A Long Week Has Passed

And I am sorry for no updates but its been a busy week and it's still hard to keep up with all there is to do even with all the great help from our family, friends, and neighbors. Joel is doing better day by day. The first couple of days at home were real rough. He wasn't getting any sleep due to back spasms. Sometimes pain causes muscles in different parts of your body to tense up and since Joel's back is already strained from laying on his side all the time, the pain in his abdomen area just stresses the back even more. We think he's got it more under control now with the right amount of pain meds, motrin for the inflammation, and a little more activity everyday but he said tonight its bothering him again so we'll have to wait and see. I suggested we try and get a hospital bed here at the house.

The home care nurse comes every morning and changes the dressings on Joel's wound. Can't remember what I posted about it before but Joel's incision got infected in the hospital so they had to open it up and let it heal from the inside out. The nurse does the morning dressing and I have been doing the evening but they just told us today that we need to step it up and do it 3 times a day so I will have to come home straight from work and do it then do it right before bed too. The wound looks so much better tonight. He goes in about every 3 days and they debraide it. (scrape away the dead tissue) Really gives it a jump-start on healing. Oh and Joel had the sutures in his rear taken out today. Doc said they healed really fast and all looks good on that wound.

It seems like Joel has 2-3 Dr appts a week. He can only ride in his truck comfortably because of not being able to sit on his butt and its our only car now since I turned in my lease on Monday. Makes it hard to work and get Joel to his appts but my parents have offered to switch cars on those days and take Joel in his truck if needed. Not having the lease payment and insurance will make things a lot easier though so I can't complain.

Joel got out and took a couple of walks around the neighborhood the last couple of days which was nice. He can't stay out long but its nice to see him getting about. Ty has been so good through all of this and really takes care of Daddy. He is so careful at home to not hurt Daddy's boo boo and even asks Dad if he is ok on our walks. So cute.

Just wanted to say thanks to all our neighbors that are helping us in little ways. We really appreciate all the help. The dinners you have been providing are awesome and the timing is perfect and mowing our grass last weekend helped tremendously. We love living in a neighborhood and though its not under the best circumstances we are enjoying getting to know some of our neighbors better.

Wooo Hoooo Joel pooped

ok, I know it doesnt sound like a huge accomplishment but it was one of the things that was keeping him in the hospital. Quite a milestone but he finally met it and they did a CAT scan last night to make sure that there is no infection under the incision and it came back clean so throughout the day today the nurses prepared Joel to come home. Its been a long 12 days!!

We finally walked out of the hosptial room around 5, walked to the car and got home around 6. Our neighbors organized a dinner for our family for the whole month of June so we didnt have t make dinner and ate Ravioli and salad...yummy!! After dinner we celebrated Ty's birthday. I ordered a Mickey Mouse cake from The Back Home Bakery and it was awesome. Ty opened his gifts and he had to try out the bike and the big wheel to make sure they worked out. Joel was in bed early and I am going to bed now.

He's still there

Today made 10 days and he's still there. Joel is so ready to come home and we are so ready to have him home but he hasn't hit a couple of the milestones that he needs to hit to come home. One of them being a bowel movement. He is on so many pain killers its gotta be slowing stuff down because there has been no movement since the surgery 1o days ago. Sounds painful to me. Also, his belly incision is still looking infected. The part that the Dr's can see is looking good according to Dr Huang this morning but Joel said they were going to do a CT scan to make sure there is no infection lurking behind the incision. I am pretty bummed. Typically this surgery has a 7-10 day recovery and then you are on your way home so I was so sure Joel would be home for Ty's birthday (tomorrow June 5th). Ty is taking Spiderman cupcakes to school and Ty and I will have a mini celebration with Gage by having his favorite meal (tacos) and playing in the sandbox. We'll wait for Dad to come home to celebrate with family. Would be nice if its tomorrow!! Oh and Joel is up and walking the halls now, he did a few steps today and started taking showers and rinsing out his incision a couple of days ago. So other than the 2 things above, he is moving right along. Night!

