It's Not a Sprint

Hi everyone

I’m still pretty much laid up in bed and I won’t lie, there has been a significant amount of pain.  The phantom pains are not letting up.  I thought they had subsided a little, but they returned with all their phantomness and a little more.  When I was in middle school, our mascot was a Phantom.  Maybe it was a foreshadow?  Describing the phantom pain is both fascinating and disheartening.  When it is really bad, I have sharp pain in my index and middle toes on my non-existent foot.  Those have been around for a while.  My left lower leg feels like it is tied around my thigh and someone is pushing on the sole of my foot with a rolling pin. I also experienced a new pain yesterday – a Charlie horse in my left calf (the non-existent one.)  Whoo-hoo!  That was fun!  I’ve read stories and blogs of unfortunate folks whose pain persisted for years.  For me and my family, I certainly hope that is not the case.  I am communicating this not just to whine, but also to convey what an amputee might go through after surgery especially the phantom pain. Disrupted sleep also becomes the new normal.  I wake up several times a night and take meds.  But I’m realizing something else with all this pain.  This is really the first time in my life that I’ve had to deal with significant pain on a daily basis for a long period of time.  Pain management includes of course lots of pills. But for me it also includes meditation.  Through meditation, I am able to control my mind and put it in another place – in a past memory, in something my imagination generates, or at work.  I can put my mind almost anywhere.  And remarkably that takes the phantom pains away.  It’s not long lasting and only persists as long as I’m meditating.  But it is a powerful weapon against pain.  I can live with the pain, as long as I know that eventually it’s going to diminish.  I think most of us fear the idea of pain more than the actual pain itself which generates stress and anxiety.  Most of us have heard the saying that pain is just weakness leaving the body.  That may be true of folks who are attempting to better themselves through exercise, but long term, chronic pain is a lot of weakness leaving the body!  And I’m not seeing the benefits of exercise once this pain is gone.

I started meditating last December to learn how to relax and reduce stress a little more than just vegging in front of the TV.  I read a short book (Mindfulness in Plain English by Bhante Gunaratana.  $10 on Amazon) that outlined the basics and also explained what meditation is and isn’t.  I told myself I would do it for a month, 30 minutes a day and just see if it had any impact.  After the first two weeks I could already detect a difference in my relaxation abilities and after a month I was hooked.  I even splurged for a meditation cushion that Jenn refers to as my tuffet!  I have pretty much kept the same routine of 30 minutes a day, when I can, since December and have seen astonishing results.    Meditation allows me to relax, but more importantly, it allows me to suppress the “monkey mind” or “mind chatter” that use to plague my thoughts through the day.  It increases my mindfulness, which is the ability to separate myself from life experiences and see the experience with a detached objectivity.  It allows me to separate important thoughts from the not-so-important ones.  It has given me the knowledge and skill of how to truly live life in the moment and to see the incredible beauty of everyday objects and experiences. It also has allowed me to powerfully recall suppressed memories and life experiences, both good and bad, from childhood and adulthood, and then cope with those memories if needed in a healthy manner.  Meditation has increased my empathy and compassion, patience and peace and has filled a void that I was unaware needed filling.  Before meditation, I certainly would not have labeled myself as a lost soul.  Life was wonderful and I was very happy and would not have complained about too much.  Meditation just gave me a tool that prioritized my life in an unexpected manner.  I’m certainly no expert and haven’t started ordering my Buddhist monk robes yet, but it is something that has allowed me to see, and more importantly cope with reality in a simple and effective manner.  When the reality of cancer entered my life, I truly believe that my ability to see the truth of it, accept it, and quickly begin to deal with it can be attributed to the skills that meditation taught me.  It’s like anything though.  There are good meditation days and bad meditation days.  But the overall benefits that accumulate through daily practice changed my life in so many positive ways.  If you would like to know more about it, please let me know and I’ll probably go on and on!

