Posted by: davidalemmink | November 5, 2008

Wednesday, November 5

What a day this has been! I would first like to thank you all for your loving prayers and support. The comments on the blog are so appreciated! Sometimes I just go into the blog and read them, and when done, I feel so uplifted and supported. THANK YOU ALL!

After I woke at 4:00, showered & dressed.  I got my morning coffee, I then went back to the room to wake David. I won’t say he hopped out of bed…who would with the day ahead? We arrived at the hospital at 6:00 a.m. and immediately things began. A blood test, questions, the “gowning” (David’s favorite part…he kept saying, “are you sure I have to take off my undies?” .. haha). Then it was time to head off to the pre-op room. Carol went with him and John and I waited in a hallway, hoping to catch a glimpse him as he was wheeled into the operating room.

Once Carol came back, we went down to the cafeteria to grab a bite of breakfast, more coffee and of course a donut for John. Then she and John headed back to the hotel so she could check out of her room. As I plan to stay at the hospital at night to be with David, we do not need 2 rooms.

Upstairs I went to the “Surgery Waiting Room”. It was really full, so I plunked myself down in the hallway outside. It was better to be out there anyway….huge windows overlooking children playing in the hospital playground and views of the beautiful blue cloud-studded sky. It was so restful and such a great place to look up and pray.

After a bit, Carol & John arrived and joined me in the hallway. I pulled some chairs out of the waiting room and we all sat down. And we waited. Time marched on. Carol read her paper. John played his Nintendo, and made friends as he always does. I sat and knitted, read, and fretted. Then, at approximately 12:15, I looked up and saw Dr. Iannettoni walking down the hallway. I looked at my watch and kind of freaked out! He had told me 6 hours, and I thought David had gone into surgery at around 9. I really freaked out. Carol told me to calm down. It would be ok… They then called us into the consultation room. Dr. Iannettoni proceeded to tell us that the surgery had gone well. David had done well, and had not lost blood, therefore he had not needed a transfusion. He felt they got most or all of the large tumor and many of the smaller tumors. He could not get them all due to their location, but he got as many of them as was feasibly possible.

Now we need to wait some more. So we headed down to the cafeteria to grab lunch. It was a perfect time because David was still in the operating room, where the surgeons were closing him up.

Back to my freakout. I did not realize that Dr. Iannettoni, being the specialist, would only be in the operating room for the middle part of the surgery. He is not there when they open and not there when they close. Not knowing that, when I saw him walking down the hallway, I thought “what the heck! Why is he not in the operating room?”!!! And then, of course, my brain went in a million fractured ways! Thank God, he was able to explain and put me at ease. WHEW!

After lunch, we headed back up to the surgery waiting room. After waiting a bit, a nurse came out and told us that we could head to David’s room. We got there and they directed us to a waiting room there. And we waited a couple more hours.

David is now in his room. We are in here and he is in great but groggy spirits! He is joking with us in between his ice chips and naps. He looks amazing! In fact, if you didn’t know that he had just been through major surgery, and he didn’t have all the hookups that he has, you would think he had just woken from a nap. It is GREAT and heartening!

I certainly will be writing more as I can, although I am sure I will be very busy helping him.

Thank you again for all of your prayers and support. We so appreciate it.

All my love,

Connie

Posted by: davidalemmink | November 3, 2008

Monday, November 3

Hello all,

Here we are at our new hotel, tired and ready to crash, except we still need to get dinner.  We switched motels, because last night while staying at the Quality Inn there were SERIOUS and sad issues.  We arrived at 7:00, checked in and got our luggage to the room.  David immediately went back down to the front desk to ask the clerk about a couple of restaurant choices.  She was extremely distressed and told him that someone had fallen in the pool area.  So, we left and headed downtown for pizza.  Upon arriving back, we learned that it wasn’t a fall in the pool area, but that a 12-year-old had been assaulted in the pool area.  We were saddend and dismayed by this news.  We locked ourselves in our room and went to bed early only to be woken at 2:30 by a knock on the door.  Looking through the peephole, I saw that it was a Police Officer.  He asked me a few questions about the issue to see if we saw or knew anything (which we didn’t).  Difficult to get back to sleep following that exchange.  We learned in the morning that the outside doors had been unlocked for who knows how long, and that the perpetrator was possibly someone coming in through one of those doors.  So, we decided that we could not feel safe staying there and have moved to the Heartland Inn.  Nearer the hospital and with the benefit of a shuttle.