Flapjack Fundraiser

Oh man, what an amazing day. Our friends organized a flapjack fundraiser at Applebee's that served close to 350 people in 2 hours. The doors opened at 8am and people were already waiting at the door. I couldn't believe it. They had also collected donations from various local businesses and friends for a silent auction. I can't even describe how awesome everything looked. I want to thank everyone who came out and also Applebee's for donating their restaurant and all the volunteers for doing such an awesome job. Not only did they pull-off such an amazing fundraiser & auction but everything was cleaned up and we were heading out the door at 10:59 as the doors were opening for lunch. I think Donald Trump would have been impressed!!! I tried to get around to all the tables but I know I missed some. I wish there had been more time but it was great to see everyone, wish it had been for reasons. My friend took a couple pics and here they are: the first one was the 3 miracle workers behind most of the planning.

There were plenty of people who helped but without Jamie, Katie, and Nicole, this fundraiser would have never happened.

Photobucket" border="0">

A couple auction & raffle photos

Photobucket" border="0">

Photobucket" border="0">

Photobucket" border="0">

A couple more of our friends and family

Photobucket" border="0">

Photobucket" border="0">

Photobucket" border="0">

Photobucket" border="0">

A week has come and gone

I spent Thursday morning learning how to change and clean Joel's bag. The stoma nurse explained that there are tons of different options and that Joel will need assistance at first. I intended to return to work earlier this week but because Joel's second surgery I was held up a few days. So Friday was my first full day back at work. It was nice to be back. After work I picked up the kids and we headed to the hospital to see Dad. Joel was doing so much better. He is still in a lot of pain and he thinks he may have pinched a nerve in his back from laying funny all the time but overall he looks so much better. Since its so painful to try and sit up a little or hard to lay on his side and eat, Joel decided today that it was much easier to eat meals while standing so that's how he took lunch and dinner. Whatever works. The nurse showed me how to pack Joel's incision. It got a little infected at the beginning of the week and the Dr removed about 4 inches of staples that run down his abdomen. I have to take care of it once he's home. I won't go into details but gross!! Joel got to take his first shower today. I am sure he was pleased with that. We had a nice visit today and Joel even did a lap around the whole 8th floor and walked us to the elevator. Only a couple more days. They are keeping Joel to at least Monday so that he can do stairs and to watch the infection a little more. I can't wait till he comes home, I miss him so much and so do the kids. Ty didn't understand tonight why he couldn't come home and kept telling me"Don't leave him mommy" as I pulled out of the parking spot. I cried.

Days 5 & 6

Joel is getting better day by day but progress is still slow. He was able to get up and take a few steps down the hall on Tuesday night. Pain is still an issue. Nothing seems to work and Joel is getting real tired of being in pain. The epidural worked for a couple days but it stopped working and they switched to a morphine drip which didn't work that well. They took the catheter out and all the IV's so now Joel is on oral meds and they didn't help at first either and Joel had to get something stronger. Just doesn't make sense that someone should have to be in such pain for days before getting the right script but it then again I think the meds work as long as he doesn't move. So if he could just be a statue life would be swell. I decided Wednesday night was my last night at the hospital because Joel was over a hump and I needed to get back to work and the kids needed to be at "my home" as Ty says.

Post Op Day 3 & 4

Sorry I didn't get on to update yesterday but I got out of the hospital for a little while and spent some time with the kids and Joel got moved back to the regular floor. Yesterday the Dr's thought Joel might have fluid on his lungs but I have yet to get a confirmation on that. His incision was a little red and looking like it might have an infection but they were just going to keep an eye on it. I couldn't stay last night since he was in a double room. One of the Dr's came around later in the afternoon yesterday and told Joel he had to get up 2 times and he wanted him walking. Joel did very well. The first time was rough and he needed assistance standing but around 10pm he got up again and took 2 baby steps. Dr was there watching so the pressure was on. I stayed till almost midnight and Joel was sad when I left for home.



Day 4 had a rough start. I didn't get in bed till almost 2 am and had the alarm set for 5:30am. I hit snooze till 6 and finally got up and got into the shower then headed out the door to my moms house where Gage and Ty have been staying. I nursed Gage and headed out the door with Ty and dropped him at school on my way back to the hospital. Joel had a really rough day yesterday so I called into work today. I know it sounds weird but I get so much more rest when I sleep in the chair bed at the hospital. Joel had a really slow start this morning. He started coughing this morning and I started coughing this afternoon so it sounds like we are both getting sick. Coughing is causing Joel tremendous amounts of pain so I hope they can get him something to keep it under control. Joel got his own room again so looks like I will be staying with him tonight. I know that relaxed him a little. He has had wonderful care for the most part but last night be had a nurse that wasn't so good and he was in pain most of the night so he got no rest. I am glad I will be here tonight to help out if needed.

