Friday, July 26, 2013
Thursday, July 11, 2013
NF2 continues to be cruel to Jacob. As we head home from our appointment with the new neurosurgeon at NIH,my heart once again breaks for my child. The helpless feelings overwhelm me. What do you say to your child when they tell you, once again, that they wish they had cancer so they could either die or be healed, that God has abandoned them? I have no words. I remember the scripture of Jesus' crucifixion and Him calling out to Abba, asking why he had been forsaken. In no way am I comparing any of us to Jesus, but if Jesus could feel that way, then I understand how Jacob and I can feel that way.
It appears Jacob will add radio surgery to his list of trials in 2013. His MRI from yesterday showed growth in both vestibular schwannomas. The right side is still the greatest concern. According to the new NIH neurosurgeon, it has grown 2 mm in both directions. This means that our high hopes of lapatinib (chemo) buying Jacob time are crushed. Three chemotherapies in two years with next to no results. Jacob has four choices:
1. Leave the tumor, live his life and it will slowly grow and eventually cause so much pressure on his brain stem he will die.
2. Wait and watch for symptoms, but it is already compressing his brain stem and the larger it gets, the more complicated the already-extremely-complex, 12-hour surgery becomes. The bigger the tumor gets, the morelikely his facial nerve becomes to being damaged in surgery.
3. Brain surgery. The benefits of surgery are that majority or all of the tumor will be gone and there's a chance of preserving Jacob's facial nerve. We've been told by the NF2 community that living with facial paralysis is much harder than living deaf. Facial paralysis complicates speech, eating and causes horrible dry eye. It is also cosmetically an issue in today’s cruel society. A huge negative of surgery is the 100% that Jacob will lose all hearing in his right ear. With the left side growing, the possibility of Jacob being completely deaf in the near future is very high. There is also a lot of documentation that when one VS is removed, the other one seems to have accelerated growth. With Jacob having already lost his right eye completely, and because he has an optic nerve tumor in his left eye which has ready threatened his vision once, Jacob’s hearing is so precious and important. I can't even wrap my mind around going to NY or LA to have anABI placed.
4. Radio surgery, aka radiation aka cyber knife. The doctor today mentioned fractioned and steriotic radiation,but Jacob has been offered radio surgery at Shands. The dangers and benefits are all similar, the method of delivery is what sets them apart. The positives of radio surgery are no open incision, no bone removal, short recovery, 50% chance of hearing preservation and, if it works, the tumor could remain stable for 5-8 years. If it doesn't work and continues to grow, the radiated tumor,which has been altered, can make removal more difficult,and saving the facial nerve is harder. I guess a radiated tumor meshes with healthy tissues. It is also unknown what the effects of radiation are 50 years down the road.Jacob’s young age is another reason the neurosurgeons shy away radiation. Swelling after radiation can also cause deafness.
Jacob is strongly leaning towards radiation and we will have to do it soon. We've been told that Dr. Friedman atShands UF is one of the very best. Dr. Pincus also supports radiation. Dr. Pincus is the only neurosurgeon that I have ever spoken with that supports radiation for an NF2 VS.
Not having Dr. A today has me feeling very lost. Even if we wanted to do surgery, who would we see? A doctor atShands I don't know or this new doctor at NIH? I don't have enough time or money to get Jacob to HEI or UVA.I was so hoping, maybe even counting on, that Jacob would finally respond to drug therapy.
We need a miracle.
This week I will send copies of Jacob’s MRI to Dr.Brackmann at House Ear, Dr Smith, Dr Pincus and DrAsthagiri to get their opinions. In the meantime, Jacob and our family will begin to prepare mentally and emotionally for the coming storms.
Prayers welcomed!!! If it isn't God's plan to heal Jacob,then let our prayers be of strength and peace in whatever His plan is, and although I know there is no way for us to understand, I'd love the feeling of dread to be gone. For him and for me.
Wednesday, July 10, 2013
Highlight Reel
Saturday, June 29, 2013
Friday, May 10, 2013
Wednesday, April 10, 2013
April 8, 2013 Monday night:
Good evening family and friends. I just wanted to check in with everyone and
let you know Jacob is good to go for surgery tomorrow. Today Jacob had pre-op with neuro-surgery,
labs, prescriptions, and pre-anesthesia.
