Monday, May 11, 2009

May 11th

This weekend brought a much needed break from the hospital appointments. We were distracted by the love that was showered upon us by family and friends. People came together in ways that impress upon us how much we are being cared for. We had people help us with cleaning, yard work, entertaining the boys, grocery shopping, and pampering my soul. We receive cards, letters, and gifts that are creative & supportive, and truly keep us encouraged.
Having family here gave us a chance to sit and be together. Having family and friends come to Bryce's baseball games and cheer him on - cheers me up as well. It is difficult when Robert can not come and I feel saddened that they are not playing together. It is different - Robert was the one who coached Bryce, taught him, and stood in the field with him. Now it is mommy on the sidelines and the cheerleaders who come to support him and encourage him to keep playing. Bryce is playing and we are all excited to see it.
We had neighbors pull together and come to our rescue. They did a complete landscaping overhaul and a garage makeover. We don't even recognize our yard and it is beautiful. The garage looks amazing and is extremely functional. The beauty lays not only in the yard/garage, but in the hearts of those that came to work so hard for us. There is no way to express the overwhelming emotion that comes from seeing so many people (adults and children) come together to help us. We feel surrounded by supported and our hearts are uplifted. The spirit that drove so many to work so hard for us gives us a sense of encouragement to keep moving forward in a positive light. Each and every time we go outside or in & out of the garage, we are reminded of the support that we are being given by friends who are selfless in their acts of kindness. Thank you.
I apologize for the change in tone that the next set of paragraphs will take. The above paragraphs were written on Mon and now it is Tue. Things change daily and our emotions are running along with the frequent reports and conversations that we have with the doctors. Here is what we know- Robert can not be give the typical treatment for lymphoma (intense chemotherapy) as it will interfere with the treatment of the brain. The goal is to keep the chest tumor stable. He will receive radiation and an IV medication once a week.
Treatment for the brain will have to be aggressive as the tumors ar widespread in the brain. We will most likely have radiation with chemo (temodar- what he took before) and avastin before-during-after radiation. Basically- radiation on the chest and brain simultaneously for 4-5 weeks, one IV medication every other week and two IV medication on the alternate weeks, and oral chemo pills. It is difficult to provide all of the details about possible treatment options. This is what is important-this is an aggressive and atypical form of treatment, but Robert is Brave and wants to Fight hard. This will be our toughest fight and we know that we are not alone in this fight. We are carried by friends and family that will be with us - to help us.
After yesterdays appointments and phone conversations with our oncologists and radiologist, I could not find the good news in the bad news. I was struggling to find the positive aspect. Late last night I did realize this - Our doctors have not given up hope and We have not given up hope.
We have love and no disease can take that away. Love is our diagnosis!

4 comments:

Linda said...

Your yard sure does look awesome!

Glad you found your positive-we will continue to be hopeful for you.

Eric Marcus, ESM Realty said...

Look through the filter of what is possible and keep fighting. Robert can conquer this!

Stacy said...

You can do it! You both are strong, determined and brave. Stay positive-miracles happen every day!

Angie McLean said...

Tammy and Robert...here are some lyrics that I felt spoke to you...to your climb right now..

I can almost see it
That dream I'm dreamin

Every step I'm taking
Every move I make feels
lost with no direction
My faith is shakin

But I, I gotta keep tryin
Gotta keep my head held high

Theres always gonna be another mountain
I'm always gonna wanna make it move
Always gonna be an up-hill battle
Sometimes I'm gonna have to lose
Ain't about how fast I get there.
Ain't about what's waitin on the other side.
It's the climb.

The struggles I'm facing.
The chances I'm taking.
Sometimes might knock me down but
No I'm not breaking.
I may not know it but these are the moments that
I'm gonna remember most, yeah.
I Just gotta keep going.
AndI, I gotta be strong.
Just keep pushing on 'cause,

There's always gonna be another mountain.
I'm always gonna wanna make it move.
Always gonna be an uphill battle
But Sometimes I'm gonna have to lose.
Ain't about how fast I get there.
Ain't about what's waitin on the other side.
It's the climb.
It's the climb

Keep on moving
Keep climbing
Keep the faith


It's all about the climb
Keep your faith
Keep your faith

These lyrics are actually from Hanah Montana's most recent song "The CLimb" as I listened...you Robert and Tammy in your climb....keep the faith and keep strong and make that climb one step at a time.
God is an amazing God and can work miracles ...just you see!
Love you so and God bless!
XOXO Angie, Chuck, Gabbi, Maddi

My Condition - Glioblastoma Multiforme (or GBM)

I was diagnosed with Glioblastoma Multiforme (GBM). This condition has four different grades (I - IV). My tumor is a grade IV GBM. This is the most aggressive GBM tumor. I have included a little section of The Essential Guide to BRAIN TUMORS below to describe the condition more completely.

Astrocytoma

An astrocytoma develops from star-shaped glial cells (astrocytes) that support nerve cells. These tumors can be located anywhere in the brain, but the most common location is in the frontal lobe. Astrocytomas are the most common primary CNS tumor.

The physician, usually the neurosurgeon or neurooncologist, will discuss the type and location of an astrocytoma. The pathologist will assign it a grade. Astrocytomas are generally classified as low or high grade. Low-grade astrocytomas (grades I and II) are slow growing. High-grade astrocytomas (grades III and IV) grow more quickly. The main tumor type is listed for each grade. There are additional tumor types in each of these grades.

The WHO classification divides astrocytomas into four grades:

  • Grade I Pilocytic Astrocytoma
  • Grade II Low-Grade Astrocytoma
  • Grade III Anaplastic Astrocytoma
  • Grade IV Glioblastoma Multiforme (or GBM)

Characteristics

The characteristics of an astrocytoma vary depending on the tumor’s grade and location. Most people are functioning normally when diagnosed with a low-grade astrocytoma. Symptoms tend to be subtle and may take one to two years to diagnose. This is because the brain can often adapt to a slow-growing tumor for a period of time. Highgrade tumors may present with changes that are sudden and dramatic.

Symptoms

  • Headaches
  • Seizures or convulsions
  • Difficulty thinking or speaking
  • Behavioral or cognitive changes (related to thinking, reasoning, and memory)
  • Weakness or paralysis in one part or one side of the body
  • Loss of balance
  • Vision changes
  • Nausea or vomiting