Respect the Spleen

I should be sleeping.  It is 1:30 AM.  This is my second post for the night, because I can’t stop and sort out the overflow in my head any other way.

Maybe you have been following the saga of my poor spleen… or not.  Either way, my spleen has issues.  Or, rather, my doctors have issues with my spleen.

respectthespleen

The first time the hamartomas were detected on my spleen was probably when I had an abdominal ultrasound as a screening after my diagnosis.  When I saw my oncologist in August, she wanted an MRI done of the spleen so she could have a basis for future comparison.  When she called me with the results in August she was ready to send me for a surgical consult, based on the significant size of the 4 hamartomas (courtesy of Cowden’s Syndrome – aka PTEN Hamartoma Tumor Syndrome) on my spleen.  Since the spleen itself is only about 11 cm long, the hamartomas across the top equaled or exceeded the length of the spleen.  At the time, I was coming off of a double mastectomy in March, and a hysterectomy in May.  She was forcing my hand to schedule a colonoscopy (which I did,) but I pleaded with her for 6 more months with my spleen.  Reluctantly, she agreed.

spleen

So, when I had the car accident and I was sent for an abdominal ultrasound, that started the whole process over again.  The oncologist looked at the report and ordered an MRI.  I went for the MRI and tried to set up the surgical consult.  The surgeon, who is a surgical oncologist, thinks the spleen needs to come out, but he wants me to see a different surgeon to see if it could possibly done through laproscopy first.  But, he wants to talk to my oncologist before he will set up an appointment to even evaluate my case, and my oncologist spent last week in California at a conference.

So, instead of February… it is now December, and I am waiting.  Waiting to have the fate of my spleen determined.

Well meaning people say to me, “Don’t worry – you can live without your spleen.”

Sometimes well meaning people should smile and nod more, and speak less.

Yes, I KNOW I can LIVE without my spleen.  You can also LIVE without your boobs, your uterus, your cervix and your ovaries.  You can LIVE without your gall bladder, and your appendix, and your thyroid, and one kidney, and part of your liver or lung too.  But, just because you CAN do something, doesn’t mean you should.

I am thinking of asking for a fake fish for Christmas.  One that will remind me I have been gutted like a fish this year.  One that will also remind me that, no matter how many body parts they take, you have to KEEP SWIMMING!

keep swimming

Monday or Tuesday I will talk to a doctor about my spleen.  I would love to keep it.  I just think we have gotten along nicely for the last 39 years.  And, its mine.  But, I will listen to the doctors (after I ask them EVERY hard question I have,) and I will do what is best, and safest.

Heck, I didn’t go through all of this past year to be beaten by my spleen….

3 thoughts on “Respect the Spleen

  1. Don’t forget part of your colon – my hamartomas showed up in the furthest 2/3’s so doctors left me 1 foot of colon to work with. And you can function newly normal with 1 ft. of large intestine, I’ve found out.

    “You can LIVE without your gall bladder, and your appendix, and your thyroid, and one kidney, and part of your liver or lung too.”

  2. Oh. My longest virtual friend. 🙂

    My heart is heavy for you right now. I feel the emotion in your post. I have no peppy words
    as a cheerleader. Just know I’m thinking of you. Will pray hard when the time comes.

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