October, 2006
Tuesday, October 31st. Over the past week we have had an interesting situation develop. Many of you will remember that we have been concerned about the nerve pain and swelling in Christie's arm as a result of her surgery last year. Amazingly, there were a couple of weeks when wrapping her arm each day and a better position for her radiation treatments allowed her to experience a great reduction in the pain early in October. We were very encouraged. We knew that God had answered prayer, again!
Then last Monday she started having a different sort of pain. It grew gradually more intense as the week wore on and by Thursday night she was very uncomfortable. Actually, she was incredibly uncomfortable. After much coaxing from her husband (the author) she called the doctor Friday morning and went to Wenatchee. First, she saw an ultrasound technician who performed a vascular doppler on her arm to rule out the possibility that she had a blood clot. There was, apparently, no such thing. Immediately after that appointment she met with Tamara our uber-physical therapist, who, as it happens, served my wife (and therefore the whole Turnbull clan) as would a great hero of yore over the remainder of the day. First, she tried to relieve the pain by positioning her arm variously. When it became evident that there was no position that eliminated the intense pain, she made a secret call to Oncology headquarters and then marched with her over to Dr. Smith's office where, after a short conference, they informed my wife that they had scheduled an MRI for her for that evening! I know that people had to stay late because of that MRI, but Tamara made it happen. (Thanks, Mrs. Wells!)
It turned out that this MRI was the Magnetic Resonance Image of Ultimate Perpetuity. It lasted for over one hour and twenty minutes. Her husband prayed nearly without intermission for her as he waited in the hallway. (My keen spider sense allowed me to realize that she could be very nervous shut up in a metal cylinder for over an hour.) Remarkably, she was not even the slightest bit bothered by her close surroundings. Her arm hurt quite a bit, but God provided grace for her to endure it with great patience. Everything happened rather quickly and it was only as the MRI began that I learned the reason for conducting the test. Dr. Smith and Tamara were trying to determine whether or not the cancer had recurred in the bone of her arm. This was, naturally, disconcerting. Because the MRI happened later in the evening, we spent the weekend waiting to hear the results of the test.
Last night, at 5:30 p.m. Dr. Smith called to say that the MRI looked good, but that there was an area in the bone of her upper arm that deserves a closer look. So, this Friday, in addition to her Herceptin treatment, Christie is scheduled for a bone scan on her left arm. Please pray for us. We have been experiencing great peace as we are waiting to determine if this situation is caused by cancer or just some kind of new nerve pain. Thanks for your concern and prayers.
Sunday, October 15. The long-awaited Monday finally arrived this past week. What a great day! The nurses at radiation presented Christie with a diploma and made her a present of the custom-made pillow that was part of her daily treatments. I wanted to have a ceremonial burning of the pillow when we got home, but we decided that it was probably made of some kind of space-age, form-fitting plastic that released carcinogenic fumes when ignited.
I had great plans for her final day of radiation. However, the process of getting our whole family ready for Wenatchee and in the car without mom's logistical wizardry is always greatly more time consuming than I ever expect. Here's what happened on Monday. Christie's good friend Bettina drove to Wenatchee with Chris for her final treatment, while we (all of her kids and her husband) were set to surprise her by secretly traveling down to take her out to dinner. Since I started the loading process much later than my wife would have (had she been here), we were a full half-hour later in departing than the secret itinerary indicated. Therefore, after my wife finished her final battle with the Great White Machine, and walked down the hall to the waiting room to get Bettina, she naturally expected to get in the car to head home. Thankfully, Bettina did the work of a professional spy when, contrary to my plan, we were very obviously not there at the crucial moment. It was as though the lantern bearer in the old North Church had forgotten his matches. That was the moment when we were to have arrived with flowers. In actual fact, we were still a full 15 miles away. Without blinking Bettina told Christie that they couldn't leave just yet. "Let's talk here for a while" was approximately what she said. I imagine there was an awkward moment as my wife tried to discern from her friend's expression what exactly was happening. Fortunately, though she suspected something might be afoot, my wife complied without any question and they had a nice chat in the radiology waiting room. (Thank you, Bettina. And thanks to all of you who spent time with my wife during these weeks on her trips to radiation. That was one of the really good things that happened during this last phase; Christie got to spend some great time talking with friends on her journeys.) Then, twenty minutes later her family trooped in and presented her with the bouquet and some hugs. After a tour of the radiation chamber we took mom out to dinner and came home.
