Even more Cancer
Friday 1st May 2009
The day that all bets were off.
Waking up in the morning we were resolved to action. The tumour would be cut out and investigted, then the lab could decide what had been wrong with our little boy. We were in moderately high spirits. This did not happen.
Tim (the surgeon) came to see us in the morning with a worried look on his face. The radiographer who had analysed the MRI had re-checked the shots and noticed something new. A number of smaller spots had been spotted on his left kidney. This changed circumstances dramatically. Now, the focus had o be on saving as much of his kidney mass as was possible, precluding the removal of his entire kidney. More information was required.
Alex was still to go into surgery, but the tumour would not be removed. Instead, the surgical team would carry out an ultrasound-guided biopsy, removing a small sample of tissue from the tumour for laboratory analysis. The ultrasound would ensure that when the biopsy was caried out, the cystic areas of the tumour could be avoided, eliminating the possibility of rupturing it and spreading potentially cancerous cells throughout Alex's system. At this point roughly half of the tumours volume was fluid, accounting for its rapid growth.
In addition, while under anasthetic, Alex's canular which had been installed at Exeter would be replaced with a Hickman line, or more commonly known, a central line, allowing access directly to the major veins deep within his body.
Once more, we signed consent forms and Alex went off for surgery.
The surgical team took around three hours to carry out what would otherwise have been a quick and easy procedure. The time was taken in setting up with the ultrasound to get the right location. Nevertheless, alex returned safe and sound, and a quiet night was had by all, the youngest member of the family being monged off his tits on morphine.
Fair play to him, Tim consistently checked on alex at every opportunity over the next few days. His patient care was far in excess of what we'd expected.
The next few days would prove to be a waiting game. We couldn't move forward until the results came back from his biopsy and this was a bank holiday weekend. The labs would be on a skeleton staff for the next three days. Time to wait...
Medication
Not sure if I've covered this before but Alex has been and will be on a number of drugs. These served a number of purposes.
Amylodepine is one that alex was on from the start. It lowers blood pressure, The distress to Alex's kidney hd caused his bloo pressure to rise, The kidneys are the organ which regulates and controlls blood pressure by releasing calcium into the blood stream. Amylodepine lowers blood pressure by acting as a calcium inhibitor (I think). It has a less dramatic effect than Nephedepine, bu build up in the body and has a long-lasting effect.
Nephedepine crashes blood pressure. It was given to alex as a quick fix whenever his blood pressure exceeded safe limits.
Neither of these would be required after the tumour was gone and the distressed kidney removed or relieved.
Alex would also be put on a beta blocker later on, but I forget it's name.
Calpol, IV paracetamol, used for relief of his pain and discomfort on a regular basis and to reduce his temperature when high,
Coedene, Tramadol, Oramoph, IV mophine, all used to controll alex's pain and discomfort. They were given so often I lost count.
Rinitadine, given to protect alex's stomach from the ravages of chemotherapy,
Frusemide. Water medication to purge exess flud from his body as required. Alex was on IV fluids from the moment he go into hospital, and sometimes the fluids would build up.
Potassium, intermitently added to Alex's drip when he got low readings on the blood tests.
Type AB Rh Positive, whenever required, whenever the tumour grew it was because he'd bled into it, blood needed replacing.
Saturday 2nd May - Tuesday 5th May 2009
Waiting.
And that is all.
Alex stays on a cocktail of blood pressure and pain relief medication. We settle in. Hospital and the CLIC house seem to become a second home to us, and we discover that if you spend long eough waiting for answers you get to the point where you don't want to know them. These four days become a bizarrely safe time, one which we almost don't want to end. We can't be expected to do anything except tick over, left entirely at the mercy of the lab. While louise gets the agony of worrying, born worrier that she is, I exist in a place of 'Mushin', which roughly translates to no-mind. Having no answers, good or bad, I simply wait. It annoys the hell out of Louise, but it's my way of coping, just like her way is to worry. I deal with facts, not conjecture. That's not that the whole thing isn't vastly upsetting for me, I just don't go off on wild flights of fancy. I'm pretty sure this doesn't make me a bad person.