My physical therapist came by twice this week.  She showed me exercises that help strengthen Short Round to prepare for a prosthetic and also prevent my hip flexor from tightening from too much bed rest. She forewarned me to take my pain medication an hour prior to her arrival – not exactly what I wanted to hear.  In the end though, the exercises weren’t too bad and helped me move around a bit more.  I’m glad the physical therapy has started.  I wasn’t sure how much movement I should be doing with Short Round.  In addition to the wound closure, there are sutures inside as well.  I don’t want to disturb them too much.  So when the therpist said I could walk around on crutches, lift Short Round and basically do all types of exercises, it was as if she gave me permission to move and I went to town.  Probably too much that first day though.  My leg was in a lot of pain that night.  I’ve attempted to discern the pattern of what generates the phantom pains.  I think basically the more I move my leg early in the day the more it will hurt that night.

For Thanksgiving, my sister and her two daughters are coming up this week to join my folks who are still here helping out.  The boys can’t wait to see their cousins.  I have two appointments this week – one to remove the stitches and the other to get blood drawn and see if my heart is strong enough to start chemo after Thanksgiving.  Because of the full support of several visitors, but more importantly the boys and their wonderful, child attitudes, our home is still overflowing with positivity and hope as we transition into the next part of this experience – chemo.  Thank you everyone for your continued support, prayers and thoughts!

P.S.  I have to include this experience from last night.  My beautiful, supportive, and caring wife was double checking my nightstand last night to ensure I had all the necessary equipment, water, and medication to make it through the night.  I told Jenn I was looking forward to watching “Amadeus” and being distracted for a few hours.  Jenn smiled lovingly, bent over to kiss my forehead, and whispered, “You sure you don’t want to watch “My Left Foot?”, then laughed her way out of the room.  I love her.

Hunter

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Hi everyone

Jenn drove me home from the hospital on Saturday. Before we left, we actually had time to ourselves for a couple of hours while waiting on the release order.  We talked at length about one of the more frightening aspects of this whole ordeal: me dying sooner rather than later.  I still don’t even want to assign actual numbers to the abstract terms “sooner and later.”  I’ve mentioned it a couple of times in the blog, but Jenn and I had not really sat and talked about it.  I know we still have a long journey full of scans, diagnoses, difficulty reading doctors’ faces, fear and relief.  But, while it’s not easy, Jenn and I believe that simply talking about difficult issues diminishes their ability to instill trepidation in us. What’s going on in Jenn’s head about an issue is usually much different than what’s going on in mine.  It’s no different for a cancer diagnosis.  And if one of the goals is to reduce distress and chaos throughout this, we need to know what the other person is thinking.  Getting the issue out of our own heads, where the actual problems related to the issue are often magnified and distorted from the facts, into the open is always helpful for us.  It’s never easy, but the end result is usually relief and much less stress.   We seized the opportunity.  It was hard but we did it.  We cried…again a lot.  We hugged hard.  Obviously it’s not something that anyone wants to put thought to, but our hand has been forced.  And, like all issues that need resolving, this one did not seem as upsetting after we talked about it, honestly, openly without holding anything back. 

The pain level in Short Round has significantly increased over the last few days.  The phantom pains seem to be leveling off, but now pain in the limb itself is apparent.  One of the tools for pain that the doctors used was two catheters running on the inside and outside of Short Round respectively.  The catheters were steadily delivering some sort of nerve block solution to two primary nerves.  Unfortunately, I had to remove them on Sunday and it was then I realized just how well they were working!  There is a lot of pain now.  If I keep Short Round immobilized it’s not too bad.  But if I get up and move around, I can feel everything shifting inside and it’s painful.  I didn’t feel this with the nerve block, which explains my successful laps on the walker/hopper around the hospital.  Now, I’m having trouble watching anything funny on television because laughing hurts too much! However, this too shall pass. 

I love being around my family.  My boys are nothing but energy and fun, but sometimes giving them enough attention is exhausting.  My folks are still here to help with everything from laundry to making meals to just being around the children when I’ve had enough. 