The Dr came in this afternoon and removed a couple staples in 2 different places along the incision line that runs up Joel's belly. The wound was a little red and seemed to be infected. She packed the open area with gauze and hopefully this will help it heal. Joel has been in pain most of the day since the staples were removed and all the coughing. He was also moved off his bed to go get a chest x-ray and also check his legs for clots. It's been a busy day and 1pm rolled around and he still hadn't gotten out of bed. I had a little chat with him and he finally got up and stayed up for over 10 minutes. No walking yet but it gave the aid a chance to change his linens and I washed him up and changed his gown. He always looks better after he gets up and I am sure he feels better with fresh bedding. I had a chat with the nurse because Joel was eating and she got him to eat 4-5 bites of lunch and 4-5 bites of dinner. It's a start. He's sleeping now so I got a couple minutes on the computer but I am going to go get some rest now.

Surgery #2

I was waiting to post today in hopes that we would have good news. Joel's fluid output had not been good for the last day. He pretty much was not going to the bathroom. We were lucky enough to be moved to a private room so that I could stay with him late Saturday night but first thing Sunday morning the Dr team started running tests since Joel had very little output and before noon he was moved to the ICU unit so that they could give him more specialized care. After a long array of different tests they decided around 3 to take him in for another surgery. They were pretty sure that fluid was bot leaking into his abdomen thru a hole of some sort so they decided to go in and insert a couple of stints between his kidney and bladder. I hated to see Joel go into surgery again but I was hoping this would make him better because he was not looking good.

The 2nd surgery went well and Joel was back in his room about 3 hours later. The ICU is a great place, the nurses on the regular floors just don't have enough time to spend with each patient. Bare minimum usually is all they have time for. It's not their fault, they are just assigned too many patients. In the ICU, Joel has had around the clock care and he is looking so much better. He hasnt gotten up since about 9 this morning due to the busy day, I am hoping he agrees to get up at least for a couple minutes tonight. I meant to go home tonight to take a shower and come back but I fell asleep in the chair around 9 and just woke up. Maybe I'll head home in the morning for a few minutes after the Dr's make their rounds about 5 am.

Thank you

To all our friends and family for constantly keeping us in their thoughts and prayers. We are so lucky to be surrounded by such amazing people.

The next day

I came back to the hospital this morning and Joel had developed a fever since I left last night. They started him on Tylenol to try and bring it down but its continued throughout the day and is actually increasing slowly. They say that Joel getting up and walking more will also help. It is really important Joel gets up and moving and he did get up tonight. If he doesn't get up and walk around a couple of times a day there is more risk for infection, pneumonia, and blood clots. Not something you want to hear but the Dr said that the first 3-4 days after the surgery are actually more critical than the surgery itself. Joel was fighting getting up and I shared with him exactly what the Dr told me and he hasn't complained since then. Joel says that once he's up that he's fine but the getting up is the hard part. He won't be able to sit on his bottom or lay on his back for a couple of months...ugh so hard already. Joel has to lay on his side with pillows propping him up and flip every2 hours. He hates this but it has to be done. I give such credit to all the nurses here at U of M. They are AWESOME!!! They make all you are going thru is so much easier. We have been lucky so far and have had a few really good ones. Joel's roommate was discharged tonight and so I am able to stay in his room. I have one of those fold-out chairs that Dad's sleep on in labor & delivery. Not like home, but at least I will rest a little tonight.

Joel's Surgery

Joel was out of surgery at approx 7:30, I just can't keep all the times straight. I guess the 6 hours must have included recovery time. We talked to the surgeon and she said the surgery went very well. There was considerable shrinkage of the tumor from the radiation with only an average amount of scar tissue. I think I remember her saying the tumor was almost 4 inches long at one of the appointments and she said when she removed it that it was about the size of a golf ball which means probably about half. She also said that after inspecting all the surrounding organs that she saw no metastasis (spread). The cancer was in his lymph nodes though so he will still be having about 4-6 more months of chemo to make sure there's no stray cancer cells floating around in his blood stream. Joel was taken up to his room and he settled in at approx 9:30.

