Wednesday, July 30, 2014

A Slowly Developing Picture

Quite a bit has happened since the last post with further events yet to come as well. Where to begin?

The endoscopy yesterday morning had to be aborted before completion due regurgitation threatening to get in the lungs. Even so, the specialist saw an obstruction of the gastric outlet that looked like lymphoma to him. A biopsy was taken to be tested and a PET scan is needed to decide if cancer is still present.

I should rewind a little to explain how this cancels the surgery planned for today. Yesterday afternoon it was thought the nerve damage diagnosis was correct, therefore a drainage tube was going to be implanted into the stomach in order to relieve future build up. They have pumped 1.5 liters of fluids and matter out of him as of today, plus all he vomited before.

Imagine a two liter of soda residing in the stomach with nowhere to go but up to get an idea of what my father has been contending with.

Getting back to the new data, if Dad is cleared of having lymphoma that implies inflammation or scar tissue causing the blockage. Another EDG would be attempted with the goal if placing a stent in the outlet. This may be attempted even if the cancer is present, conferring with oncology is yet to be done.

There are no guarantees we won't be revisiting the original surgery discussed, of course. However, there is now some hope that Dad might be able to eat again even if only liquids or soft foods.

The Achilles' heel of modern medicine is specialization especially when dealing with a problem spanning multiple fields. It is said that a chain is only as strong as its weakest link. I'd add that the more links there are, the higher the odds of having a weak link or two. The medical profession is made up humans so imperfection (mistakes) are inevitable.

Despite writing that, I think the rollercoaster ride could have been smoother. It would be no surprise if more bumps are on the way.

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