Thursday, April 17, 2008

the PICC has left the building

Emily's surgery went well today. We all woke up at 6:15 today and headed off to the hospital for Em's procedure. It got off to a somewhat rocky start. In order for Emily to have surgery her clotting factors in her blood needed to be checked since she has been on Lovenox. They were not able to draw blood from the PICC line so they had to poke her again. She was so upset that they had to give her 2 units of Versed to calm her down. Versed also makes you have amnesia so she also won't remember having her blood drawn. In fact they gave her a stuffed animal after they drew her blood, and 20 minutes later she was asking where the stuffed animal came from. After a while we got the lab results back that told us that Emily could have surgery, so at about 10:30am she went into the O.R. Her procedures lasted around a hour and a half.

She got her implanted port, which I have been calling a "mediport" in previous posts. It turns out that Mediport is just a brand name and she ended up with a different brand, but it's still an implanted port. What does that mean? I had no idea until a few weeks ago myself. Basically she has a little walnut sized bump in the middle of her chest, all covered by her skin. So when they don't need to access it, there are no tubes (or lumen's for the medically trained readers) hanging from her body. She can take a bath, or in the summer she can swim with no worries. When they want to access her port, they stick a needle into the walnut shaped bump in her chest and can attach IV medications to the needle. The access needle can be left in place for up to a week, so when we have things going on every other day we will just keep it accessed and flush it like the PICC.

They also did all the other procedures we were expecting. They removed the PICC line, gave her methotrexate, and took bone marrow for testing.

We still do not have any results of the scans earlier this week.

Emily should not have to go back to Packard until next Monday, when they plan to give her a transfusion, to give her a little boost for the second phase of Chemo, which is now set to start on Tuesday.

Last night to prepare her for surgery we had to scrub her head, and as a result the hair loss is pretty noticilbe. you can now see scalp around much of the top of her head, and all day we have been finding hair everywhere she's been sitting. My best guess is a week from now Emily will be bald. A lot of people have asked me if I plan to shave my head when Emily goes bald as a sign of support. (Not that I have that much to shave :-) ) But Emily is dead set against me doing that or even suggesting it at this point. and other people have asked me if she would like them to shave their heads, and the answer is always no.

That's about it for today's update. My Mom's heart surgery is at 10am tomorrow. She was told today by the cardiac surgeon that she was a walking time bomb and is extremely lucky to have had this caught. If she goes into pain tonight they will do surgery even earlier. They also told her she has between %97 and %98 chance of surviving this surgery, so I feel somewhat assured that she will be ok. Her recovery will be tough, since she also had a knee replaced not too long ago. Once I know she has survived this surgery, this blog will go back to %100 about Emily.

It has also been a while since I said "thank you" to all of you who have been supporting us through these weeks and what will turn into months and years. I can't believe this happened to us, I still can't, but I am so thankful that we haven't had to do this all alone.

12 comments:

Linda Curry said...

Dear Chris - We are so glad that things went well today. Thanks so much for the details on the implanted port. The port should make her blood draws and other needle-related activities so much easier.

It is sad to think of all that beautiful hair going away but my own experience is that it will all grow back again very quickly after the treatments stop.

We'll be sending supportive thoughts your Mom's way tomorrow.

Do you have enough going on in your life?
Love - Linda

Emma said...

We are so glad to see that everything went well today with Emily and that she is doing okay. We hope she gets some rest this weekend to ready herself for next week. It must be so incredible hard to see her losing her hair, she truly does have an amazing spirit that she will do it on her own without others doing it for support. You both must be so proud of what a wonderful, sweet girl you have raised. We will be thinking of your Mom tomorrow as well and sending good wishes her way.

Anonymous said...

We're very happy that Emily's surgery went well.

Prayers for everyone and your mom, especially tomorrow.

Lots of love, kisses and hugs,
Auntie Diana ~^..^~ and Uncle Marty

Unknown said...

I hope that everything goes really well tomorrow with your mom's surgery. Thank goodness they found this condition when it was still operable. I cannot imagine the amount of additional stress this must have caused you all.

Big hugs to Emily~such a trooper!

I am happy to hear the port placement went well, but I am sorry to hear about her hair. Some of my oncology patients were grateful for the wigs they were able to get through the American Cancer Society, so that is a potential avenue should Emily choose to wear one.

My thoughts and prayers are with all of you-

Michele

Anonymous said...

Hi Chris,
Hooray the Port is in! Just a few days from now it should feel better and not be so tender. How nice that the needle can stay in up to a week.

You know Kaeli was dead set against me or my father shaving our heads either. She thought we would look too weird. My husband already shaves his head.

Who did Emily's spinal tap and bone marrow test?

You know we have, which is kinda strange, a hair ball from Kaeli's head. She liked to save her hair.

I hope all goes well for your mother...it sound like it will.

Take care, Theresa

Anonymous said...

Hi Pepper Family-

We are all thinking of you - all of you in each generation! What a time - I hope you can feel our healing thoughts and very positive, caring energy your way. Take care and we hope to give you all big hugs soon!
-Jess, John & Gang....

Jane Izumi Matsumoto said...

I am glad everything went well today. Will be sending happy thoughts to Emily as she rests up and good wishes to Grandma Gail for a successful surgery. Hang in there, Pepper Family! With love, Jane.

Anonymous said...

We are so glad to hear that Emily did well yesterday, even with the rough start. She is so courageous to keep going forward. We can all take a page from Emily's book. Tell your mom we're thinking of her and wish her well with the surgery. Thanks for keeping up the blog and letting us all keep on top of what's happening too.
Take care,
Love, Grannie & Grampa

Anonymous said...

We are so glad out here in Pleasanton that Emily did so well today. We're thinking good thoughts for your mom today...

The Pearce's

Three Paper Pigs aka Twin Soul Art Studio said...

It's so great reading the blog, and even through the ups and downs, scary moments of anticipation and realizations, there is always PROGRESS and that is awesome. We've added your mom to our prayers, which Caitlyn and I never forget to do. Thoughts of Emily are always fresh on Caitlyn's heart and a day does not go by where she doesn't wonder how Emily is doing. Can't wait to catch of glimpse of Emily today and see you guys for a bit as I'll be bringing food over tonight.

Lots of Love,
Jeanne & Caitlyn

Anonymous said...

We're so pleased Emily's surgery went well, we think about you all often. Please give our love to Emily and tell your mum we send our love to her also.
lots of love to you all
Penny, Bob & Rosey
xxx

Anonymous said...

I'm glad to hear Em is home and all went well. Sending thoughts and prayers for Em's grandma.

Em, I have some sour candy for you from Marilyn's place. Do you still like sour candy, or are you all about the popcorn now? You're our Thursday girl, and we always miss you heaps those afternoons.

Lots of love,
Kim Z