Update on Carter's eye. He is healing fine. The patch came off yesterday. There should be no further complications. I am thankful!
As I sit to write this post I was reminded while driving home from Dr. Needles that ". . . those who hope in the LORD will renew their strength. They will soar on wings like eagles they will run and not grow weary, they will walk and not be faint." Isaiah 40:31 My appointment was at 9:30, yet we didn't get to see him till 10:30. I didn't mind for it was great conversation time with Dave. We hardly have time at home to connect. He shared with me work related stuff. It was good to chat and converse.
Now to the results of the Tuesday MRI. As you know Dr. Needles had this scan compared to April, June and September scans.
"Brain sequences again demonstrate postoperative changes of the superior anterior right frontal lobe, with surrounding T2 hyperintense signal around the cavity margin. This appears minimally increased at the posterior superior cavity margin, measuring 12mm (compared with 11mm 9/11/2007 and 7.6 mm 4/11/2007). There are no areas of abnormal enhancement. No other interval change is seen. The brain parenchyma, ventricles, cisterns, major arterial flow-voids, mastoid air cells, and paranasal sinuses are otherwise normal" - Whatever those are but thankful they are normal!
So in short, there has been a 4.4 mm increased change since April. Dr. Needles is wanting Dr. Forget, my neurosurgeon, to look into this for further consultation. The options are that it is just surgery / radiation scar tissue or the dreaded cancer regrowth appearing. Dr. Needles wants to be sure and find out quickly. When asked how he was certain in September that the "minimally increased white matter" was scar tissue he responded that we were only able to compare to June not the April scan. I am thankful that the April scan was available for comparison this time.
What to do from here? Wait! I walked over to Dr. Forget's office to hand a copy of my final MRI report from Tuesday highlighting the millimeter change to get the ball rollin' on this. Also putting a note about wanting further information from him as to what he thinks. Dr. Forget will be in contact with Dr. Needles and then myself. Dr. Needles will be looking to see if another test besides an MRI could be performed to narrow down the possibilities. He is going to contact a radiation oncologist (the one that reads the reports - I think that is their title). I asked about a PET scan. He said unfortunately they have not proven to be a good deciding factor with the brain. Dr. Needles also mentioned that Dr. Forget might consider doing a biopsy. I said "You mean opening me up again? I hope not." He said he hopes not as well as it wouldn't be his first choice. Dr. Needles did want me to have a MRI in January. I will schedule it some time on the 15th.
Pray fervently that is resolved sooner than later, wisdom for the doctors and the right action to be taken. Also for this change to indeed be only scar tissue from surgery and radiation as it "could be" per Dr. Needles. Pray that I continue to walk like I have walked before - in God's hands alone. Pray that fear will not creep in.
Thankful for many things today. No edema (swelling) in the brain per Dr. Needles. I have had a great year.
He's been faithful . . . He will be faithful now!
We will not be telling the boys of this change as no real conclusions can be made from today. I will let you know when we do. I am not sad, just indifferent.