And so it ends...

I have to share the awful news...

When nothing feels "right" anymore...

I hate how nothing ever feels right anymore. Literally, everything feels wrong. I spend so much time wondering how long I will feel like this- if I always will feel like this.

Here is to hope.

John finally made it out of ICU about 2 days ago. He is on the acute floor now. We expect he may return to the rehab floor towards the end of the week. I got to spend a good bit of time with him yesterday, so that was wonderful. His lung scans came back clear, which was FANTASTIC news. Probably the best news we've gotten so far. This means no cancer in his lungs, and that we can proceed to MD Anderson once his infection clears. That may be 2 weeks, it may be 4...we wont know. I'm hoping it wont be until after Christmas so we dont have to spend the holidays away from the kids. Thanksgiving was hard for John (away from the kids, in the ICU) and hard for me too. I tried to go and be with my kids but wasnt feeling well. I picked up some bug at some point and spent a couple of days quite ill. It was terrible not being able to visit John for that time, but he basically slept for 5 days in the ICU so I think it was easier on him. So for now, we work with MD Anderson & our insurance company to sort everything out, get them the paperwork they need, and we will head that way to see if there is some hope they can offer us of...well, ANYTHING hopeful. Any treatment that will give us more time, any treatment that will preserve his quality of life...ANYTHING positive. I'm going there with high hopes and hope that I wont be disappointed. Today is our 8th wedding anniversary. While I am happy he is at least not in the ICU today, its sad that he has missed Thanksgiving, and now we will spend only a couple of hours together tonight. I picked up a cake (similar to the kind we had at our wedding) and a bronze picture frame for him to keep a family picture in his room, and I also got a chalkboard frame with a picture of just the kids that they can write on to help cheer him up. Also, I think I'll maybe bring a bottle of wine or champagne. 8 years with him is not enough. I dont know that even 8 more would be. I want 80! Here is to hope.

I dont like my days without you.

It truly sucks that I cant be with my husband every day these days. We arent far away from each other- he sits in a hospital bed probably 5 miles from me. I sit at work. If you wouldve asked me even MONTHS ago if I wouldve wanted to spend all day with him most days, I wouldve looked at you like you were crazy. When you suddenly become aware of the loudly ticking clock counting down the years, days, months of your loved one's life...sometimes you take on a new perspective or feel a different way. I'm finding that out the hard way.

Still in ICU

So much for being in ICU for 2 days. Now John will likely be there until Sunday. That will make...5 days? I tried to go enjoy Thanksgiving with my family yesterday (parents, my kid, and my aunt) which wasnt really enjoyable. I was happy to see my kids, but things are so hard right now. Additionally, I wasnt feeling well and didnt eat. My mom kept bugging me to eat (dont moms always do that? ha!) but I didnt feel well. I decided to go home and catch a couple of hours of rest before heading back to the ICU because, well, you cant sleep in the ICU for more than about 2 hours at a time. I woke up vomiting, and with a fever. I surely couldnt go back like that and get him sick, and in addition to that, John had started to run a low grade fever and have a slightly elevated heartrate. He also has been nauseated (never vomited though). So the last thing I wanted to do was give him what I had. I called his dad to go stay with him and stayed home and slept. I woke up today feeling *slightly* better (not actively getting sick anymore) but still not great. The worst part is how much I miss John. I'm sad and lonely and I want him better...he was doing SO well and this setback has been very hard. His mom suggested I "suit up" (gown, mask, gloves) and go to see him for a moment today. She's going to pick me up later to do that. I am not going to stay in there long because I still cant risk him getting sick but I just want to see him and let him know I think about him every second. His dad will continue to stay with him. I got a lot of sweet cards and a few gifts today in the mail that helped brighten my spirits. I think if I can see John and talk to him for a few minutes, it will really help brighten my day. My friend offered to come over to hang out after she gets off of work. I initially said 'maybe' just thinking I wanted to have my own pity party but im really much lonelier than I thought since I'm the only one here, so I think I might take her up on the offer. I think I'll stock up on masks though...surely dont want anyone else to get a stomach bug from me. I just am keeping my fingers crossed John gets out of ICU soon. I hate that I will have to go back to work Monday. At least when he was in rehab, I was able to work (for a couple of days...) because he was busy all day. Now he wont be. But they will also start making serious determinations on what ways we have to try and treat the cancer and prolong John's life. That scares the crap out of me, I must admit. I'm worried that we'll get the worst possible news- that the cancer has already spread.

The treatment concensus, so far...

