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Showing posts from 2019
WARNING: Some posts may contain photos with graphic medical images. No content in these posts is meant to serve as medical advice or treatment for any individual. Any medical concerns should be discussed with a medical professional.

Perspective...and Self Doubt

This post has taken me a couple days...just when I thought I had my "perspective," I was presented with another one that altered my previous one and the direction of thinking I thought I was forming; the hope I thought I was returning to for humanity and the societal evolution I pray for and wish to come to fruition everyday was altered. Here's the beginning and where I "ended" in evolving my own thinking... Think about the last time something was said or done that took you so off guard you lost your breath, burst into tears, or just sat quietly thinking of all that transpired in that moment. Of all that you thought you knew, but realized you didn't. About two weeks ago, that type of event occurred in our bubble. And then just like that, it burst. For months, Noah hasn't been sleeping. Up and down, multiple times a night, long periods to put him to bed, broken sleep for us all. It's sucked. Simple as that. For most most his life really, it starte...

8 Weeks.

8 weeks. That's how long since my last appointment. Which feel more and more like a blur. As does the June 18th date of my surgery. And now, another date to mark, October 9th, nearly 4 months since my surgery. Last Wednesday, before my 3:45 appointment with my Endocrinologist, I had ironically received a notification of my LabCorp blood-work to my phone just 15 minutes prior. Normally, I pop open the results ASAP as my curiosity usually gets the best of me in wanting to know where my levels are. I get more and more adept at reading my labs to understand the new number I have to check just as a Diabetic might of insulin levels. Gratefully, I don't have to check my numbers that frequently, but nevertheless, the monitoring game continues. But this time, I decided to just wait and let me doctor do their informing. I left a couple conference calls right before my appointment and shot up to the 6th floor of the medical building at the hospital campus where my doctor's office ...

49 Day Checkup

After a whirlwind trip to Detroit for the loss of Emily's Uncle Bo, we returned on 7/29, went home, grabbed some lab orders, and I was out the door to get to a 4 o'clock LabCorp appointment for blood draw. This was "the check" to read all Thyroid levels, PTH, TSH, Calcium, Thyroglobulin and more to see if radioactive iodine therapy was going to be prescribed. The good news is, no, I do not have to have radioactive iodine! Wahoo! And really there is no "bad news," just information and next steps. One of the cancer marker tests is for Thyroglobulin (Tg)- the protein synthesized by Thyroid cells. Since I have no Thyroid, I have very few Thyroid cells (since they can't remove everything) and if both my Tg levels and Thyroid Stimulating Hormone (TSH) levels are low, that's a good indicator there is no active cancer. As the doctor said, there is no guarantee of anything at anytime and he'll be following me for life basically. So, we keep checking a...

Check 1, 2...Voice check...

Not much has happened and yet, there is a lot going on. Emily is in the final phase of her practicum, another family visit with my Dad here to help with Noah is coming to a close in a couple weeks, and I've had a headache on the left side of my head for the past week. Although it hasn't worsened, it also isn't going away and normal remedies like Tylenol, don't seem to be helping. I'm not symptomatic in any other way in the sense of vision issues along with the headache, but it's still something I need to checkout. The Endocrinologist did get a call last week and said it probably wasn't the Synthroid, so there's that at least... Today was the next phase in repair and a return to normal. My voice has continued to ebb and flow between hoarse, tired, low, and seemingly everything in between. Monday, I was supposed to have my first Speech Therapy appointment, however, as I'm pulling off the highway at the exit to the University Hospital campus, I get a ...

Holiday Gratitude

Independence Day. 243 years old. As we marked yet another year of blasting fireworks, BBQ's, friends, family, days-off, long weekends, bad traffic, and celebration of the separation from the British colonists, I marked a different number. 16. The number of days since my surgery. And count 29 days until my next appointment with my Endocrinologist. At my annual eye exam which was this past Saturday, the 6th, they asked, "Have there been any changes or updates to your medical history?" I found myself sighing a deep breath as I recited my "lines": May 10th I was diagnosed with Thyroid Cancer and had a Total Thyroidectomy June 18th. The person taking the notes asked me the same questions three different ways to clearly transcribe what I had just told him. In that moment, I relived the phone call from the endocrinologist who called me with the results and the sinking feeling I had during the call at the team lunch we were holding at the time. All the appointments si...

Returning to "Normal"

As I started writing Monday night, I thought I had the energy, one more line of prose to express how tired and exhausted I was feeling, and how my first day back to work felt. Clearly I didn't make it... I've gotten on a schedule of taking my Synthroid at 10:30 PM as that's 2+ hours after eating anything and easier than in the morning where I'm not able to eat for an hour after taking the hormone. Additionally, I have to wait 4+ hours between taking any calcium or calcium-containing foods or supplementation to take my Synthroid. There's a whole "training" for taking Synthroid on their website and quiz - drink plenty of water, same time each day, avoiding certain foods...there are a lot of " rules " with Thyroid hormones. My endocrinologist said evening was fine as many users find that easier. The schedule is taking some getting used to and is helping me avoid eating after 8. I want to get to an earlier schedule and maybe switch to early morni...

