Monday, August 10, 2015

Cotton What?

I haven’t given an update on my health in quite a while.  On July 20th, I returned to work full time.  It was an amazing feeling to be sitting at my desk again, actually doing something.  The number of people who stopped by and welcomed me back was overwhelming.  Several people told me not to overdo it, but the constant flow of people coming by kept me from getting too caught up in my work.

On July 28th, we headed back to the clinic for some x-rays, a CT scan (with contrast, oh joy), and blood work.  Then began the longest week I’ve experience in some time.  I wasn’t going to see my oncologist until August 4th—a whole week away. 

My wife tells me she was never worried about the results.  Perhaps her faith is stronger than mine, because I spent quite a bit of time praying over these tests.  Yes, I was trusting in the Lord for His healing, but I was also remembering the fight we just came through. 

On August 4th, I went to the oncologist’s office alone.  Laura opted to stay home with the children so we wouldn’t have to try to arrange a babysitter.  I got to my appointment a bit early.  I talked with the very sweet lady at the registration desk who asked how I was doing in a very unobtrusive way to keep in line with all the privacy laws.  The ladies who work this particular registration desk are very sweet and very compassionate when dealing with the whole insurance, co-pay, billing issues. 

I sat in the waiting room, thinking of all the possible outcomes of this appointment.  Would there be more cancer?  Would I need additional chemo?  Would those two treatments I missed due to my low counts be coming back to haunt me?  Finally, I was called back to the exam room.

The nurse took my blood pressure (normal), my oxygenation rate (very good), and my temperature (normal) and said the doctor would be in shortly.  So I did what I have become pretty good at doing:  I waited. 

The doctor came in the room with a quick knock on the door.  She smiled in greeting.  The first thing I noticed was that she kept smiling.  She said “Mr. Otto, your blood work came back normal.  The number that was way high, a 9?  Today it is less than 0.01.  The scans looked good.  Right now, you’ve got nothing to worry about.”  She started examining me to look for any possible effects of the chemo like she has just said “it’s sunny outside, isn’t that nice?”  The joy in my soul was bubbling up inside of me. 

In November, I’ll go back for another set of blood tests and scans to ensure that nothing has popped up.  I’m trusting that the results will be the same—nothing to worry about. 

There is one thing that I haven’t shared with anyone besides my wife.  Right after we finished chemo, I had a regular eye exam.  I, of course, gave my health history to the doctor.  She gave me a very complete eye exam.  And then she dilated my eyes.  After waiting for about 30 minutes, I was called back for the rest of the exam.  If you are familiar with an eye exam, you probably remember the great white light that they take great pleasure in shining directly in your eyes.   She didn’t say much, just kind of grunted in surprise.   You can imagine, at this point in my life, I don’t like it much when doctors are surprised. 

She found something on my retina to the immediate right of my optic nerve in my right eye.  The doctor began to talk to me about it.   She didn’t know what it was and given my recent health history, she wanted to send me to a retina specialist.  The words "unknown," and "spot" where not words I wanted to hear.  I was referred to a doctor in Nashville, TN that happens to see patients in Bowling Green, KY.   A few days later, I’m going through the process of a basic eye exam, pictures of my eyes, and oh yes, the dilation drops—extra strength this time.  My eyes stayed dilated for 4 or 5 hours. 

I was diagnosed with what is called a White Cotton Spot.  It’s a white spot on the retina that looks like a cotton ball.  It is usually caused by a tiny blood vessel in the eye that stops working.  Typically, this is caused by untreated high blood pressure or untreated diabetes.  In my case, most likely it was caused by the chemo.  The vessel probably stopped working when my blood counts dropped so very low.  The retina doctor said that it did not mean the cancer had spread or anything like that.  His exact words were “we’re not going to get excited just yet, but I do want to see you back in a month.” 

So here we are a month later.  We just got back from the retina specialist.  My eyes are seriously dilated; my wife says I look like an alien.  Everything is blurry.  It’s like the whole world has been italicized.  The bad news is that the White Cotton Spot is still there.  The good news is that it is shrinking.  My doctor says that this means the blood vessel has started working again and the tissue has started recovering.  This is excellent news.  He wants to see me in a year unless I have any trouble. 

All in all, life is returning to normal.  I’m back to running and lifting weights at the gym.  I’ve started preaching again.  Just this last weekend, I mowed my yard.  The boys are about ready to start school again.  The wife and I are planning a late anniversary trip.  And you know what?  I can’t complain about anything.  Life is good. 


Let me introduce you to George. . .

 As you may know, several years ago, my family jumped into the world of foster care.  For these last years, it’s been babies, babies, toddle...