My days now consist of lying in bed either watching television or reading and just letting the healing happen.   If you have experienced this lifestyle or know someone who has, it’s not easy.  Our society has evolved to a point where simply lying around is not easy.  There is always something to distract from being bored or someone to talk to.  I want to just get up and walk/hop around the house.  Unfortunately, doing that seems to aggravate Short Round and I need to quickly lie down again.  I’m also realizing everyday tasks that I once had control over are now not completely mine anymore.  After a long day of lying in bed yesterday, and a restless night’s sleep, I wanted to shave this morning.  But I didn’t just want to shave.  I wanted to exhibit just a little autonomy in this helpless situation.  Jenn could have easily assisted me with it, but I needed to feel that I could something with just a bit of significance by myself.  I hopped into the bathroom with my walker/hopper and sat sideways in front of the sink.  I should have inventoried what I needed because I couldn’t reach anything and didn’t want to get back up to retrieve them.  Luckily my 3 year old was around to gather materials for me that were once out of the conscious region of my thinking process.  I do feel somewhat fortunate in the thought that this is temporary.  Once I’m vertical again with my prosthesis, I can push thinking effort back to the subconscious so I don’t have to think about shaving again.  I can just do it. 

After I finished my little victory (yes, still with the aid of my son), I got up on my walker/hopper to shuffle back to bed.  Catching myself in the mirror, I noticed Short Round, wrapped up and kind of just dangling there.  It took me by surprise again, my missing leg.  It’s gone.  I see it not with sadness and what I’m missing, but as my new reality.  My new normal, as a friend quoted on the blog.  My new normal won’t consist of the pain and discomfort that accompanies healing.  It will be getting up at 3 AM to use the bathroom and cursing because the boys misplaced my leg.  It will be a hurried feeling in the house as I search for my running leg to get in a run before work.  It will be sitting on the couch with Jenn, after the boys are asleep, watching Dexter, and not even thinking about my leg.  It will be taking the boys to the playground.  The new normal is a goal well worth whatever I have faced or am going to face. 

Things have settled down a little bit since I first started this blog.  I’m going to take a break for the next week or so and just allow more healing.  Since not much will be happening until I get back to the doctor (Nov 20^th to get stitches out, and 21^st starts physical therapy), I may be somewhat idle. However, please don’t hesitate to post or to ask me any questions. 

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I did not anticipate the incredible amount of support and love and that has been flowing from the comments on this blog.  I’ll reiterate how humbling and uplifting they are.  While waiting to go into surgery, I read through all the posts knowing that an unexpectedly large cohort of friends and family were pulling for me, selflessly taking some of your own time to pray, think, and send out positive energy.  I closed my eyes for a few moments to imagine it as some type of network, interconnected to help one person.  And in those moments, I realized more folks than just me were (and still are) helped. I have to believe that, while directed toward my current situation, reading through all those eloquent (and sometimes a bit too revealing!) posts that ideas were generated or thoughts arose in other folks as a reminder to call mom or dad, to check on the kids, to be a little nicer, or to just appreciate their current life situations.  Believing that one person is unknowingly helping another personally brings me peace, mindfulness and patience in this chaotic time.

Regarding everyone’s responses, please allow me time to respond accordingly. I realize that several of you will not require a response from me and thank you for that consideration.  However, I don’t think the blog is at a tipping point where there are too many posts for me to handle.  I’ll play that by ear.  But right now, responding to these inspirational and nostalgic prayers/stories/memories is important for me even if it’s just a thank you.  I want to and do not feel it’s an obligation.  At this point in this life-changing journey, establishing connections and communication is healthy, therapeutic and healing.  And I have to set the record straight on some of them!

