"Embrace this day with an enthusiastic welcome, no matter how it looks." -Elder Busche
First off, how is Brooklyn doing post surgery? GREAT! It is amazing how going in to a surgery healthy makes a world of difference. She is generally back to her "normal" life playing and being a sweet little girl! And I want to give a HUGE thank you to everyone who sent Brooklyn Valentine's. Derek said she was absolutely thrilled to be receiving mail, (and quite honestly it may have possibly meant more to Derek than Brooklyn).
Yesterday (Valentine's Day) Derek, Angelie, and Brooklyn had their 1st follow up visit with the Radiologist. The Radiologist has answered a lot of questions that we all were having about this 2nd go around of things. One question we had was if this tumor was the same type of cancer tumor that Brooklyn had the first time. The answer is yes, this is the same type. This means Brooklyn is dealing with a very aggressive type of cancer to have it come back in only 4 months. Another bit of information they learned was that the surgeon was extremely hesitant to even perform this surgery a 2nd time.
As I mentioned in the last post, we originally were told that there were 2 tumors, but when in surgery it was discovered that it was actually 1 tumor. We were also told that this last tumor was outside the area where Brooklyn received radiation last time. The brain can only receive so much radiation in one area before negative side effects kick in. Brooklyn received the maximum dose of radiation last year. This is significant because when her radiologist compared MRI's it was discovered that a portion of this last tumor is actually in the same area as her previous tumor. This means that even with Brooklyn's first surgery and maximum dose of radiation, the cancer was back only 1 year later.
So, the radiologist gave Derek and Angelie 2 options which I will explain:
Option 1: Do Nothing They can choose to do no further treatments at this time. We can hope that this last surgery got 100% of the cancer and that Brooklyn will live a great and normal life. The chances of that being the case are slim to none considering how aggressive the cancer is. More likely the cancer will return in about a year and at that point Brooklyn's doctors would only be able to treat her symptoms keeping her as comfortable and happy as possible until she eventually would pass away.
Option 2: Do a shortened round of radiation treatments
They would give Brooklyn about 20 more radiation treatments. This is a shortened amount compared to last time. This reduced treatment is due to the negative side effects that more radiation in this same general area would produce. The most likely side effects Brooklyn would experience is weakening of the right side of the body, with an extremely probable outcome of paralysis of the right side of her body. When this type of cancer returns a second time after a child has already received surgery and radiation treatment, the odds are 1 in 4. So the chances of this radiation treatment working to cure Brooklyn is not real great. There is a better chance of the cancer returning again despite the treatment, and there would be nothing left to try. Neither surgery nor radiation treatments would be an option for Brookie.
The radiologist sent Derek and Angelie home to think, discuss, and make some tough decisions.
I can't even imagine what it must have been like for Derek and Angelie to sit through an appointment like that... where the doctor is giving you options both with slim chances of a happy ending. As you can imagine the last 24 hours has been rather emotional for the Walker family. I have talked to Derek quite extensively since the appointment. I asked him which route they are leaning toward. He said they of course want to at least try the radiation even though it makes Brooklyn so sick and the paralysis effects more radiation would cause. Derek and Angelie are of course hoping that Brooklyn would be the 1 in the 4 that would result in success of more treatment.
The reason this is all such a HUGE shock for all of us is that Brooklyn is probably the healthiest and most active we have seen her in the last 2 years (and she is only 3 years old). It is hard to believe that the radiologist is not that optimistic about the outcome considering she is doing so great!
I hope I have written this update in a way to convey that the Walkers have not just given up all hope. In reality we are relying on our faith and testimonies that the Lord is in control. We are also trying to be realistic with the information given to us.
I asked Derek to tell me what his family needs. The first thing that came to his mind was a special fast. We will be having a fast for anyone who wants to join us on this coming Sunday. This should be a fast not only for Brooklyn and the miracle she so desperately could use, but also for Derek and Angelie to be strengthened at this most difficult time. I will continue to make blog updates as things progress; and I think that over the next several months there will be other "physical" needs that will arise. I will pass those along as I keep everyone updated.
I'm sure it goes without saying that keeping the Derek Walker Family in your every day prays would be so much appreciated. I would also encourage you that if you feel inclined over the next several months to send Derek's family an email or a facebook message, a note in the mail, a phone call, whatever.... do it! Little things like that made all the difference to us when our Dad was so sick.
I started out this post with a quote from Elder Busche. This is from the movie clip posted below. It has really helped me over the last 2 days.
Thanks again for all of your support and love.