluids

My mom started running IV fluids into my dad this morning (Tuesday) because he is vomitting again. I'll talk to my mom in the morning and hopefully give a more thorough update tomorrow. We are hoping it will turn around quickly, and he stays out of the hospital.