Now on to the the reason that we are here.  We arrived at the hospital this morning at 9:45 for David’s 10:00 appointment.  Following check-in, he was told he needed to get an x-ray, so down we went to the radiology department.  The x-ray done, back we went.  They took blood and did an EKG.  All the tests that will tell them that David is ready and physically able to handle the extensive surgery.

In came Kelley, Dr. Iannettoni’s Nurse/Scheduler.  She asked a lot of questions and also gave us a lot of  pre-op instructions.  Dr. Iannettoni then came in.  He filled us in on what to expect.  He told us that the procedure he plans to use is a clam shell cut.  He thought he would cut top down to be able to access the main tumor, but after an earlier consultation with Dr. O’Dorisio, they decided that he should make a larger incision so that he could also excise some of the smaller tumors.  So, that is the plan.  The surgery will take approximately six hours.  Three hours to debulk the largest tumor and three more to take care of the smaller tumors.  Long and scary….and we will be at the hospital at 6:00 a.m. on Wednesday.  Dr. Iannettoni has only scheduled David’s surgery for that day so he will be able to concentrate totally and fully on him.  We are very confident in his abilities.  He has done many similar surgeries.  He has done many lung transplants.  He has so much experience with these surgeries.  That is comforting.

Please pray for David today and especially on Wednesday.  Pray for Dr. Iannettoni, that he has the strength to get through this lengthy surgery.  Thank you so much for your prayers.  They give us strength through this difficult time.

I will continue to keep you posted as often as I can.

Love, Connie

Posted by: davidalemmink | November 2, 2008

Sunday, November 2

Hi everyone,

Just a quick note to let you know we made it!  We got to Iowa City around 7:00 Iowa time and got our room and then headed out for a pizza.  Yum!

After pizza, we wandered around downtown for a bit, got an ice cream cone and then headed back here.  Even though it’s only 8:45 Iowa time, I know I am headed for bed soon!

We have David’s appointment tomorrow at 10:00 and then we will find something to keep us busy for the next couple of the days.

I will post to the blog tomorrow to let you know what we find out.

Thank you for your prayers, love and support!

Love, Connie

Posted by: davidalemmink | October 31, 2008

Friday, October 31

HAPPY HALLOWEEN everyone!

It’s a big day for kids and we have trick or treating to get to, so this will be brief.

We are all set for our trip to Iowa!  We got a call Thursday that Priority Health gave the OK for the surgery. Thank God!  We plan to leave Sunday morning.

David’s first appointment is Monday at 10:00 a.m.  This is a consultation with the surgeon, Dr. Iannettoni.  At this appointment we will learn the procedure he will use and they will give us all the pre-op instructions.  Then we have the rest of Monday and Tuesday to hang out and find some fun in Iowa City and prepare mentally for what will come on Wednesday.

At this point, this is all we know.  I will certainly post on Monday following our meeting with Dr. Iannettoni.

Thank you for your prayers, love and support.

Have a fun evening!

Love, Connie

Posted by: davidalemmink | October 29, 2008

Wednesday, October 29

Hello.  Thank God, we are moving forward.

We are waiting for a call from Dr. Brinker to let us know that the Iowa appointments scheduled in November have been preapproved by the insurance company.  He has already spoken with Dr. Fox at Priority Health, but needs to confirm that all is a go.  If everything is preapproved, then we move ahead with plans to go to Iowa.

At this time, there is a consultation scheduled with Dr, Iannettoni next week Monday at 10:00 a.m.  If he still feels that the tumor has shrunk to a manageable size, then David will have surgery on Wednesday.