Joel was in and out for the rest of the night and I stayed with him till about 1:30 am but then I had to leave since he had a roommate. I requested him to be wait listed for a private room so I could stay with him. We'll see how that goes. All was going well went I left and Joel was trying to rest though he really wasn't sleeping.

Long Day Already

Its approx 5pm and Joel was taken back for surgery at approx 3:15. I thought the surgery was at 4 but it was actually supposed to be at 2pm but they always run late or so the nurse said. Joel's surgery is supposed to take approx 6 hours but it could be midnight before he's out of recovery and I get to see him. Christine, Joel's mom and her boyfriend Mike and I just had lunch/dinner in the cafeteria. Now we wait.

Jello, Popsicles, Broth

Sounds like the next quick loss diet craze but Joel is "so over" the clear liquids diet. His last bit of solid food was Tuesday at midnight and the nurse just called and told us his surgery will be 2pm on Friday. Joel feels like he is being tortured. I try and eat when he is not around and have been laying low with cooking so the smells don't tempt him. He's been doing very well though. He is spending the day tidying up some things and he is meeting his buddy Jim at the Plymouth Coffee Bean http://www.plymouthcoffeebean.com/.

A Clear Head to Move Ahead

It's been a couple days and a lot has happened. We got our approval from M-Care last Friday to be seen by Dr. Wong at Sloan-Kettering in Manhattan New York. We booked a one way ticket for Sunday afternoon since Joel needed to be seen Monday morning and he needed to have prep time for the appt.




We arrived in New York at LaGuardia airport. It was a quick flight and Gage was awesome. We took a shuttle to the hotel where I pumped, we changed clothes and we headed out to meet friends. Though the trip was totally last minute, we had friends come from all directions to see us and have dinner on Sunday night. Allison and Mac came from near Boston, Susie came from Jersey, Steph from Pennsylvania, and Tammy & Ken from Connecticut. Tammy was the only one that had met Gage before so everyone else got to meet him for the first time and we walked around Times Square and hit a street fair. We had dinner at a family style Italian Restaurant called Carmine's and it was very good. It was a short visit since everyone had to head home after dinner so they could get in bed for work on Monday but it was really nice to connect even just for dinner. Gage is such a trooper. He only napped for about 45 minutes in his stroller and stayed up till after 10 since it took 2 hours to get his crib brought to the room.



We had a late night and an early morning but Joel I were out of the room and walking to the Sloan clinic at approx 9:30am and it didn't take us long to walk, it was about 15 blocks and it was a beautiful day. We passed the Radio City Music Hall and a beautiful church. Lots of graduations going on here this weekend.

Our appt was at 11:30 and we finally got to see the Dr the 1st time after 2 pm but it was worth the wait. The Dr was very nice and was very thorough with her exams and explaining everything in detail so that we would understand. There are quite a few risks associated with this alternative surgery. Those risks that would be the same as the permanent colostomy and a few more. Pretty much she explained to us that this shouldn't be viewed as a better approach to permanent colostomy because at this time there are unfavorable things that come along with the surgery and this surgery is only chosen when someone will absolutely not want a permanent bag. It is sad but there are some people that would rather die from cancer than have a bag so this approach is to help those patients that are willing to die. While there have been thousands of artificial sphincters for people that have rectal incontinence and the artificial sphincter works great, the surgery is altered a little for rectal patients since the anus is completely removed therefore it doesn't work as good. There have been 4 previous rectal cancer surgery's in this study and all have mixed emotions regarding their choice. We got the phone number to call a previous surgery recipient and plan to call her today. This study would prolong Joel's healing time on top of all the risks. Best case scenario, Joel would miss another year of work after this one and he would have 8 additional months of heal time and that's if all goes well. He could very well end up having another major surgery sometime down the road or even 2 surgery's if anything should fail, etc. A lot of unknowns.