Left Arm Please

Today was a "good" day. We fought traffic to get to my 9:30 AM appointment with a new, hopeful endocrinologist that was recommended by the PA of my surgeon as they also see this provider for their own care post-thyroidectomy. After completing typical intake paperwork with medical history, current health status, etc. and providing the receptionist with the latest paperwork from my followup yesterday, we only waited a short while until the nurse brought us back. They took my weight, height, vitals, etc. before the meeting with the doctor. The appointment lasted about 45 mins. The doctor was very knowledgable, detailed, and thorough. Friendly to Emily and Noah, and assuring again of the outcomes of Thyroid cancer. He has a solid background "in the field of thyroid cancer and subclinical thyroid disease, and won a national award for his work in thyroid cancer research." So, my confidence from the referral and his background was high. He discussed everything from t...

Scar Revealed

Post-Operative Followup (POD9) A yellow folder with 3 tabs: 1) "Path 6/18/19" 2) "OP Note 6/18/19" 3) "OV Note 6/21/19" - This is what we left with from my surgeon's office today for my post-operative appointment and a "Literature Review for the Highest Clinical Evidence of Common Topical Products Used to Reduce Post Incisional Scars." He knew I'd want copies of all the reports - he knows me well 😁 The first order of business, reveal the scar. My doc gloved up, and began peeling back the last piece of Steri-Strip remaining over the incision. No pain, just some slight pulling likely on the scabbing that was beneath. For the past 9 days, I had only seen the dark line beneath the white paper curious as to what would be left behind from my 4 hour neck dissection. Having kept it well protected during showering with some water proof bandages and plastic taped over the site the first few days, it was dry and stuck on pretty well. He ...

Check Your Neck

More times than not, when we find something that's impacted us or we feel impassioned about, we advocate the heck out of it and shout to the rooftops to bring awareness to others.  Remember the ALS Ice Bucket challenge? We do, cause we did it! So, naturally, you've now found your new world-ambassador for Thyroid and Neck Awareness! Not really, but, really do check-your-neck! "An estimated 15 million of Americans have undiagnosed thyroid problems." That's too many and to think if my care provider at the time had just kept pushing antibiotics for my bronchitis that wouldn't go away and not have ordered the chest CT, or if I hadn't continued to insist on draining and biopsying the recurrent cyst and just dealt with it like so many do in ignoring or diminishing health issues, well, who knows how this could have gone. My symptoms were nothing short of a sore throat, dry coughing, and well, that pesky lump in my throat. Literally, every time I swallowed ...

The Voice Discovered

Having majored in music in college, in voice no less, of course the impacts of this surgery on my long term speaking and singing voice raised concern. Since the onset of the bronchitis in October last year, my voice has turned hoarse and at times or just leaves me altogether after prolonged periods of speaking. During the day, I'm on countless calls, in meetings, working with my team one on one, and then come home to sing and play with our son. In one of the second opinion consultations I had, the doctor referred me to a vocal specialist to dig a little deeper as during a Thyroidectomy, there are two sets of nerves that if damaged during surgery, can cause permanent damage to the voice: the recurrent laryngeal nerve and the external branch of the superior laryngeal nerve. The doctor wanted to confirm that nothing else concerning was going on that could cause surprise during surgery. On June 4th, I was scheduled a visit to this new provider, an otolaryngologist and a speech ...

POD3

Post-Operative Day #3(POD3) Any medical situation can feel debilitating to one who doesn't know the jargon. So, I try to pay attention to everything: what is said, read, dictated, or otherwise done to me or about me. From the first imaging appointments, I've requested copies of all reports, imaging discs, etc. and it's all organized in a binder (yeah yeah, some of you know me well enough to know how organized I try to be). Nevertheless, "POD3" was the new one I learned and felt every bit of day 3 after going to see my surgeon to have the drain removed (thank God!). Those things have to be one of the most annoying, irritating post-operative part of it all. Hanging from your wound, stitched to skin usually like mine was and then attached to a bulb syringe basically, that had to be drained since being in the hospital at least twice a day. Then my surgeon wanted a drain report each morning which he used to determine if it could come out. Apparently mine had slowed...

Drained

Happy Wednesday Friends and Family, Simply put, the last 48 hours were a whirlwind. Yesterday morning felt as normal as could be, went to story time with Emily and Noah at the library in our neighborhood. Then our pastor came to pray with us at 10 AM. By 11:30, we were headed to the hospital for my 12:30 check-in. 15 minutes later and we were in the pre-operative waiting room. Before you know it, they’re calling me back to prep. By 2:30, I’d had an EKG, blood work, signed a tone of waivers, met with the anesthesiologist, my surgeon (who was a serendipitous connection from my Uncle - Thanks Glenn and Joanne), nurses galore, and by 3 was kissing Emily goodbye as they rolled me back to the OR. The plan was always a partial or hemi-thyroidectomy with removal of the cyst that’s been drained multiple times since January. During surgery, they would send the resected thyroid tissue off for frozen section to pathology, if the findings confirmed the already suspected cancer diagnosis...

A Public Letter

On May 16th, 2019, I privately shared a letter to some friends and family and now share the declaration of that "one word, one moment..." with you which lays the foundation for insides revealed in this perspective on my journey and discovery of thyroid cancer beginning October 2018: Hi family and friends,   For some of you, it's been a while since we've spoken. Amazing how life can scoop us up. I think of each of you often praying you’re happy, healthy, and well.   Friday, May 10th, around lunch time, I received one of those calls that can move mountains. The call that can realign all things that seem disjunct. Bring focus to a blurry world. Reshape the misshapen. And humble the most courageous. For the past 6 months, I've been sick. Sinus infections, bronchitis, all symptoms I've experienced before seasonally. So in due diligence, my physician ordered a CT Scan of my chest to rule out pneumonia after rounds of antibiotics were unsuccessfully clearin...