Switched hospitals, switched doctors
The last doc just wanted to keep an eye on the tumor for the next couple of months through CT scan since the pathology report gave him a choice as to what it may be.
So we went and saw an oncologist who referred us to a neuro-oncologist at Strong Memorial and the Wilmot Cancer Center in Rochester. About a two hour drive each way. The neuro-oncologist has ordered a round of tests under the strong suspicion it's a germ cell tumor (highest likely probability).
We've had to wait until the steroids are out of Sarah's system. The steroids put us in a Catch-22. Without 'em the swelling could have gotten to the point of being catastrophic. With 'em they may be masking what the tumor really is.
The 2nd we go up for a lumbar puncture. They want to sample the spinal fluid to see if the tumor might be shedding cells through the shunts back into the spine. We need to get there early for some blood work to be done, too. The 6th we go up for MRI's along the spine. If it's a germ cell, it may have left behind cysts as it migrated from the the ovaries to the brain. The 11th we go up for a consult on what the test results and film work shows. If the test results are undiagnostic then we may have to wait a few months and they may be forced to go back in. Not a good thing.
The shunts are doing their job, but Sarah has been getting some mild headaches more frequently. Since the tumor is located on her penial gland and attached to her thalamus her sleep cycle is thrown off a bit. The doc gave her a natural OTC remedy to help with that. She wears out easy, taking two or three naps a day at times. Can't take her far from home unless it's to see family, where she can have a bed to rest on if she tires out.
Gotta keep a close eye on her, too. Can't leave her alone for very long (maybe just to go outside and work in the gardens). Did it the other day, but my sister and her family was down for a spell and it gave me a chance to take a breather. Because of where the shunts are located she could get extreme headaches with vomiting. Back to the ER. Or she may just pass out. Back to the ER. Now that she's a patient of Strong, that means a helicopter ride from here local to Rochester if it happens. We have a neighbor who helps me keep an eye on her, but still would prefer to do it myself.
Trying to keep her spirits up. And trying to keep her from getting bored. A result of the shunts can be some serious moods. If she starts to get into a funk I gotta try to pull her out of it, quick, otherwise it could be while to get her out of it. She's been doing little things around the house, as the doc will allow, but she can't do her normal chores. No gardening, no house cleaning. She's been baking, doing some crafts, working on some puzzles, organizing the books in the library, but she still can't bend over, so I have to pick things up for her and do any heavy lifting.
I've been working around in the gardens. Just cultivated the entire veggie garden today. Been keeping up on the yard, been keeping the house clean, and generally trying not to get bored myself. And trying not to go to pieces myself, at times.