Before we even left the office, Joel had had made up his mind. ~~He wishes to accept what is true and best for his family and for himself and move on and enjoy life and resume his fight against the cancer. He is scheduled for the permanent colostomy surgery here in Michigan on Friday with a great surgeon. We are so glad that we were able to weigh the options prior to his surgery and leave behind any what-ifs or regrets. Sloan-Kettering is a wonderful hospital and they are ranked #1 for Cancer for a reason. If anyone ever has to deal with cancer in their lifetime, it is our opinion, that searching out a top-rated hospital can make all the difference in the world. Whether it be #1 in the USA like Sloan or #18 like U of M. Both are great and top ranked hospitals.

We flew home last night after spending a couple hours walking around Manhattan. We strolled 5th avenue, canal street, and Central Park. It was a beautiful day and we were able to spend a little time soaking in what a great family we have and what great friends we have. We feel very lucky and the trip itself was an opportunity to spend some time with Gage since second children kind of get the shaft in that department. We missed Ty horribly while we were gone and everywhere we went, you could hear us saying, "Ty would love that or wish Ty could see that". We will have to take the kids back when they are a little bit older. New York is an interesting place with new things on every corner.



Our flight home was good. We got in really late and Gage was great and fell asleep in the stroller in baggage claim. Joel started a clear liquid diet at midnight last night. I can't imagine not eating for a couple of days but Joel is in the zone. He will do fine.

We still live life

Though life is very, very hard right now, for the most part, we try and still do everything as we did. Normalcy is good and healthy for us and for the kids. We still take Ty and Gage to do fun things, we still laugh and watch t.v., we still have fun family get-togethers, and cancer isn't the main topic everyday though it has been for the last 2 days. We still love to hear positive things going on in friends and families lives. Sometimes people think that because you have cancer that everything changes, and it does to a certain extent but Joel is a trooper and has taken everything that has been dealt to him without complaint. He is such a strong person.

The waiting game

The last couple of days seem to be a blur. We woke early on Monday morning and Joel and I spent the whole day on the phone. We started by calling Sloan-Kettering in New York to see if we could get an appointment. Then to the Canton Health Center to get a referral since it will be out-of-network, then to U of M to get all the paperwork, test results, slides, reports, etc that we would need to be considered in the study. It was a long day but it feels like we are heading in the right direction. Now its the waiting game. Waiting to see if we can get a consult and waiting to see if that consult is approved with the referral thru M-Care.

New Option Maybe?

When Joel was first diagnosed we spent days on the computer researching Rectal Cancer and the best doctors, treatments, and hospitals. Our first choice was a Dr Wong at Sloan-Kettering but when we called and tried to set up a consult, he was not taking patients at that time. So we turned to Mayo and our insurance turned us down and we decided to stay at U of M with Dr Huang a great surgeon but she wasn't our 1st choice.

I couldn't sleep last weekend and Joel and I had joined a couple chat boards after he was diagnosed so I was cruising through some posts and came across a new study being conducted by that 1st Dr Wong at Sloan-Kettering. It's very late in the game since Joel's surgery is scheduled for less than 2 weeks from now but who knows, maybe Joel will qualify. I couldn't wait to tell him when he got home.

Camping

Joel got to go camping last weekend with his friend Rob. Not far away and only for one night to go sleep under the stars, have a campfire and do a little fishing. Camping is one of our favorite things to do and this was Joel's one opportunity to go this year so he was pretty excited. He had a good time, all the fish seem to be spawning so they didn't catch a whole bunch but it was a nice relaxing weekend for him.

Pre-op Appt

As much as one person could want to know whats going on, Joel HATES getting an exam because they hurt. The tumor is very low and takes up about 3/4 of the rectum leaving hardly any room to maneuver. But it was a necessity so that the surgeon can know how to prepare for Joel's surgery. After the exam, Dr Huang explained to us that there was some shrinkage from the radiation and that the tumor was approx 1cm from the muscle, unfortunately she needed 2 cm to be able to save Joel's Anus.

