Tuesday, August 26, 2008
Aug 26th
As usual, life passes quickly and many changes occur before we have often processed the facts. Bryce started kindergarten on Monday and it has been both exciting and emotional. Robert and I placed him on the bus on the first day of school and watched him ride away without us to protect and care for him. We had to have trust in ourselves- that we had taught him the skills to be independent and successful in school. We had to trust in him- that he would behave appropriately and find his place in school. We had to trust in the school- that they would take care of him, nature him, and help him to learn. Luckily, Bryce has been excited to go and is eager to exert his independence.
I write about this because the home/school relationship is similar to the home/hospital/relationship that Robert and I have with Hopkins. We have had to spend a lot of time in the hospital, learn the 'new' rules and regulations of treating Robert's medical condition and learn to live with the 'new' normal that has impacted our family dynamic & family relationships. We have had to place our trust in the medical professionals- that they will nature and care for us. We are incredibly thankful to be working with the most caring and brilliant people at Hopkins. We ask that you continue to wish for Robert's good health and ultimately a cure. Thanks.
Tuesday, August 12, 2008
Aug. 12th
Despite obstacles we were able to go, relax, and have a good time. Some obstacles included the fact that Robert was diagnosed with an ear infection and I was diagnosed with strep on the morning of our flight out. We both got medications and packed them along with the countless number of other drugs we had already packed and headed for the airport. Other then Robert experiencing some pain on the first flight, we felt well during most of the trip. Another obstacle- My luggage did not arrive in RI. I'm not sure who was more upset. Robert kept checking with the front desk at the hotel and arranged to have them call us when it arrived- I think that he was scared that I was not going to relax until I had my clothes with me. Robert said that he wished that it was his luggage that had been routed to another airport and I agreed. Seriously, Robert and I just tried to accept it as another glitch to laugh about and kept moving as we were determined to have a good time. The luggage arrived around 3:30 the next day and I was back to being indecisive about what to wear. We had great weather beside the one rain storm that we got drenched in and really felt that the sunsets were there for our own personal viewing.
Honestly - we feel that the trip couldn't have come at a better time. We had just received good news from the doctors, the boys were content to be without us, and we were ready to take the time. We feel fortunate to be physically able to travel and to have others support us in being ready to travel. This trip would not have been possible without the support of some very caring and thoughtful people who obviously have kind hearts. We did not take the opportunity and the time away for granted and hope that we used the time to refresh ourselves and be stronger for it. Take care and may you all find peace in your lives.
Wednesday, July 30, 2008
July 30th
Robert is feeling well physically and emotionally. We are content in the moment and of course we continue to wish for continued contentment. Robert and I are taking a trip from Thur. to Tue. to Rhode Island. We are looking forward to the time to relax and be together. The boys are excited to 'vacation' without us and we are thankful that they are so comfortable to stay without us. Although it is sometimes difficult to plan to be away from the boys - both emotionally and logistically - we recognize that we all need time to regroup, reconnect, and refresh ourselves. We are thankful for everyone who helps us to function each and every day. We are not working alone here and we are thankful for the support.
Monday, July 21, 2008
July 21st
Friday, July 11, 2008
July 11th
OK- Here I go. I will try to remain brief. Tonight we watched episode 1 & 3 of the new TV series- Hopkins. Robert found it interesting from a scientific perspective and was able to watch it with little emotional impact. I viewed it more from an emotional perspective and found it difficult to watch, at least initially. Maybe because it brought back the raw emotion of our experiences at Hopkins, maybe because we got the 'undesirable' diagnosis while we watched others get a 'positive' diagnosis, or maybe because it was a reminder that we are still fighting. As my intelligent husband reminded me- he is doing well. He feels good and definitely looks good too.
One thing was and is always clear- We will be forever grateful to so many and will be spending time trying to share our feelings. Tonight, as we watched the show, we were reminded of the dedicated doctors, nurses, social workers, and staff who dedicate themselves to their jobs. We feel fortunate to be working with the 'best' of the 'best'. They make sacrifices every day to help families like us. They have taken care of Robert and me as well. I ponder how it is possible to thank someone for tirelessly taking care of others physically & emotionally (before/during/after diagnosis) and continuing to research to keep improving treatments. They are the most disciplined and selfless people and we are thankful that they are intelligent enough, empathetic enough, and dedicated enough to do such good in the world. I hope that a 'thank you' can never come to late as we now feel that we are at a point in time when we can try and express our sentiments.
A neurosurgeon said it well on the show tonight- He commented that he believes those patients who have a large support network do better then those that do not. So if I haven't articulated it well enough- let me say it like this- THANK YOU! Robert will go for his next MRI scan on Wed. 7/16. We will meet with the doctor to review the results on Mon 7/21. Since I have gotten better at asking- I will ask for your prayers and good wishes for a good report.
Wednesday, July 9, 2008
July 9th
The flight was a unique experience for each of us. Bryce was fearful and adamant that he was not getting on the plane. Trey was excited and truly viewing it with amazement. Robert and I were anxious to get everyone on the plane and keep them occupied and content. In the end- all went extremely well and it was an enjoyable experience for everyone. Let's just say- the flight attendant saw that Bryce was upset and sent the boys and I directly to the cockpit. The boys got to sit in the pilots and co-pilot's seats and were given extra special attention that put them at ease and had us all very excited. Once I realized that I did not have the camera - Robert did - The pilot got on the microphone and said, "Robert Kinberg please bring the camera to the cockpit." Imagine this- Robert has two car seats on the plane, some carry on bags, and has to move against the traffic of passengers still boarding to get to us in the cockpit. He did it and I have pictures that capture the excitement in the cockpit. These are the memories that we will treasure always.
I will draw upon this experience often as it is in some way an analogy for life. There are things that we are all fearful of and yet we can overcome them. Bryce trusted in us to be there for him (affirm his fear), to teach him (Robert talked him through what was happening), and protect him - and was able to enjoy the flight and even look forward to doing it again. Sometimes the inexperience and the fear of the unknown can be overwhelming and fearful. However, having people around us - to affirm that our feelings and fears are valid, to guide us, and to support us allows us to get through the dark and scary times knowing that we will be more experienced and stronger because of it. The willingness of strangers to reach out and help confirms that we need to extend ourselves/accept help and learn from others. The flight attendant and pilots taking time out to help the boys is equivalent to the number of strangers that have reached out to us and have given us reason to smile. And even if flying is not our favorite thing to do or our first choice of transportation - doing it and understanding that the experience opens us up to seeing the big beautiful world and the many places and cultures that we would not have seen if we had not overcome the fear - is worth it and is the power that keeps us flying again. This diagnosis is not what we would have chosen - but we must believe that this experience and all of the emotions that are encompassed in it- will open our hearts and eyes to feel and see things in ways that are unique and powerful. I believe that if we do not give in to the stress of the immediate situation and keep our eyes on the big picture, we will be stronger and better for it. Once the boys were relaxed and in the air, I had a huge sense of relief for them and told them that the world is now theirs and they can explore it.
Sunday, June 29, 2008
June 29th
Summer is in full swing and it seems that everyone is on vacation or getting ready for a vacation. We will be leaving for Georgia on Tuesday and are looking forward to being away and spending time with everyone there. This has been a time of reflection for me and I am so thankful for the way that Robert has tolerated treatments and the positive reports that we have received after each MRI. I continue to try and take each day by day. Sometimes it seems overwhelming and we have to make a conscious effort to remind ourselves that relatively speaking - we are doing very well.
We have each other and we have so much to be thankful for. We are surrounded by so many people who care for us and continue to send us good wishes and for that we are forever grateful.
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