We are fortunate to have the neighbors that we do.  We have only lived in our current house for 15 months, but from day one, our community has welcomed and treated us like 20 year friends; just such a good group of folks.  The night before surgery, a few of them dropped by to express their sympathy, talk, and have a group prayer.  It was just really nice.  Unfortunately, I think I was upright a little too long and the tumor either was shifting or had grown some after the biopsy, but regardless of the reasons, the word ready did not describe how much I wanted my leg separated from me.  It just hurt and lasted through the night.  So when I woke in recovery looked down and saw my leg was missing, I was beaming like the Cheshire Cat.  No more tumor pain!  I realize there is more pain ahead, but it is recovery pain and is much more tolerable.  The doctor informed us that the tumor had grown a bit more toward my knee and she believed that I was in for an even more world of hurt had we not amputated.  That was reassuring.  While I was in surgery they also implanted my chemotherapy port which significantly speeds the chemo process when we begin.  Nice. Two birds with one stone.  It was a good day!

I’m not sure how it happened but somehow I scored my own room, which is actually quite large.  Yesterday, I had several visitors.  My folks are up for the fun and to help with the boys.  Of course Jenn was here.  And many colleagues also took time away from their own lives to see me.  They brought a lot of food; critical for overnight stays at hospitals. Having visitors in and out yesterday helped me shift my focus from the pain to being a part of their lives for a few moments.   At one point, we had eight people in the room and while everyone was chatting, a physical therapist came in and informed me that I needed to attempt to “walk” around on a walker.  There was an awkward silence as people weren’t sure to stay or leave.  I decided I needed all the support I can get.  So, uncomfortable or not, several friends and family were a part of my first steps as an amputee.  It was perfect.  Not wanting to fall in front of my support team was an excellent incentive to succeed.  The walk went fine (although I think for one-legged folks it should be called a hopper, not a walker).  But what was even more satisfying was watching people sharing their lives with strangers and enjoying time out of their schedule to get to know someone else.  This experience is bringing people together in unimaginable ways.  Through both the blog posts and the visits I’m receiving, I think several people, including me, are realizing the positive results of what was originally a negative circumstance.  I believe this is one of the best ways to beat this thing.  I certainly haven’t thrown in the towel yet and plan on being around for a long, long time, but if I do succumb sooner rather than later, the radiant positivity and lighthearted atmosphere that has been generated (and so much more to come) will be the ultimate win.

Right now, I’m experiencing phantom pain, which is believed to result from the brain slowly turning off the neuronal pain pathways after a limb separation.  It’s really bizarre.  I’m physically sitting up right now, looking at my missing leg, knowing it’s not there, but feeling sensation and pain from it.  It feels like my leg is bent at a right angle going through the bed.  When I try to wiggle my toes, it feels like my leg is paralyzed.  And I can feel pressure on the bottom of my foot like it’s sitting on the floor.  Occasionally, there is pain, but again, it’s pain in the recovery category, so mentally it’s much easier to handle.  I have a lot of pain meds too, so life is good!

I’m not particularly fond of the term “stump.”  It’s a bit too brutal and makes me think of trees.  So I’ve renamed my stump to Short Round, after the character in the second Indiana Jones movie.  I think it is much more fitting.

I also want to document just how much Jenn has been a positive influence through all of this.  The whole situation is unfair for her in more ways than just me.  This is not Jenn’s first experience with cancer.  Her mother unfortunately passed away when she was 48 from a rare cancer and Jenn was only 20.  When this all first started, I wondered how she was going to cope.  I can only describe her contributions as nothing less than remarkable.  The easy road for her would have been to shut down.  But I have basically put my life in her hands and feel the strength of character and motherly love when I hold her.  I could not have the attitude that I do without her support and smile.  I love my boys and know they are well cared for throughout all this.  I love her more than anything and am just reassured when she is near.  Thanks Sweet!

Walker / Hopper

Hunter

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Hi all- Jenn here with a quick update about today. Hunter’s surgery went smoothly, and we were just moved to his room. He’s pretty drugged up, and while its very tempting to record him, I’m just going to enjoy the little Hunter-isms all myself:) I know he will be posting information in much greater detail over the coming days. I can’t express enough how overwhelmed we are by the love and support we have received from those near and far. It’s so comforting to know that we’re not alone in this. I too look forward to his next update here, as his great strength and positive attitude has greatly helped me in accepting all of this, too. I’m off to fetch him some Chinese food since he hasn’t eaten since 10pm last night. Know that he’s well taken care of, and is looking forward to updating soon.