David, John and I plan to leave on Sunday to be in Iowa for his appointment Monday. So this is the week we need to prepare (minus a dryer).  We will get ourselves ready for a more lengthy stay in Iowa.  We will not know how long we will be there, but will stay as long as is necessary.

Tuesday David had a broncoscopy.  That is where they insert a scope to see inside his throat and lungs.  They told him after he woke up that all looked good and clear.

Also, on Tuesday, I spoke with Kelley, one of Dr. Iannettoni’s nurses.  She will be in contact with Priority Health today and that will hopefully solidify all that is necessary as far as insurance goes.

And, I must take the time now to thank the person that mowed our back yard on Tuesday.  I got home from work and opened my kitchen window blinds.  Looking out, I was amazed to see that the back yard was cut.  What a relief that was, and how thankful we were!  It was one thing we don’t have to think about and find the time for doing.  Thank you and God bless you!

We are unceasingly thankful for all your love, prayers and support.  I will keep you posted as things continue to move forward.

Love, Connie

Posted by: davidalemmink | October 19, 2008

Sunday, October 19

This was a busy week.

I made the decision that I was sick of waiting and hearing nothing.  So…….I decided to be “the rock”.  Not a pebble in a shoe, but a ROCK.  I spent much time in the phone talking to one Iowa nurse or another.  A nurse here in Grand Rapids, and Dr. Brinker.  There had been a breakdown in communication, so I built that up again and we are back to a good level of communication.

That means we are possibly looking at going back to Iowa for a consultation and then surgery 2 days later.  Since the date they told us is “penciled” in, I will withhold that…it could change.  Because of the insurance company’s policies, they need to set a date to get that ball rolling….to get all the pre-approvals done.   As soon as everything is finalized, I will let you know.

Whew! It’s hard work being a rock, but well worth the effort!

Hope you all have a good week.  Thank you for your prayers and support!

Love, Connie

Posted by: davidalemmink | October 7, 2008

Tuesday, October 7

Hello again,  a lot has happened since I last posted.

We have be in contact with all 3 doctors and have learned that David’s main tumor has shrunk.  Thank God! When he had his first scan it measured 7.6 cm.  At his last scan it was 5.5 cm.  They all feel that is significant and we are so happy to have such a positive response to the chemotherapy!  Prayers of thanks are in order!

Dr. Brinker has spoken with both Dr. O’Dorisio and Dr. Iannettoni and the consensus is that we are moving forward towards surgery.  As you may recall, when we went to Iowa for our first visit, Dr. Iannettoni told us he was uncomfortable and unable to remove the tumor because of the size and location.  He now feels that because of the positive response and amount of shrinkage, that he is now feeling confident that surgery is our next step.

In our conversation with Dr. Brinker last Friday evening, he told us that if David has more chemotherapy it would not necessarily show the same positive response that we have already seen.  The thing with chemo is that it works for a time, and then the bad begins to outweigh the good.  Having more chemo would raise his toxicity levels too high and he is uncomfortable with continuing.  Thank God for that too.  Being done with chemo is a blessing!  Even though David tolerated it so well, it does not mean that it was easy and he is so thankful to be done.

So, now we wait to hear from the doctors when the surgery can be scheduled.  It may take a while as they are very busy!  I will keep you updated, but until we hear, not much will happen.

David will continue with his monthly Sandostatin shot which also is very helpful…….and we wait.

Thank you always for your prayers and support.

Love, Connie

Posted by: davidalemmink | September 28, 2008

Sunday, September 28

I know some of you have been waiting for a post.  I’m sorry it took me so long to get to it.  As you read on, you will see why.

We left for Iowa City, Thursday around noon after picking John up from school.  I decided that I didn’t want him to miss 2 days, so off he went Thursday morning.  We got him at lunchtime, came home, finished packing the car and then took off.  We arrived in Iowa City around 7:30 following an uneventful trip.  After we checked in, we headed out for dinner at El Ranchero, a Mexican place.  Yum!  Following dinner, we headed back to the hotel so John and David could take a swim.  Then if was off to bed to be rested and ready for our appointment.

