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Monday, December 24, 2012

Today is National Egg Nog Day. You can find all sorts of recipes on the web - try ice cream and cinnamon! Yum!
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At least two firefighters were fatally shot and two wounded in Webster, New York, after responding to a fire, police say
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Sunday, December 23, 2012

mom surgery sunday

Sunday, December 23, 2012
Sandi Sunday Update
Earlier this evening Sandi took her first shower since pre--hospital. Her five incisions and chest tube hole all look pretty good all things considered. No signs of infection or any issues different than what we had been warned we would see.

Sandi is still in considerable pain--especially with her right shoulder where they ran an IV line as well as a chest drainage tube. While she had an IV line in her right hand, during surgery they had to put in a second separate line through her right shoulder and into a major artery because of the complications that were happening. Among other things, apparently the chemo has left her blood vessels brittle so they tend to not work right when a needle is inserted into them for an IV. What will happen to them when she has chemo again, not to mention the radiation, is something that concerns me quite a bit.

While many years we would have loved to have a white Christmas this is one year we really would prefer it did not happen. Normally this sort of thing happens for New Years but apparently it is coming a week early this year. Current forecast seems to be for some sort of light accumulation of snow and ice starting some time on Christmas day and going into the evening. Considering the staircase we have that is always dangerous whenever it gets anything on it as well as the drive to the hospital the next day, we would really prefer that the snow and ice miss here.

On behalf of Sandi, myself, and the boys thank you for your thoughts and prayers expressed in public and in private. We most assuredly appreciate your thoughtfulness and kindness. It means a lot as we go through this nightmare yet again.


Kevin
http://kevintipplescorner.blogspot.com/2012/12/sandi-sunday-update.html

mom Surgery Update saturday

Saturday, December 22, 2012
Sandi Surgery Update
First, I am sorry I was not in the shape to update things here the last couple of days. It has been a hard roller coaster experience. That fact and how hard things are for me physically now meant I wasn't in the shape to be coherent and update folks here when I finally got home form the hospital each evening. I am sorry. It was not deliberate. It was sheer exhaustion and pain.

Thursday afternoon the cardiac surgeon operated on Sandi. The procedure itself went fine though it went in an unexpected way. Right after he got through the scar tissue in her lung and into her chest cavity he found a large mass. A large mass that turned out to be some sort of fatty tissue thing. While it was in the right spot according to the PET Scan and the CT Scan, this fatty thing should not have appeared the way it did on the tests. The cardiac surgeon was not convinced this was it.

After he got the fatty thing out of her, he went looking around trying to find the real deal. He didn't find anything besides what looked like a small spot on the surface of her heart. He could not biopsy that as the only way to take a sample from the heart is by stopping the heart and using a heart/lung machine on the patient. They were not geared up to do that, so he backed out and closed her up.

He came out and talked to me and overall things looked fairly good. The mass was out and it wasn't cancer. The spot clearly bothered him, but the cardiac surgeon wasn't sure whether or not it was anything to worry about. The expectation at that point Thursday afternoon was that most likely it, like her thyroid, would be something that would be watched for suspicious activity on some sort of regular basis. About three hours later she made it through recovery and was in her room. I hung around awhile longer and then went home with the understanding that at some point, probably in January, they would do some sort of detailed echocardigram to look at the spot.

Friday morning when I got to the hospital Sandi was sitting up, in tremendous pain, and a very unhappy patient. They had allowed her to order breakfast and then intercepted it at her door. The new plan was to do this deal where they would put her out and then run a camera thingy down her throat. They would run this camera probe thing down into her heart and go looking around. The spot deal had taken on greater significance overnight and it had been decided this was something that absolutely had to be checked out before she could go home.

What was supposed to happen at 1 ended up finally being done at 3:30 after booting me from her room as this was something they had portable equipment to do. I went down the hall to the waiting area and updated the boys before sitting back and watching the clock. This deal was only supposed to take about ten minutes. I knew the way the nurse was looking at me when she came to get me in the waiting room 45 minutes later the news was very bad. She was trying to be upbeat as she escorted me back and chatted with me, but it was obvious. So too was the doctor who was standing outside her room finishing up the paperwork. After he got me to sit down he delivered quite a shock.

