Monday, 24 October 2016

24 October 2016 A breakthrough (fortunately not through the hip... but concerning the hip)



At last – a breakthrough (or should I cautiously say, a possible breakthrough).
It’s unbelievable that it is 2 years ago that I first experienced pain in my left hip and began to limp. It took around 3 months before the staggering diagnosis came to light of a metastatic Stave 4 kidney cancer. Because the hip was severely compromised, I have been unable to weight-bear, hence I haven’t walked for almost 2 years, and have been wheelchair bound for most of that time, apart from some careful hobbling around with a frame. This has been quite a millstone for me to bear, as it has severely compromised my independence – especially things like independent driving. It has also placed a lot of extra responsibility on Brian’s shoulders, and there’s so many extra things I’d like to be doing for him too.  
So I was very disappointed in August last year when the Orthopaedic team at St Vincent’s decided that hip surgery was too invasive, and a less invasive procedure of injecting cement into the hip to stabilise the area of tumour was also not considered appropriate.
Ok – fast forward 12 months.
Here I am, responding well to a Targeted Therapy Drug, and feeling well in myself.  So much so, that I have questioned my oncologist as to the possibility of reviewing my left hip, and this has gone through all the processes of referral until I landed back to the same orthopaedic surgeon as before at St Vincent’s. When I updated my GP regarding this impending appointment, I commented to her that I’m not expecting a miracle, but just want to ensure that all possible options have been explored. I was heartened to hear her response, “my dear, you already are a miracle”! I say this because it is a reminder in whose hands I am in – and that God has indeed given me more earthly days than was ever expected at my original diagnosis. Thanks God!
Anyway my appointment was this morning, and I had no expectation of a successful outcome, so it was lovely to instead enjoy a catch-up in Melbourne last night with some of the family. After navigating our way through the end of the morning peak-hour traffic, we made our way past a series of very crowded waiting rooms, before presenting for our appointment, and after a short wait (that’s a miracle in itself) in we went. To my shock, the surgeon was very sympathetic and supportive of my request. After a careful review of last week’s CT scan, the surgeon pointed out areas where the bone has actually increased and pushed back the tumour (other areas showed tumour presence that has ‘eaten’ a chunk of bone, though this area has not increased).  Verbally, the outcome is that she recommends the non-invasive ‘cement’ procedure, and even asked ‘now are you available to come back here on Thursday, or how about Monday?’ (Actually, no I’m not as we are heading instead to a Renewal Conference at Mt Barker!) Basically, if she does this procedure, there are some risk factors, but the intended outcome is that I would be able to walk!!!!! Now that’s a total miracle to look forward to!
So I basically walked (wheeled) out of this appointment walking on air, wondering if I had truly heard correctly. Really? Walk again? Perhaps with the aid of a stick… but then again perhaps not? Would we sell the wheel-chair?
However – now comes Brian’s sense of reason, and perhaps my natural caution too. There are some hoops to go through first, the major one being that the surgeon needs to first discuss this with her colleagues (this will happen on Wednesday). There are also risk factors to be considered.
But for now, please allow me my excitement and also pray for God’s will to be done regarding my hip.   
I’ll update this blog when I know more – maybe as early as Thursday.

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