it would be really great if after a bit things get back to some state of normal 
for John with that thing gone from his spine.
 
thats a heck of a place for anything to go wrong!
 
praying,,,watching,,,
 
John

--- On Wed, 1/19/11, Emily <[email protected]> wrote:


From: Emily <[email protected]>
Subject: [TMIC] My Husbands Update
To: [email protected]
Date: Wednesday, January 19, 2011, 7:13 PM








I wrote yesterday and told you about my husband and his lymphoma in the spinal 
cord.  Here is the update that I sent out to family & friends:
 
Hello Family & Friends,
 
It has been 12 days since my last update.  Lots has happened since then so let 
me fill you in on what has been happening.  
 
John is going to therapy 5 days per week.  He certainly has the right attitude 
but sometimes his body doesn’t want to cooperate.  There is lots of weakness 
going on and we believe that it has something to do with Chemotherapy.   While 
chemo is busy killing cancer cells it does wreak havoc on the other parts of 
your body.  So little progress has been made at therapy but it certainly isn’t 
from a lack of trying.  John really wants to at least get to the point that he 
was at after leaving rehab back in October, which was basically in a wheelchair 
but could transfer to bed, toilet, chair, etc. using a walker.  As this point 
in time, he is in a bed most of the day (wheelchair 3-5 hours per day) and is 
using a transfer board to do his transfers.  He is able to stand in place 
anywhere between 30 seconds to 1.5 minutes depending if it is a good day or a 
bad day.
 
Marcella continues to be a nice place.  The amenities are very nice.  The 
nursing staff are very pleasant and just like with any other place they are 
short staffed and over worked.  We have found this to be true in each hospital 
and/or rehab since all of this started.  But considering it is pretty good 
there.  John attends occupational and physical therapy 5 days per week for at 
least 2.5 hours total.
 
Today, John had his 3rd chemo treatment.  When we arrived and they did the 
usual blood work and then we met with Nancy, Dr. Henry’s CRNA.  She gave us 
great news.  The lymphoma in the back is diminished….gone.  The lymph nodes 
under the arms and the groin have regressed to less than half their size 
compared to the previous Pet/Cat Scans which were taken prior to starting the 
radiation and chemo.   This is fantastic news.  John is also starting to get 
“some” feelings in his left leg….things like muscle spasms, sensations, etc.  
This is all part of the healing process….and we pray that the spine will heal 
completely and all of that will go away.  We really don’t know how much damage 
has occurred nor how much will return to good health….only time will tell.
 
John tolerated the chemo very well and was able to get the abbreviated version 
since this was the 3rd treatment.  The first time he got chemo they were very 
careful and it dripped at a very slow speed which took almost 12 hours from 
start to finish.  Today Chemo started around 12PM and he was on the stretcher 
heading back to Marcella by 3:15PM.    While he was getting Chemo we had 
Chinese food for lunch and John was able to eat 8 buffalo chicken wings and a 
platter of shrimp low mein and pork fried rice.  He even ate his fortune 
cookie!!  It was extremely enjoyable!!
 
Another good news item is that originally we were told that he would have to 
have 5 or 6 chemo treatments.  Today we were told that he only has to have 1 
more treatment which he will get on February 9th.  He will have to get another 
Pet/Cat Scan sometime after the last dose of chemo.
 
We also found out that John’s hemoglobin and hemocrit was very low today…like 
at 8.5.  So they have him an injection to help elevate that.  This injection is 
much like Procrit but you only have to have it once every 3 weeks (it is called 
Aranesp).  He will get his second dose at the next chemo visit.  Nancy said 
that the low numbers is contributing to his weakness and may be why he is 
having difficulty making progress in therapy.  
 
We also met with the Nutritionist.  John has lost a lot of weight recently 
because of the thrush he had in his mouth…it caused him to have difficulty 
swallowing.  She has recommended that he drink an ensure in between meals to 
get good nourishment and said that she was going to look at his blood work and 
contact Marcella and have him take a multi vitamin.  
 
The social worker gave us information regarding what we need to do when John 
comes home.  If he doesn’t make progress by February 5th, Medicare will not 
allow him to stay at a sub-acute facility and he will have to come home.  So we 
talked about the options that are available to us like at home physical 
therapy, visiting nurses, visiting certified nursing assistants, etc.  I will 
talk more about this as we approach John coming home whenever that will be.  
 
So that is the update….it certainly is a positive update.  We were both excited 
about the shortened chemotherapy treatments because once the chemo goes away 
the weakness will go away and he will be able to concentrate on getting some of 
his mobility back.
 
Thank you for being there when we need you….but keep those prayers coming….I 
think they are starting to work now!!!!
 
God bless all of you and keep you healthy!!
 
Love to all,
Emily/Mom
 
 


      

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