Friday we were up fairly early and ate at the complimentary (really good) breakfast.  We then got ourselves ready and headed to the University for David’s appointment.  Even though the Pappajohn Cancer Clinic was busy, we got right in.  After waiting in the examination room for a few minutes, Dr. O’Dorisio came in.  As he started to talk to us, we all realized that because we had BROUGHT the CT scan and PET scan discs with us, obviously they had not yet been read.  We had done what we were told to do, but in retrospect, we should have sent them ahead.  Because David had gotten the scans so close to his appointment, and because they only gave him the discs and not any reports, there was not much to discuss.  Dr. O’Dorisio felt that he wanted the Radiologists and the surgeon, Dr. Iannettoni to read and analyze the data on the discs.  Dr. O’Dorisio told us if the tumor has at all shrunk, or at the least not gotten bigger, that will be  very positive.  Also, once Dr. Iannettoni reads them, he would be able to give us information about any future surgery.  So as you can see, without those readings and reports, there was not much Dr. O’Dorosio could do for us.

To say the least we were very disappointed!  There was nothing we could do.  Dr. Iannettoni was in a lung transplant surgery (that would last for at least 10 hours) and consequently, was not able to see us on Friday.

So, since we had already packed up and checked out of the hotel, we headed straight to Carbondale to see Charlie.  Getting to Carbondale was also uneventful (except for the coyote that ran in front of our car) but not terribly easy.  There is no direct way to get from Iowa City to Carbondale.  It was a lot of back roads and not too fast.

Once we arrived in Carbondale, we found Charlie’s apartment and unpacked and settled in.  It was SO GREAT  to be there and with Charlie.  So, we hung around and talked and then went to bed so we could rest up for Saturday.

We got up Saturday, and headed to Harbaugh’s for breakfast.  One of the local “best” places to eat.  After breakfast, we headed to Giant City State Park.  Once we got there, we took a hike into a lovely area.  It was beautiful and reminded us in many ways of some of the areas we have hiked in, in the Upper Peninsula.  We then went to a memorial park made by the family of a boy who died.  It was a huge play area with castles and medieval figurines and dragons.  John had a GREAT time.  When we could finally drag John away, we headed over to the college so Charlie could show us the building where he spends most of his days.  He teaches 2 English classes and has an office in Faner Hall.  He is also taking classes there.  His days are busy with teaching, grading papers, classes and homework.  He does find time to have some fun and has made friends with the other teacher/students that are also in the same program. We then wandered around the beautiful campus.  How fun it was to see where Charlie is and be able to visualize where he spends his days.

After that, we headed back to his apartment to just chill for a while.

For dinner, we went to another “best” in the area.  We went to the 17th Street Bar & Grill.  They have the best barbecue, which has been voted many times “World Champion”.  We had a lovely dinner, and then went back to Charlie’s to get John to bed.  We weren’t far behind after a non-stop day.

Today, we got up, had a bit of breakfast, packed the car and headed home.  We got home around 8:30 and here I am writing to you.

As you can see, following a disappointing visit with Dr. O’Dorisio, we had a marvelous day and a half with Charlie.  We are so thankful that we got that time!  We learned that we need the doctors to be prepared for our visit.  You can bet this won’t happen again!  I will make sure of that!

Thank you for your kind words and prayers.

Love, Connie

Posted by: davidalemmink | September 22, 2008

September 21, 2008

Hello all,

It has been a while since I last posted. This will be just a short post, as Thursday, we will once again be on our way to Iowa to see Dr. O’Dorisio.

David finished up his 4th round of chemo this week.  Possibly (and hopefully) the last.  He had a CT scan Friday and a PET scan Saturday.  We will take the results of those tests with us to Iowa.  We look forward to his appointment with Dr. O’Dorisio to let us know David’s progress with treatment and where we will go from here.