Pre-chemo and radiation there were 2 surgery scenarios that were explained to us. 1 being that the tumor would shrink and they would be able to give Joel a temporary bag while his rectum and anus healed and everything would be reconnected at a later date or that the tumor would not shrink enough and he would end up with a permanent colostomy bag. The latter being 90% and the temporary bag being only a 10% chance. Well, the tumor did shrink but not nearly enough to get Joel where he needed to be. So after the exam we were told that she was scheduling Joel's surgery and he was sent to see a stoma nurse who explained to Joel and showed him pictures of what the stoma will look like. The nurse marked a spot just left of Joel's belly button that was right in the middle of his six pack where the stoma will be. She explained to Joel that it could takes months to get used to and get the hang of his body again but eventually he will fall into a routine and no one will even be able to tell that it is there. Either way, Joel knew he was going to have a stoma and a bag but we were just hoping that he would eventually be able to have it reversed once the 1st surgery healed but that wasn't the case. I feel Joel knew all along but it doesn't hurt to have hope.

Feeling a little better

It's been a couple of weeks now and Joel is starting to feel better every day. He is pretty excited to get one good month of feeling somewhat normal before surgery. He has been getting around pretty good and he had his CAT scan last week. We just got the results and it looks like there was shrinkage on the lymph nodes which was good news. The CAT scan can't really detect shrinkage on the tumor accurately so we have an appt at the end of the week to meet with the surgeon where she will observe the tumor and give us an update on shrinkage and which surgery she will do and whether she will be able to save Joel from having a permanent colostomy bag for the rest of his life.

5 Year Anniversary

May 3rd makes 5 years that we have been married though we have been together for 12 years this coming Memorial Day. Man time slips away.

Done with Pre-Op Treatment

Joel has just completed 6 weeks of radiation & chemo therapy. The treatment started out slow and wasn't so bad the first week but since all this treatment is cumulative, the longer you are treated, the worse you start to feel. Joel took the treatment pretty well, he was VERY tired and had a very sore bum bum. The radiation starts to burn your skin after a while, nothing really helps to soothe it, not even aloe. His whole lower abdomen area was red, not red like sunburn but a different red that I can't really explain, it looked deeper than just on the skin and you could really tell the difference. The last 3 days of radiation were stronger and more localized and it really kicked him hard. It burned to pee, hurt to walk from pain, and Joel felt sick and stayed in bed sleeping for the next week. This was by far the worst week but he was done, that was the good thing.

The IV infusions caused some side effects, not because of the method of delivery but because of the drugs being administered. Oxaliplatin is platinum based and affects the nerves causing tingling and numbness in the hands and feet and sensitivity to cold. This is a very difficult to live with especially during the winter time and it also prevents you from drinking anything colder than room temperature, sometimes that's even too cold. Joel explained it like drinking a tall glass of broken glass...not fun and he avoided cold stuff pretty much completely. Also, no getting into the fridge or freezer without gloves because it would cause excruciating pain. The numbness and tingling would start to go away between treatments but would last longer each time. If you saw Joel during this time you probably saw him wearing 2 or 3 shirts and a winter hat even when inside. There was also frequent bathroom trips, sometimes 10-20 times a day, burning, and nausea, just to name a few. Chemo is some scary stuff. There are a couple different kinds but all are given to attack the cancer cells but in the meantime also attack normal cells.

And last, he took the Xeloda pills (sounds like Za-low-da) and those caused nausea, and Joel's hands and feet started to peel.

Treatment Plan

From what we have researched, Joel is getting the most up-to-date treatment. I guess it can vary from hospital to hospital and doctor to doctor as far as dosage goes but we are confident that Joel is getting the best proven treatment so he can lick this thing. Joel just finished up his first round of chemotherapy and radiation therapy which consisted of taking 2 different forms of chemo and receiving radiation at the hospital 5 days a week.For those of you who don't know I will do my best to give you a quick rundown of what this all is. Until Joel was diagnosed we were cancer ignorant so this has been an eye-opening experience for us.

First the radiation is very precise and the radiation oncologist takes a lot of measurements pre-treatment and those measurements and dosage of the rays are programmed into the machine before Joel's appt every day. Great care is taken to avoid other major organs and any area that doesn't need to be radiated but they must radiate more than just the tumor area to make sure they get it all. Radiation therapy is serious stuff and is used to try and shrink the tumor as well as the lymph nodes. With this you have a one and only shot at getting the cancer, Joel received the maximum number of treatments he can receive and the radiation actually continues to help shrink the tumor and lymph nodes for up to 3 months after stopping the treatments.

