Today we start with an anatomy lesson. We normally spare you these daily details as they are just that - details. But, today, the details are important.
Asa underwent a special radiology procedure today called a transarterial chemoemobilization. If you want details, it's on wiki. In very short, they delivered a punch of chemo to the liver via the femoral vein going up to the liver. This was direct and nonsystemic, allowing Asa to continue to heal and virus dissipate while still punching his cancer in the gut.
So here's the anatomy lesson. Most people have a main artery that feeds the liver that divides at a Y into the left and right hepatic arteries (LH and RH - see middle pic). If you as a doc go into the artery, you hv to be doubly careful when delivering liquid chemo to not enter the healthy liver lobe with chemo or backwash into the other from the close y junction. The bottom pic (or some variation thereupon) is Asa. His left and right hepatic arteries feed the liver via completely different feeds, allowing the radiologist to go into the right lobe and have at it. Docs said the tumor sucked the chemo like a sponge, then they plugged the arteries of the tumor with little pellets that will hold most of chemo in. Are we not fearfully and wonderfully made? Asa's body was prepared in advance for this day.
Prayers for us for the next few days. Even though this is non systemic chemo, the body can still react to all the junk it sloughs off as tumor cells die aka tumor lysis. And of course we have normal recovery from anesthesia. Pray that everyone sleep (see earlier post ) and that Asa also shake the withdrawal from vent drugs. Virus counts next week with checks today with hopes that the negligible number be zero. Asa is supposed to get a antiviral treatment tomorrow as well. Prayers also as this is the weekend and come Tuesday a major shift in staff rotation which always presents new docs with various manners of communication, good and otherwise.
Thanks today for family visits and a sweet couple who God sent just to pray with and encourage us while Asa was in the OR. Sometimes God goes way out of the way to care for us, bringing a knock to our room door. Thanks always for your faithful prayers!!!
Top pic is a fav doc.
Asa underwent a special radiology procedure today called a transarterial chemoemobilization. If you want details, it's on wiki. In very short, they delivered a punch of chemo to the liver via the femoral vein going up to the liver. This was direct and nonsystemic, allowing Asa to continue to heal and virus dissipate while still punching his cancer in the gut.
So here's the anatomy lesson. Most people have a main artery that feeds the liver that divides at a Y into the left and right hepatic arteries (LH and RH - see middle pic). If you as a doc go into the artery, you hv to be doubly careful when delivering liquid chemo to not enter the healthy liver lobe with chemo or backwash into the other from the close y junction. The bottom pic (or some variation thereupon) is Asa. His left and right hepatic arteries feed the liver via completely different feeds, allowing the radiologist to go into the right lobe and have at it. Docs said the tumor sucked the chemo like a sponge, then they plugged the arteries of the tumor with little pellets that will hold most of chemo in. Are we not fearfully and wonderfully made? Asa's body was prepared in advance for this day.
Prayers for us for the next few days. Even though this is non systemic chemo, the body can still react to all the junk it sloughs off as tumor cells die aka tumor lysis. And of course we have normal recovery from anesthesia. Pray that everyone sleep (see earlier post ) and that Asa also shake the withdrawal from vent drugs. Virus counts next week with checks today with hopes that the negligible number be zero. Asa is supposed to get a antiviral treatment tomorrow as well. Prayers also as this is the weekend and come Tuesday a major shift in staff rotation which always presents new docs with various manners of communication, good and otherwise.
Thanks today for family visits and a sweet couple who God sent just to pray with and encourage us while Asa was in the OR. Sometimes God goes way out of the way to care for us, bringing a knock to our room door. Thanks always for your faithful prayers!!!
Top pic is a fav doc.
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