Sandi has a large tumor of some type in the two right chambers of her heart. The thing is growing from outside of her heart, through the heart wall, and into both the right chambers. In one chamber there is a free floating piece barely attached to the main mass. That piece is hanging down and swinging back and forth in the her blood stream as her heart pumps.

They are as sure as they can be without a sample that this thing in her heart is her cancer back again.  They believe this is what was causing the heat signature on the PET Scan --also matches the size deal according to the Pet Scan too and the CT Scan---and was partially obscured by the giant fatty thing they took out of her Thursday. Apparently what the spot is on the surface of her heart that her cardiac surgeon saw is just the tip of the iceberg that is inside her heart.

The current plan is that next Wednesday morning she goes back to the hospital and checks in at ten am. Around noon they will move her to the catherization lab to  try and get a sample of the free floating piece. They will do this by running one thing down her throat and through the lung to the heart. The other deal will go up her leg and head for the heart. They think they can get the tools in there from each side. Once they get them in place bracketing the piece as it swings back and forth they will to do some sort of pincer move and snag it. Once they have it snagged and not moving, they will try to remove the swinging piece for a pathology sample.

This assumes that they can get to it and actually snag the thing as it swings back and forth in her blood stream. Once they retrieve it, the piece has to be big enough for pathology sample purposes. At this point, having measured it yesterday, they think while small, it would be enough to get the confirmation they need for treatment.

This deal is risky because trying to do this the way her heart is very tricky. There is also a major risk of perforating her heart. If they accidentally do that--basically put a hole in her heart--they would have to start emergency procedures to save her life by cracking her chest, getting the heart/lung machine going, etc. There is a definite risk to this procedure, but the only other option is much riskier and harder on her long term.

If this cardiac catherization plan for getting the sample does not work, the only option would be be to go in for major cardiac surgery sometime in late January. They would crack the chest wall, stop her heart, and while she was on a lung/heart machine, totally remove the entire mass and rebuild the right side of her heart. That would take roughly six or seven hours to accomplish. Assuming she lived through all that, she would face several months of rehab to get strong enough for the chemo and radiation.

Based on what she was told about six last night, chemo and radiation are both definite once they know for absolute sure if it is another lymphoma. If they have to go the other way, she probably won't be able to do chemo or radiation before May. Obviously, beyond the risks of surgery, removing the thing that way raises the risk of further cancer spread at the time of the operation as well as giving whatever cancer she has elsewhere that is starting a lot more time to grow and try again to kill her.

We are told that at this point she is not at a higher cardiac risk because currently the thing is not blocking the blood flow. They don't think the piece will just break free on its own. Theoretically, if it did--either because it broke free on its own or they lost it during the procedure--it would not do anything from a heart attack or stroke deal. What it would do is shoot through her heart and vanish into her body to lodge somewhere. Of course, that would give the cancer yet another foothold in her body somewhere.

Finally late yesterday evening we made it home. She is home for Christmas and that is good. A Christmas that certainly isn't as bright as we thought it might be Thursday evening. Right now, neither Sandi or I know what to think as we both are flat out stunned. While I had thought that maybe she was growing a spot of cancer on her heart, I never thought that she had a tumor growing through her heart.

Again, I am sorry it has taken me so long to update folks. I am working on e-mails so if you are awaiting a response to something you sent, please be patient while I catchup.


Kevin http://kevintipplescorner.blogspot.com/2012/12/sandi-surgery-update.html
Game ended. Mavericks lost.
DAL:91
SA:129
F
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Yankees fan favorite Raul Ibanez has agreed to a $2.75 million, 1 year contract with the Seattle Mariners
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open Christmas day

Report: Nick Swisher signs a $56 million, four-year contract with the #Indians.
open 24/7 365 days Service USA & overseas since 2010 http://facebook.com/thundercatsnyy2010
my store http://amazon.com/shops/thundercatsnyy

Saturday, December 22, 2012

so sad

so sad Calvin Johnson just break Jerry rice all-time receiving yards but played two more games to-do it

Friday, December 21, 2012

/ NBA
Dallas 82
Memphis 92
FINAL
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Hospital say pacemaker and a chest machine in her too looking like not coming home till after Christmas

Thursday, December 20, 2012

/ Wish List
http://www.amazon.com/registry/wishlist/EKXQHLRTUQK5/ref=cm_sw_r_tw_ws_YKkZqb019ZQCPvia
@amazon
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/ NBA
Miami 110
Dallas 95
FINAL
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breaking news

my mom is in surgery now should take up to 1-4 before we know longer is not good.i let you know when i do from hospital or my dad