It has been a great week. We are all so relieved to have daily trips to Wenatchee over with. We are also amazed at God's mercy in providing for Christie to have not yet experienced the much-dreaded radiation fatigue. We are also simply enjoying the idea that all of the harsh treatments are (hopefully forever) over. God is great and kind and merciful!
However, there
are many ways in which life is anything but normal. We are by no means
through fighting with cancer. Chris is right in the middle of coping with
a plethora
of long-lasting and noisome side effects from the Taxol. She still
receives Herceptin infusions at three week intervals and will do so
until the end of May. We learned just this week that the Herceptin is
likely the cause of her insomnia and could even be the culprit in the new level
of tingling she is feeling in her hands and feet. (However, we are
grateful that Christie can be treated with Herceptin as it has shown to reduce
the risk of recurrence by almost 50% in women who have Her2neu cancer cells like
she does.)
The next two years are pivotal. Though we do not trust in statistics or prognoses, we take them seriously. Christie has just about a 17% risk of having the cancer return. If it does return, God would have to miraculously heal her. Otherwise a person with recurrent breast cancer has between six months and two years (or sometimes a bit longer) to live. Knowing this has and is changing our thinking. Please continue to pray for Christie and for her treatments and her battle with side-effects. THANK YOU for praying. We cannot thank you enough. We appreciate it so much and will continue to keep this page updated with news.
Finally, here is a picture of the infant wonder, Isabella Vivian, with a sampling of her sisters. She is a continual sign of God's mercy and faithfulness to us.
Friday, October 6. But the Lord abides forever; He has established His throne for judgment, and He will judge the world in righteousness; He will execute judgment for the peoples with equity. The Lord also will be a stronghold for the oppressed, a stronghold in times of trouble, and those who know Your name will put their trust in You; for You, O Lord, have not forsaken those who seek You. Psalm 9:7-10
Believe it or not, there remains but one more radiation treatment next Monday and Christie will be done! Thank you, God! Thanks to the Lord for His grace and steadfast faithfulness through these last five weeks (and these past 11 months). We can't quite believe it.
One of the greatest things God has done is to give my wife physical strength. We knew that at week five of the radiation cycle most patients experience significant fatigue. So far, Christie has not had suffered that. She is actually dead tired since she has some trouble sleeping, but it is not the crushing fatigue that was predicted. Praise the Lord. Of course, it is entirely probable that she will become very fatigued over the next month or so, but it is a cause for wonder that in the course of five trips a week to Wenatchee (and homeschooling her kids and taking superb care of the house) she has had energy. Another great mercy of God over this period has been the fairly mild case of radiation burn that Christie has had, compared with the severity that many patients experience.
In further encouraging news, the swelling in my wife's arm has gone down drastically. About two weeks ago, Tamara, the physical therapist decided to have her arm wrapped and even trained her how to wrap it at home. Through diligent care, and God's merciful answer to prayer (that rhymes), Christie's arm is nearly of normal circumference. What a breakthrough! For a while we were seriously wondering if her left arm was going to just keep on getting worse and worse. It hasn't. Whew!
Nevertheless, my wife is still hurting pretty good. The nerve, the muscles and the tissue in her left arm are all very uncomfortable. Her heart beats strangely and the effects of the Taxol (neuropathy) in her hands and feet is worsening. Even so, she has braced herself against all of this with grit and mettle. Her parents should have given her a classic Puritan name like "Tenacity" or "Constance." I've spent a lot of time over this last year watching a human being trust God through overwhelming change and great discomfort. Please continue to pray for Christie, as I know you are. Now that she is almost done with the steepest sections of her treatment plan, I only wish Michaelangelo still breathed so I could commission him to sculpt a noble statue of her for Leavenworth's park to commemorate. Thanks for praying for us.