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I know several of you have been waiting for the results and you probably realize that since we didn’t immediately jump for joy and send texts and emails, it wasn’t good news.  We saw my doctors yesterday and I’m afraid the results fall into the really BAD news day category.  Unfortunately, the PET/CT scan showed the tumor is metastatic and has spread to my lungs as well as some in my pelvis bone.  And the worst news is that it is incurable.  Chemotherapy will be used to treat and manage symptoms as they arise.  I was sort of expecting the lung spread because of symptoms that I’d experienced at home this week: some shortness of breath and coughing up a little blood.  But the incurable part is tough to digest.  It is quite shocking and we are still letting it sink in.

I realize a lot of people wanted to know the results, and I wanted to post them rather quickly.  Right now I’m not quite sure how I’m going to process this.  I do know that in the next few days and weeks we will go through a roller coaster of emotions that will equate to being in the back car of the Scream Machine at Six Flags. We have already and will continue to cry…a lot.  The thought of my boys and wife not having me around is beyond sadness and I can’t begin to imagine it without losing complete control and tears welling.  Crying is not held back here, especially lately.  We will get angry, but that probably won’t last long. Anger rarely helps solve problems.  We will question the fairness of all this.  But, given that I now have a countdown clock with unknown numbers above my head, any time wallowing “why me” is not well spent.  We will also laugh some more.  Regardless of how dire the situation, laughter and positivity will continue to be an essential coping mechanism for us.  I hope, through this blog, to continue to make fun of this bully all the way to the end.  No matter how much time I have left on this earth, cancer will win if I allow it to transform me, to depress me, or to take away any of my spirit.

The amputation is still on schedule for Wednesday.  My leg has grown quite painful and I’m at the point of just wanting to get rid of it.  I will begin chemo to treat the metastasis after Thanksgiving.  For those who may be unfamiliar, chemotherapy is basically a regimen of drugs that are designed to target and destroy cells that grow more rapidly than other human cells.  Cancer cells fall into that category.  So the drug will hopefully shrink the lesions in my lungs and bone and leave the rest of my body alone, except for hair follicles and intestinal cells which also grow rapidly.  That’s why during chemotherapy patients lose their hair and experience nausea.  I’ll probably be nice and hairless by Christmas, just when I found a good local barber. Hats may be on the Christmas list this year.

More to follow, but I wanted to get the results out.  Thank you to everyone again for all the support and posts.  Your prayers and thoughts are incredibly encouraging and uplifting.  It’s only been three posts so far, but this blog is turning out to be extremely therapeutic for my family and me and the support it has generated is humbling and overwhelming.

Hunter

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First off – thank you everyone for your reading of and commenting on the blog.  I’ve never kept a blog and didn’t realize how much of a positive impact that supportive comments would have on me and my family.  Reading all the generous and kind responses is very uplifting and helps keep everyone a little happier.  So again, thank you.

No major medical updates today.  I had my PET/CT scan Thursday to determine if the tumor has spread to other tissues, but won’t know the results until Monday.  I spent part of yesterday shopping online for new accessories for the house – hand rails for the toilet, a shower chair, and materials for a wheelchair accessible ramp that Jenn’s godparents are graciously building for us – yet another realization that changes are imminent.  Shower chair?  Really? In another gracious example of folks helping where they can,  Jenn’s godparents and their daughter and new husband, Jimmy, an architect, spent the weekend with us so they could help accessorize the house to allow me more mobility following surgery.  Quickly realizing that dignified and civilized body maintenance is soon to be suppressed, I showed Jimmy how I would take a shower, sit on the toilet (smartphone in hand of course), and shave (not on the toilet) so he could assess what would be necessary for one-legged progress in just getting ready for work. Somehow it made the day a little more real.