So LSU Shreveport's tumor board and the oncologist here agree on the same basic treatment route- the tumor in John's back has to come out. This unforuntely means that he will most likely lose all or most (but probably all) function in his left arm because the tumor is either wrapped up in or situated in a whole lot of nerves that control the left arm...I didnt see the MRI's for these...now John cant have MRI's because of all the metal in his neck. The oncologist here still wants to Stage his cancer...however our adventure with leaking spinal fluid and the ICU has put a bit of a hold on that. Also, the neurosurgeon said the tumor, or the tons of nerves surrounding it (again, not 100% on what exactly is going on at this spot since we first were just so concerned with removing the SPINAL tumor) are very complex and he isnt comfortable doing the surgery. This means we'll either go back to LSU Shreveport (which I absolutely DO NOT WANT) or to MD Anderson. They have a sarcoma team there and this cancer is considered a sarcoma, so this seems like the best option. I hate that it means that in a few weeks I'll be stuck away from my kids while we sort out what needs to happen with the tumor aside from surgery- any chemo, radiation, etc. It sucks being in limbo. It sucks that John's best option is to cut a 2-3 inch tumor out of his back and lose the function in his left arm (he's left handed). It sucks that we're dealing with ANY of this. It sucks that no one managed to catch this in the last YEAR that he was having clear problems with his arm that shouldve AT LEAST required an MRI of his arm or spine and that we would be probably going through WAY less crap if he had ever been properly treated. It sucks that even with this surgery, my chances of a long term life with my husband are not great. I hate how unfair life is. So right now we wait in the ICU, then acute care, and have John's incision site clear up. Meanwhile we work out getting approval on getting over to MD Anderson so that when he is better he can go see about trying to get this tumor out of him instead of just letting it grow or sit there.

Two steps forward, three steps back

Tonight I'm sitting here writing from the ICU. John's incision started to look kinda bad about 3 days ago. Then 2 days ago I was pretty concerned for it. I kept insisting to the nurse that it just did NOT look right- red, angry, puffy, exuding something that looked like pus... She decided to call the Dr- they wanted to try to get a culture of what was leaking. First attempt was unacceptable, then they took blood, then a second nurse was able to get a culture. The culture was negative and his WBC was elevated, but nothing too crazy. They also did a CT where they could see some pockets of fluid but werent sure if it was infection or what. He was started on antibiotics. Yesterday they prepared us that today he may need to go into surgery to drain the incision site if it was infected. Today I went to see the oncologist who visited J, and John was doing his OT/PT. I thought perhaps the antibiotics were working already and surgery would become a non issue. Boy was I wrong. Suddenly I get a call @ about 10:30 that John would be in surgery within a few hours. They were going to open the wound, clean it out, and put in some sort of wound vac. This would possibly necessate a 2nd surgery and it would likely need to heal from the inside out, and this could take 2-4 weeks. This immediately made me start crying because I had hoped so badly that John would come home for Christmas. He was pulled off the rehab floor (we wented to save as many rehab days as possible!) and went to day surgery. They took FOREVER to take him back and I was SO happy when they came into give him the cocktail of Versed and whatever other amazing drugs they give you before a surgery. My mother in law was with me, so we chatted and I did some work on the computer to pass the hour the surgery was supposed to take. They finally called us to say he was out of surgery but instead of being moved to a 4th floor recovery room, he would be in ICU and would have a drain, not the wound vac, and the Dr would be out to talk to us. That was it. I was in absolute AGONY waiting the 4o minutes it took the DR to come out and speak to us. I was not quite prepared for what I was going to hear- John has been leaking CSF (Cerebralspinal fluid) since his neck surgery and the areas of fluid they saw were pockets of the fluid. The pressure from these had made his incision area "mushy" and all kinds of yummy things like that. The fluid was clear, but they are culturing it anyway. He never complained of a headache, so the Dr said we were pretty lucky that he didnt develop meningitis after this has been building up under his incision for quite a few days. He said because of the "mushy" skin around it, we may still be looking at having to do additional things to the area and even have to let it heal from the inside out instead of reclosing it (the skin is still very taunt and wants to "open" despite sutures and staples) but its wait and see. So now he is here in the ICU for a couple of days, back with his BFF the morphine pump, with a drain coming out of his neck, hooked up to a million machines. This morning he had walked 9/10's of a mile in PT. :/ This will be weeks of healing (he'll go to acute care after ICU)and of course the probability he wont be home for Christmas...we'll get to the tumor board from LSU Shreveport and the oncologist here @ our current hospital's recommendations for treatment of his remaining tumor in another post. Still waiting on recommendations from St. Jude's and MD Anderson even though I think we know what we're doing at this point...we just cant go taking out a tumor from John while he has all of this infection, leaking spinal fluid business doing on. I'm quickly learning you can NEVER take for granted that what you THINK will happen is how things will happen. For now I'm just happy that he is asleep, resting somewhat comfortably, and that I can stay with him tonight. I'm hoping to work from the hospital tomorrow, then get through the holidays (somehow...) and go back to work on Monday when John should be in acute care.