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I have completed radiation treatment 17 of 33 so I am officially more than halfway through this initial course of therapy. Of course the chemo is daily as I have mentioned. Same side effects as I have mentioned but they are getting better. The hair loss is new! Everywhere the beams enter my head (they refer to them as “ports”), I am losing my hair. Right now, the right side of my head, in a patchy spot about 4″x4″ is bald. Oh well! I really don’t care. Throw on a cap and go. The fatigue is getting a bit better as I’m out and walking and keeping as active as I can. Weight-wise I’m maintaining pretty well – staying right around 170# which is the right weight for me. Labs are coming back fine in terms of red blood cell count as well. The primary concern there is that chemo has a tendency to drive that count down. Since red blood cells are what carry oxygen from your lungs to the rest of your body, this can drive your fatigue up much much further if it dips. Mine is looking fine. Much of this I just attribute to nutrition and the supplements I am taking. I will list them here in another post but there are quite a few – Omega 3s, anti-oxidants and some others that are key for brain tumors.

I also received a copy of the results from my 1p/19q gene deletion test – it was really academic. This is just a test that is predictive of how effective certain chemotherapy will be in some cases depending upon how this test comes back – it also can help to confirm the original pathology. In my case, there was a “deletion” of the 1p chromosome but not the 19q chromosome. Current therapy is perfect and it confirms the tumor type identified in pathology – an oligoastrocytoma. If both chromosomes were deleted, the tumor would have to be strongly looked at as an oligoendroglioma which has a much more favorable prognosis. Anyway, as I mentioned it’s academic really and just another data point.

Mom and Keegan are doing well. He’s finally starting to settle down a bit at night. He was doing what all newborns do and had his days and nights mixed up. He still does to some extent but he’s waking up twice now most of the time – around 12:30 and again at 4:30 or so after being fed at 9:30pm so Rach is doing a bit better. He was staying awake until midnight every night, then up every 3 hours, etc. etc.

Rachael and I are continuing to pray every day about all of this and just trying to take things as they come. It is tempting to go far ahead and project, and to some extent you have to be strategic and think about the future but there is a difference between being strategic and dwelling on what is to come. The latter is not a place to be! Aidan is doing well too and has been such a trooper through all of this. With so many changes facing him, he has adapted so well – and kids are so adaptable. It’s amazing. He’s a great little boy with a soft heart – he tries to take care of his little brother when he’s crying by giving him little blankets and his prized possession, a small giraffe he’s had since he was about a year old! It’s pretty cool. Aidan will start at Adventure Christian in about two weeks for a transitional kindergarten class for just this year then it’s off to kindergarten the following year. He has the normal trepidation that most kids do before a new change comes. He was so used to his preschool but as he understood that none of his other friends would be there this year either, he’s becoming more comfortable with everything.

More to come soon. I will be getting all of this out to UCSF when it’s done – the MRI at the end of radiation, their recommended treatment plan, etc. There is still something inside of me that says Dr. Berger can resect this tumor and if he can and I won’t be facing major neuro deficits, I may pull the trigger.

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