The amputation will most likely happen on Wednesday.  Jenn and I are meeting with my oncologist on Monday to make the final decision but based on what we know now, it’s already made.  Even if the PET/CT scan comes back with metastasis, amputating the leg will probably happen before chemo rounds.  I think we can all agree that an amputation is one of the more disrupting experiences in life.  It’s troublesome to a family.  Learning to walk again will take a long time.  I wasn’t very good at it to begin with!  And even after a prosthetic is in place, there will be instances when I won’t have it available and crutches or a walker will probably be my alternate mode of transportation.

While the ability to choose to have an amputation rather than waking up unknowingly to one is fortunate, it does add to the surrealism of the whole experience – but in a positive sense.  I have tried to imagine what to expect on the day of surgery.  I’m sure it will be similar to my biopsy surgery.  Arrive and check in, put on the paper papal robes, sit with Jenn, answer my name, birthday and what procedure I’m having done from several medical staff (one of the better inconveniences though; I’d rather repeat myself a few times than wake up with buttock implants….I wonder if Tricare covers those?), be wheeled into the operating room and go to sleep.  Then wake up.  For me, it will be like time travel.  I’ll go to sleep and wake up oblivious to any passage of time.  Of course, unfortunately it won’t be so quick for my family.  If all goes as planned, I’ll wake up missing a significant portion of my body – one that I’ve grown accustomed to over the last 41 years.  And I’ll do a little more research but I’m pretty sure it won’t grow back.

While we all hope that amputation and follow on chemo will eliminate the tumor and will bring some closure, the reality is that the cancer vulture will be ever present in our lives. Metastasis is always looming.  When (if it does) will it rear its ugly head?  5 months, 5 years, never?

I’m sure folks who have been through it either themselves or with loved ones realize that cancer is a one two punch.  You don’t get to just mourn the loss of a limb or organ, which itself is a big deal.  Like a criminal who got away with a crime, you are constantly looking over your shoulder.  I’m losing a leg for crying out loud!  Countless other courageous patients lose major organs or other body parts and that’s not enough sacrifice?  What a bunch of hooey!  How do I get my money back on this whole cancer thing?  I’m quickly learning how this leads to living with it, or rather, embracing it.  While not my choice, it’s now a part of my life.  Even with a clean bill of health, who knows what sinister cells are simmering just waiting to slowly divide and start proliferating.  Prior to the diagnosis, I had deliberately begun to change my mindset of the world.  I was learning to live in the moment and not fear the future or dwell on past mistakes.  Now, after the introduction of cancer to the Lindsey family, what matters is this moment – enjoying the color changes of the leaves, the laughter of my children, my wife drying her hair.  And most everything that was once annoying and inconvenient becomes beautiful and real.  While maintaining the understanding that I’m going to vigilantly fight my cancer with violent aggression, I still have room for a somewhat cliché, but life-changing paradigm shift: can today be my last day and I have no regrets?  It will sometimes be difficult to sustain this worldview, but it’s necessary.

Once we hear the results on Monday, I’ll post an update.  Thanks everyone for reading!

Hunter

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Hello all

By now you may have heard that I have been diagnosed with cancer.  Here are the nuts and bolts.  Specifically I have been diagnosed with a malignant synovial sarcoma in my upper left calf.  It started last summer and I (and my doctors) initially believed it was a calf strain that occurred in June while I was running.  I was able to pinpoint a specific time that the strain happened.  An MRI confirmed it and the docs saw a hematoma (blood pooling inside from the calf strain) that they believed would dissipate with physical therapy.  I went to physical therapy from June until August and was responding well. Then the pain from the calf strain unexpectedly returned at the beginning of September.  Because I could not pinpoint an exact time of when the pain returned, my physical therapist recommended that I go back to the sports medicine doctor.  After seeing him, he recommended that I see an orthopedic oncologist to rule out anything suspicious.  Not sure about that “rule out” term anymore!

