Brief update
It's been a while since I've written in here, and things have been busy. We went on a lovely vacation with my parents to Costa Rica over Christmastime, which was amazing. Then we came home to frigid Massachusetts and everyone promptly got the flu. Since then, life has been its usual jumble of sick children, work, and daycare drop-offs. But I wanted to give everyone a brief update.
Eric and I have met with several doctors to discuss the risk-benefit calculus, and I think he has decided to start the IDH inhibitor medication, Vorasidenib. We aren't sure yet if insurance will cover it, as Eric had a great surgical resection, but thanks to everyone's kind donations, we will be able pay out of pocket if necessary. There's a chance the medicine could keep the tumor from ever regrowing, which is inevitable eventually if he doesn't take it, so we are willing to risk the theoretical possibility of it causing a different cancerous mutation. Cancer cells are devious and will accumulate mutations whether treated or not, so why not treat them. Glial cells are slow-dividing, so we are hoping that means there won't be as much selective pressure from the treatment as has been seen in hematologic cancers (in which the treatment can cause additional mutaitons). So far, the data in gliomas does not suggest that IDH inhibitors cause any additional cancer mutations/progression, so we are going to trust in the science.
Eric continues to improve. He has aphasia that worsens when he is tired, but will be continuing with speech therapy. I would say he has the equivalent now of mild cognitive impairment. He struggles with multistep instructions and multitasking, and is easily overstimulated. He still has all his medical knowledge, but it is definitely going to be challenging for him to return to work in the hospital as a resident. He restarted clinic last week with a lighter load and has been doing alright, with AI helping with note writing, as his typing is still a little slow as well. He will start an orthopedics elective after that and then a VA rotation, so won't have a hospital rotation for several weeks, thankfully. We are hoping that by the time he is back there, his brain will have recovered even more, and it won't be as challenging or exhausting for him. His program has been very supportive in giving him a ramp back to normal residency rather than dropping him back into things. Having a large chunk of his brain taken out was definitely a big neuropsychiatric hit, and the recovery process has been very slow, but still steady.
I am hanging in there. Eric has been able to help progressively more around the house and with the kids, which is great, but he does get tired very easily, and nothing is more over-stimulating than three children yelling and bouncing off the walls. He is finally able to drive again as of this week (six months since the seizure), which has also made life way easier. I would say we have reached a new equilibrium, but are still on the uptrend, and hoping to eventually make it back closer to our old equilibrium before 2026 is over.
Thank you all for your support, kind thoughts, donations, and prayers. We have felt them all. <3
Great to hear things are going alright for you guys!! Ugh, going back to residency must be super duper hard I can’t even imagine. Props to Eric.
ReplyDeleteReal question though, did you succeed in your mission to see a wild sloth?
This is very delayed- but yes I did! we saw many sloths.
ReplyDelete