One form of chemo that Joel took came in a pill called "Xeloda" and Joel took 5 pills every day for 6 weeks. The second form of chemotherapy is called "Oxaliplatin" and Joel received 3 infusions (through an IV) over the 6 weeks. From what we have read these are the 2 best drugs to fight off Joel's cancer and the oxaliplatin actually helps sensitize the tumor and aid the radiation in helping shrink it.

Joel is so glad to done with treatment.

Choosing a Doctor

Well, thank goodness that we are already affiliated with a good hospital. When it comes to something like cancer or any other serious ailment, this is not the time to be second guessing what hospital your insurance is affiliated with. We have M-Care and get to choose which hospital we want to be seen at and U of M is ranked 11th in the country for Colorectal Cancer and 18th in the country for all cancers. We did petition M-Care for a 2nd opinion at the Mayo Clinic in Rochester Minnesota since they are ranked #1 but we were denied due to the fact that U of M and other hospitals in our network were able to supply the same care and same procedures as the Mayo Clinic. We have liked Joel's Dr's thus far and have confidence in them so we decided that being treated at the University of Michigan and being close to family and knowing we already have nationally ranked care is great. Dr Huang who is Joel's surgeon has actually performed surgeries on a couple people we know and comes with great accolades which makes the decision even easier.

Stage III Cancer?

What does it mean? You know until Joel was diagnosed, and even then, we had no clue either. After we got "the call", we immediately headed for the internet to see what we could find out. But it wasn't until we got the diagnosis the next week that we could really look at what Joel was up against.

There are 5 stages of cancer. Stage 0-Stage 4. In Joel's case, Stage III means that the cancer has not spread past the rectal/colon wall but there was evidence that the cancer had spread to 3 surrounding lymph nodes.

While there is a lot of information out there, one of the best pictures we found that allowed us to understand this cancer is on a .gov website. Here is the picture and a link

The call you never want to get

I want to start by saying thanks for stopping by. I have never “blogged” prior to today so I am hoping to get better as time goes on. Next I will bring you up-to-speed on what has happened so far with Joel’s treatment and his diagnosis.

In August 2006, Joel started having pain in his abdomen, rectal bleeding, and frequent bowel movements. After 4 days without sleep, he visited his primary care physician. The doctor did not perform an exam but sent him to have a blood test to rule out anemia. The pain subsided and the anemia test was negative, but the other symptoms persisted. In January of 2007, Joel started having tail bone pain. He visited another physician in the PCP office whose diagnosis was internal hemorrhoids and she started him on anti-inflammatory medication and a very light pain medication. A referral was written and a colonoscopy was scheduled for late February. After 2 days of more severe pain, Joel returned to the PCP and asked for stronger pain meds, and at this time, the PCP called and requested that the date of the colonoscopy be moved up. Joel had his colonoscopy on February 2, 2007, and the PCP called February 6th to inform us that he had cancer.

I happened to be home for lunch that Tuesday and answered the phone, I was pretty alarmed since the doctor had told Joel it would take until Friday to get the biopsy results back but Joel was having what seemed to be a regular conversation so I started to head out the door going back to work when he stopped me and said “I have cancer” I was for sure he was joking. But he wasn’t and ½ hour later we were at the Canton Health Center and Joel was prepping for his 1^st CT scan. The next few days seemed like a blur as Joel and I sat by the phone waiting for it to ring.

One week later and after undergoing several tests, we met with a Dr. Emina Huang at the University of Michigan Hospital. It was only then that we were told that it was Rectal Cancer and not Colon Cancer and that it was Stage III. She explained that there is a 90% chance that she will have to remove the entire rectum and Joel will have a permanent colostomy bag due to the location of the tumor. Since Joel is 32 years old that is a very hard thing to swallow. . She also explained that the surgery though would not be the 1^st line of treatment. She said in the next few days we would be meeting with a medical oncologist that would prescribe chemotherapy, a radiation oncologist who would prescribe radiation therapy, and a genetic oncologist that would test for the gene mutation that could identify if Joel was predisposed to certain cancers and also give us a better understanding of how often Joel , Ty, and Gage would need to be screened for cancer in the future.

All of this in a matter of a week, it is just a lot to swallow. I don’t think either of us have really absorbed this yet!