The oncologist examined my calf and ordered another MRI, which I had in the beginning of October.  After comparing the two MRI’s, she determined that the mass in my calf was growing and that she wanted to conduct a biopsy.  I had the biopsy October 19^th and she was able to determine the malignancy immediately.  So I knew that day that I had cancer.  She also mentioned that day that she believed it would be a 70% chance of amputation, but would know more when the final results of the pathology of the tumor came in.

She called me last night with those results which narrowed down the type to the synovial sarcoma.  Unfortunately, it’s pretty rare and does not tend to respond well to chemo and radiation treatments.  The tumor is also wrapped around muscle and nerve fibers so surgical removal would be difficult.  Therefore, amputation is the best alternative to minimize recurrence or metastasis (cancer spread from primary site to secondary, i.e. lungs or lymph nodes) months or years down the road.  Jenn and I are on board with her initial prognosis.  I have another scan (PET/CT) this Thursday to determine if the cancer has spread.  I’ll meet with a medical oncologist on Friday to discuss chemo/radiation options, but again, based on what my first oncologist is telling me, results are mixed with this type of tumor.

Monday, November 5th will be the final decision day for amputation or not.  Ultimately, the decision will be left to Jenn and I but we feel very well informed by the docs here at Vanderbilt.  If we do decide to amputate, it may very well happen next Wednesday, November 7^th!  Wow!  It would be an above the knee amputation of the left calf.  I would be in the hospital for 4-5 days and go home for another 1-2 weeks to recover.  Once recovered enough, I believe I would go through a round of chemotherapy to ensure any possible metastasis is addressed, but that is still undetermined.  Once fully recovered, I would get a prosthetic leg (wait…faint memory of my Steve Austin kindergarten lunchbox) 6-8 weeks post surgery and start learning to walk again sometime after Christmas.

Right now, the tumor is more annoying than anything.  It is compressing a nerve that runs to the sole of my foot, so it feels like my foot is constantly waking up from being asleep.  Every so often a little jolt of pain, like a pin prick, decides to show me that I really don’t have full control of my body!

Emotionally, Jenn and I are coping.  Usually, after hearing some news, we cry, hug, figure out how to tell the boys, then adapt to the latest situation.  Humor is a big part of my coping mechanism.  I’ve always been pretty good at accepting what can’t be controlled and focusing on what can.  The same applies for this tumor.  While the news has been difficult to digest occasionally, we deal with what we have and focus on the positive.  We’re very fortunate this happened while we are at Vanderbilt.  They have one of the best cancer centers in the country.  I have been in touch with the Army and West Point and both are supportive of keeping me on as long as I can perform my duties as an Army officer with a prosthetic.  Ultimately, that will be decided by an Army medical review board, but my current career field (Nuclear and Counterproliferation) does not have me kicking in too many doors, so I believe I will be able to continue on provided the spread is controlled.  I’m encouraged and completely humbled by the Soldier amputees that I have had the privilege of witnessing in my career.  I realize I am fortunate that I have time to adjust to a potential amputation where many Soldiers do not.  More often than not, they don’t have a choice and only realize they are missing a limb waking up after a large explosion.  They have provided and will continue to provide inspiration to me as we go through this journey.

Jenn has been a source of immense strength through this so far.  She has been nothing less than incredible.  From taking care of the boys while I lie around moaning probably a little more than I should, to helping me change dressings on my biopsy wound; she is a source of overwhelming inspiration and will continue to be through all this.  I didn’t think I could love her more before this, but somehow I do.  I just don’t know how I would have  to go through something like this without her.

We also have been completely encouraged by the overwhelming support that our Nashville friends and family have selflessly provided.  Our neighbors have offered their full help and with the boys, we know we will not be able to do this without them.

So that’s the first update.  I’ll post more as we go through this.  Hopefully, my words will help reassure folks and keep everyone informed.  Thank you for all your thoughts and prayers.  I never realized how much they would mean in a situation like this.  Please keep them up and please let us know if you have questions.

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