Today is Sacajawea Day, in honor of the Native American woman who helped Lewis & Clark in their expedition.
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fb Alerts

Facebook: Five things to watch for in 2013 - CNET Mobile

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baylor day

Thursday, December 20, 2012
Surgical Thursday
The day never seemed to get here, but finally it is Thursday. In less than an hour from now we will head over to the hospital to get Sandi checked in. Sandi's cardiac surgery to go in and see what the thing is that is pressing on her heart sac is set for 1 pm.


If it is cancer---as we all expect--the doctor intends to leave the thing in place and back out of there. Removing it would raise the risk of spreading it as may have happened when they had to do so many biopsies last November. At that time several tumors in various places were removed. If it is cancer he will also put another port back into her chest and hook it into the main artery to her heart in preparation for more chemotherapy.


If it is not cancer, I am not sure what he will do. While I do understand why it should not be removed if it is cancerous, it seems to me anything pressing on the heart sac like this is should be taken out of there. Apparently, if it is not cancer, it still might stay in depending on what it is.


If everything went perfectly today, Sandi could be back home tomorrow. The odds for that happening are very low. Not only does Sandi have a history of heart attacks and strokes, there is considerable damage in her right lung still visible on the CT Scan from last November. While the fluid is not present in the lung, the scarring and damage it left behind is still very visible and a surgical obstacle. Not only does the doctor have to work around that, depending on how much he has to do, it may be necessary for a chest drainage tube again. If that happens, she definitely will be in longer.


So, that is where we are this Thursday morning. Hopefully, for once, everything will go smoothly and there won't be any complications. No matter what happens, today is going to be a very long day. I will update everyone when I can.


Kevin

http://kevintipplescorner.blogspot.com/2012/12/surgical-thursday.html

Wednesday, December 19, 2012

dust strom out outside in lights
A Severe Thunderstorm Warning has been issued for Plano, TX until Wed Dec 19 10:15 PM CT
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/ NBA
Oklahoma City 100
Atlanta 92
FINAL
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silent night

silent night is a horror movie rated r gets 4***** out of 5 just came out Santa killing ppl for Christmas!!

Love:
It's ok to brag about your partner - especially in front of them! It shows that you're truly proud of them.
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Iowa lottery winners fund new football stadium - http://bit.ly/WsfNs8
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"bring me 2 life"
$500 million in checks left at Jerusalem holy site - http://bit.ly/WsfM7z
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"bring me 2 life"
Niners-Seahawks a late-season classic - http://bit.ly/WsfGgc
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"bring me 2 life"
Today is National Oatmeal Muffin Day. Tasty, and full of fiber, too!
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President Obama taps Vice President Biden to develop ways to prevent another tragedy like Connecticut school shooting
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Tuesday, December 18, 2012

Samsung wins smartphone ruling in California, then drops demands against Apple in Europe: http://t.co/oJlCTRdk
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9/11 cancer study won't settle debate over possible risks linked to World Trade Center attacks: http://t.co/5l1I5Vj9
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I'm working just different from others playing &a testing video games for sell
safer to stay inside then go outside ppl can't drive rolling stop and no turn light blinking

Monday, December 17, 2012

/ NBA
San Antonio 93
Oklahoma City 107
FINAL
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texas refused to pay cancer

Kevin's Corner: Paperwork

review the third gate

Kevin's Corner: Review: "The Third Gate" by Lincoln Child

hitting the floor

Kevin's Corner: Porch Time

review

Kevin's Corner: Review: "Arrowmoon-- A Bill Travis Mystery" by George Wier

my mom

my mom maybe having cancer aging she only makes things & when she having cancer treatment she makes a lot we know more this Thursday but she aslo sells what she makes yea Check it out http://sanditipple.ioffer.com you can aslo go to ioffer.com and put in search sandi tipple thanks for looking

update

UPDATE AMBER ALERT:San Antonio,TX VEH:02 Black Chevy Trailblazer TAG:TX 7CZTJ CHILD:11MO H/M 2FT6 25 Haz/Br SUSP:23YO H/M 5FT8 185 Br/Br CALL 210-207-7660