I’m overdue for an update again. It was a tough week for Maggie. It started on a high note. We reported to the clinic Monday morning for an exam, blood work and a targeted therapy infusion. The infusion was uneventful. We heard good news – her CEA was stable (or ever so slightly lower) when compared to the previous result two weeks ago: 10.7. This gives us some measure of reassurance since we’re probably looking at a break from treatment between this last UMMC infusion and day one of the clinical trial of up to a month.

Once we got home, Maggie rested well until Tuesday evening when some breakthrough pain started in the same right side back area. It progressed rapidly to a high level (Maggie reported a “9” on the 1-10 scale). We became convinced it was a kidney stone (she’s had 4-5 previous), so we consulted Dr. Ross for help in getting pain under control. His suggestions worked (of course), and she slept through the night. We took her to his office Wednesday morning. The ultrasound and x-ray showed no evidence of a stone, but he still wanted to scope her since we all thought something might be going on. However, the scope revealed no blockage coming from the kidneys. A mystery. I love reading mysteries not living them. We basically have no explanation for the pain other than a possible stone already passed or a more intense tumor pain (since the liver and kidney are quite close). She’ll be having a CT scan at MDA next week, and I, for one, hope we get answers for exactly what is causing pain and how we can best treat it – prophylactically and, in the case of breakthrough, getting it under control quickly.

Maggie is now dealing with ongoing unsettled gut. She recovered from C-Diff in time for her Monday infusion to upset the gut balance once again. This is a MAJOR issue for discussion next week. How can we do a better job of helping her gut to heal? Her ability to leave the house and enjoy “down time” between treatments is seriously compromised at this point. And my girl likes to go! I think her first complete sentence ever was “Where are we going?” At the age of two she asked Phil this once at breakfast. He replied, “Nowhere.” And she smiled and said, “You’re kidding, right Daddy?”

Even though she has been homebound, she’s in good spirits. She had a sweet group of friends from her college group at TBC come to visit her Thursday evening. She’s making a shopping list for her trip to Houston. And she’s looking forward to learning the details of the clinical trial. She is blessed with an amazing ability to grasp hope even before it takes definite shape. I marvel and find myself a bit jealous of this. But I’m eternally grateful for it. And chastised. She gets this verse better than her mom does. “For in this hope we were saved. Now hope that is seen is not hope. For who hopes for what he sees?” Romans 8:24 That’s a good place to close. I think I’ll go update my “hopes” list.