Wow. The last two days have been quite a whirlwind, in a long waiting sort of way. We came to SLC on Wednesday night so we wouldn't have to get up at 3:30 in the morning. We met Trent's parents and sister at Little America for dinner. We stayed there that night and I am pretty sure we had the same room we stayed in for our honeymoon. We didn't get much sleep. I was pretty nervous that we were going to be late so I kept waking up every half hour or so to check the clock. That makes for a very short night! We arrived at the U at 5:45 am to begin prep for surgery. I was surprisingly calm and Trent was doing pretty well too.
|Nice hat Trent!|
|Serious moment with the anesthisiologist.|
|Dr. Friedberg, Trent, and Dr. Carr|
|Tracy, Joellynn, Doug, and Trent|
|Me and my Warrior|
|Saying goodbye to my patient!|
|Me and Jan, a.k.a. Superwoman|
Surgery started at about 7:30 am. I had been receiving updates every couple of hours by phone from a nurse in the OR. The last update I heard at 6:15 pm was that it would be about 45 minutes before Dr. Carr came to talk to me. I had barely picked up a magazine when Dr. Carr was standing in front of me. "How was your day?" he asked. I was so shocked to see him that I was caught off guard. I asked how his day went and when he said, "Great", I burst into tears and jumped up and gave him a huge hug. I turned around to find Dr. Friedberg. He was literally standing behind some plants. I motioned him over and he very hesitatingly stepped out from behind his "shield". I am pretty sure I was totally invading his bubble when I hugged him. His hug was about as stiff as a board so I went back to Dr. Carr for a better one. :)
The surgery went well and they were able to remove all humanly detectable evidence of disease. They resected a couple of enlarged lymph nodes early on in the surgery. We knew they were enlarged but they had not really changed on any of the scans so no one was too worried about them. They will be sent to pathology. We were really hoping to find a dead tumor in there but that was not exactly the case. There was actually more growth than the last scan showed. There was a tumor that was growing onto the chest wall and one that was butting up to the heart. Dr. Carr and Dr. Friedberg removed the entire left lung, the lining of the chest, then diaphragm on the left side, and part of the pericardium. They rebuilt the diaphragm and the pericardium and called in the cardiac surgeon to remove the stuff on his heart. It was only about the size of a dime but they wanted the guy with the heart specialty to take care of that.
Early on in the surgery they had discovered the tumor on the heart but Dr. Friedberg insisted that he did not fly all the way from Philly to not do the surgery. That's when they decided they would invite the cardiac surgeon to take care of that spot. Dr. Friedberg was very complimentary about the job the Dr. Carr did and they were both pleased with the outcome. They said about three times that there is NO EVIDENCE OF DISEASE! Yet, there is possibly still microscopic disease so we will follow up with chemo and radiation after Trent has recovered from this surgery. After we talked to the docs we had to wait about two more hours to see Trent. I was bracing myself for a pretty scary sight but this is what I got...
|Trent, about two hours post op|
|15 hours post op|
Trent has done okay today. They are keeping him somewhat "dry" to keep his lung from having to work to hard yet. It is a fine balance because they don't want to ruin his kidneys either. They know they are going to stress out the kidneys but in Dr. Carr's words, "you have two of those and they bounce right back". It is all about protecting that one lung now.
Trent received two units of blood today because it is a little more effective in getting fluid into Trent without messing up the balance and keeping his blood pressure high enough. Late this evening they started him on some medicine to help with the blood pressure. It is pretty low because they are keeping Trent slightly dehydrated for now. Trent was really tired today and not able to rest very much. The ICU is definitely not a place for rest. We are both looking forward to getting to the Huntsman to a floor bed but that won't be for a few more days. He is for sure not going home until next Friday and maybe later than that depending on how he is doing.
|28 hours post op|