Watching the last 3 months and how David has done has been amazing.  As Dr. Brinker said “I wish all my patients did as well on chemotherapy as you are”.  That doesn’t mean it has been easy, just not as horrible as expected.

I will let you know how our appointment in Iowa goes.

Following that we are planning to head down to Carbondale to see Charlie!  YAY!  It will be fun seeing his apartment and having him show us around his new town.

I can’t thank you all enough for your support through this.  Daily, people call and comment and tell us they are still praying for us.  That alone is huge in helping us to stay positive, and strong and able to go along day-by-day.

Love, Connie

Posted by: davidalemmink | August 18, 2008

August 18, 2008

Hello all.

We are coming off a fun and relaxing weekend spent at home and at the cottage on Bostwick Lake. We feel truly blessed to have the use of the cottage whenever we want, and are so thankful to Athy and Butch for their generosity and love. It has been a refuge to us in many ways. We spent the day there with Mom and Dad, Angela and Derek, John, Lana, and Connie W. We felt so rested and relaxed when we got home last night. What a great way to spend the last day of David’s 21-day cycle of chemotherapy.

That brings me to today. We arrived at Lack’s at 9:30 after having dropped John off at Mom and Dad’s. Following check-in, the usual prep work, (and the securing of one of the small rooms), we were called back for our meeting with Dr. Brinker. Dr. Brinker then proceeded to go over David’s chart, his blood work report and he then asked how the last 3 weeks have been. Following that, he discussed the CT scan that David had last Monday. The scan showed that the smaller tumors in the lower portion of David’s lungs have begun to shrink. He told us that the larger tumor does not appear to have changed, and proceeded to take us back to a computer so we could see the results of the scan ourselves. We see the shrinking of these tumors as a very positive response. These are changes due to the chemo and we THANK GOD for these changes. We ask for your prayers that the chemo KILLS this cancer. We also specifically ask that you pray that the chemo will start to attack the largest tumor.

All in all, Dr. Brinker was encouraged, and he encouraged us! He is impressed by how well David is tolerating the chemo and how well he has felt throughout his treatments. He talked to us about the anti-nausea pills “Emend” that help David NOT have the nausea and vomiting that is so common with the Cisplatin. We are truly so thankful for our insurance which pays the bulk of the apx. $400 (we pay a $50 copay) for the 3 (1 per day of treatment) Emend pills. We are thankful for the Emend which seems to make such a dramatic difference. I am thankful for David’s upbeat attitude. He rarely gets “down”. His attitude is positive and I believe that has a lot to do with his response to the treatments. He takes one day at a time and modifies what he does each day by how he is feeling.

And …… life goes on. Summer is waining, and we are looking towards Autumn.

School will begin soon, and has already begun for Charlie. He is now a teacher/student at Southern Illinois University in Carbondale, working towards his Masters in Fine Arts/Fiction. Following a 2-week workshop/training session, he started school today. He and Liz drove off in a U-haul on August 1st. Driving an uneventful 10 hours, they arrived in Carbondale. When they finished unloading the truck they went exploring in Charlie’s new city. When it was time to come home, Liz took the Amtrak to Kalamazoo where Angela picked her up and brought her back to Grand Rapids.

Angela and Derek (her boyfriend) were here this weekend from Kalamazoo, for Ashley’s wedding and they also spent time with us on Sunday at Bostwick Lake.

It is hard to believe that John will be in 6th grade this year! He starts school on September 2. It is also so hard to believe that Summer vacation is almost over. Time flies when you are having fun …. and even if it is not so much fun.

We are very thankful for all of our family and friends that have been so supportive throughout this ordeal. Again today, Brian showed up to spend time with us, and to show his love and support. He is such a caring and special friend. We have received so many cards, calls and gifts and we thank each and every one of you who have taken the time to show how much you care. It means so much, more that you can ever know. It makes the difficult days easier because we feel that love and support.

Love, Connie

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