Other than the lab refusing to use Jacob’s port to draw blood, today was
long, but uneventful. We were so happy
he did not have to be admitted for traction and we have been able to have a
free evening in Gainesville. Jacob and I
enjoyed a nice dinner at Chilli’s and dessert at Cold Stone Creamery. I went for a short run and Jacob has spent
the evening watching the second Tooth Fairy movie with Larry the Cable Guy and
Anger Management. When did he get old
enough for the latter? Anyway, he’s all scrubbed up with his antibacterial pre
surgical wash and as ready as he can be for tomorrow. We are to report to the hospital at 6:00 am
and Jacob’s surgery is scheduled for 8:00.
We were told by our nurse practitioner that surgery should be done a
little after lunch. We also asked if the
hardware would be extended or replaced with larger rods. Dr. Pincus said he won’t know until he opens
Jacob up for the procedure. We also
asked if Jacob could expect to lose another rib and they said they “don’t think
so.” Lastly they informed me of the
risks, and of the greater risks of this fusion being higher up and to the base
of the skull. I was informed that they
may even need to make an incision in the front of Jacob’s neck (throat area)
and go behind his esophagus and place a plate so both sides of the spine are
supported. I reassured them that we want
them to do whatever they think is necessary so Jacob doesn’t have to go through
this again anytime soon.
That is all.
I am sleepy, snotty, sneezing like crazy, missing our other family parts
and worried to pieces about tomorrow.
Jacob is calm and cracking up at whatever he is watching now on his
iPad.
Thank you all for your prayers, love and
support. I will write an update as soon
as I can tomorrow!
Blessings,
Tammy
Apr 9, 2013 8:44 AM
Tuesday April 9, 2013 8:00 am
Jacob checked in at 6:00 am and they immediately took us up to pre op holding. Jacob got his port accessed and vitals taken...and his favorite part of all, undressed for the dreaded gown. We talked to several doctors, none of which that we have met before. Jacob was in good spirits. We laughed and joked and he played music for me. Jacob did get upset when the Neuro surgeon went over how high up Jacob's new incision will be, or so he said it will be all the way up to the middle of the back of Jacob's skull. This was the first we heard of this so we'll see how Jacob looks in recovery. We didn't see Dr. Pincus, the operating surgeon, yesterday or this morning.
I'm waiting on TD to get here and Jacob's dad and family will be here sometime today as well. So Jacob will have a lot of loved ones to wake up to.
Now we wait.
Wednesday April 10, 2013
Last night was a bit rough and, considering how well Jacob was doing after Recovery (which has become a nightmare thanks to the x-ray crew… Thank goodness he doesn't remember it…), a bit unexpected as well.
Last night Jacob was plagued with a pretty horrible case of the shakes and nausea. After throwing up everywhere and fighting hard to get his pain under control without making him sick, we settled in around 1:30am only to have a new patient admitted to our room. You may recall that during the first fusion recovery, Jacob’s roommate was a motorcross child (maybe 8?) that broke his collar bone and cried the entire time for his grandparents that were nowhere to be found. Well, we lucked out a little more (if that’s what you can call the situation… “luck”) this time that it was a 17 year old boy who had been in a SUV accident. He was in a collar and under watch due to the fact that the vehicle flipped. This kid walked away with just scratches. I'd say he's got an angel. And aside from us being woken up during the shuffling in, he's been quiet all night, hasn't complained and is very polite. His family hasn't been here since they brought him in. I always find this odd, but I guess all of us are just doing the best we can.
Fast forward to 6:00am, one of Jacobs surgeons came in (we'll call him Dr Far because I can't remember, or pronounce, his full name). He talked to Jacob and looked at his incision. Jacob's was thrilled to know that his incision only extends slightly above his hairline and this time they chose to use glue instead of staples or stitches. They even cut out the old scar and pulled the unaffected skin together in hopes it will look nicer when it heals. A little ray of sunshine! Since J had such a hard time stomaching the dilaudid, they took him off the pump and switched him to oral pain medications. They also started his tordol!! Jacob ate a little breakfast and got up for the first time and took some steps. Dr Pincus and Leigh Ann, our nurse, came in and saw Jacob. They reviewed Jacobs neuro exams and said he could go home whenever he was ready.
Since I started this post earlier this morning, Jacob has eaten well, taken a shower and done PT. He's really doing great. His pain is being controlled well and he had a nice visit with his dad and step mom. Jacob even said he’s ready to go home. I talked him into staying tonight. One more night.
Thank you all for your support. I know he has a long recovery but the healing has begun! Thank you God!!




