Wednesday, May 23, 2007

Successful Surgery!


My father walked into Stanford Medical Center at 5:30 this morning with impressive determination and the eternal twinkle still present in his eye. He claims to have slept well, but we had to be up at 3:45 AM to get ready to go, so it was a short night. As he pointed out, though, he would be getting an awful lot of rest in the coming weeks.

He was in surgery from 7:30 AM to 12:45 PM today with two phenomenal surgeons. Mom and I were able to get updates through hospital volunteers, so we knew when the first surgery was completed and that things were going "well" throughout. Mom knitted, I read, we chatted, talked to family members, and went to a nearby shopping center for a bit to get some fresh air. Despite our methods of self-distraction, these were an incredibly long 5 hours.

Dr. Whyte, the Thoracic Oncology surgeon who was with my father for the duration of the surgery, met us in the waiting room at 12:45 to say that all had gone well. He noted with satisfaction that the chemo and radiation had done its job without leaving much scar tissue, and there had been no complications today. My father would be taken to the ICU for the night, as is standard procedure after such a major procedure.

We visited with my dad for a short while at about 1:30 PM, when he was first brought to the ICU. He was awake, and had more color in his face than we had anticipated. He is on oxygen and has a nasogastric tube in place. As is customary in Intensive Care, he has a nurse by his side at all times; this afternoon's nurse was kind and intelligent. She explained that since all of Dad's vitals are fine, her job is to help him manage the pain.

And, unfortunately, the pain today is considerable. He has an epidural in place and yet stated that on a scale of 0-10 his pain was registering as an "8". The nurse showed him how to give himself a boost in pain medication by pushing a button, but this had not taken effect by the time we left. She was calling a doctor to come in and increase the dosage going in through the epidural, and promised us that he'd be down to a "3" by the time we got back this evening. It was extremely difficult for us to see him in such pain, particularly knowing as we do that he is not a complainer; this pain is not minor.

It is going to be an arduous couple of weeks for my father. He will have an x-ray swallowing study on Monday in which they give him a trace amount of fluid and watch to be sure it follows the appropriate course through his body. There is no reason to believe that it won't, but until they do this procedure, he may not eat or drink at all. Yes, that's right: he must wait 5 days before even having a sip of water; no ice chips, no swabs. It is difficult to know at this point when he will come home, but the 7-10 day estimate seems appropriate.

We will go back this evening to visit again; there are brief visiting hours for family every two hours. We believe that he will feel better each day and that the pain we've seen him experience is as bad as it's going to get as they learn to adjust the medication properly.

The strain of the past five months has been tremendous on my parents, but they have risen to the occasion and shown incredible strength. They are a strong couple, but they couldn't have done it without you. We are all grateful for all of the love and support we have received from all of you, our family and friends. We are also overwhelmed with gratitude for the medical staff who has treated him.

My mother or I will continue to update this blog as frequently as there is news. If you would like to contact us directly in the next week, feel free to email us at either sharonsadler@earthlink.net or jordansadler@sbcglobal.net. We will print out any email messages (or comments on the blog) for my father, and bring them to the hospital. I expect to be here until Tuesday, May 29. In the meantime, I have selected some of my favorite photos of my father from over the years to share; and, truly, with some of them, this is the perfect time to showcase them because he isn't available to stop me!!

Today is the day...


It's 5:00 am and I'm off to Stanford in a few minutes. My surgery is scheduled to begin at 7:30 this morning. The first team will take about 90 minutes to get the tumor out and the next team will take another 3-4 hours to tie my esophagus back to my stomach.
The plan is to send me from the recovery room to the C unit. It is unlikely that I will need to spend time in the ICU but that sometimes happens. The surgery team is great. My preoperation tests were great. I feel great.
I got a very short haircut yesterday. How short? Well, think David Letterman. The last time it was this short I was headed for Vietnam in 1965. I guess I have a thing about short hair as the right fashion statement for major challenges.
I probably won't be in condition to add to this blog over the next 5 days at least. Jordan will fill in.
Thanks so much for the outpouring of prayers and good wishes. You've bolstered my spirit and my faith.

Monday, May 21, 2007

Almost There...

Tomorrow, I talk to the surgeon again about what he is going to do on Wednesday. Then, I go for some standard tests to get ready. I'm also, just to be on the safe side, going for a breathing test with my pulmonary specialist tomorrow afternoon. My heart rate, rhythm, and blood pressure have been ideal for the past four weeks since the cardiologist helped me with heart rate and rhythm in the hospital at the end of my radiation treatments.

I've managed to gain about 6 pounds back since the end of radiation/chemo. My new weight is just about right because I will lose another 10-15 pounds from the upcoming surgery. I should complete recovery at about the ideal weight for someone my height.

Best of all, I shot an 83 for 18 holes at Pacific Grove Municipal on Friday. That's my best ever score! I'm eager to recover and get back out before I forget what I did.

Tuesday, May 15, 2007

Feeling Great!

The past week was wonderful. I feel great! Sharon was able to spend most of the week with our daughter, son-in-law, and two grandsons. She is on a plane on her way back from Chicago this evening. I spent a few days with our son, Josh, at a retreat north of Napa valley. Then I spent the weekend in Pacific Grove. I was able to celebrate Mother's Day with my mother. I also played 36 holes of golf and walked the distance. Daniel and Dixie Dixon invited me to dinner on Sunday with friends and we spent the evening singing. My sister-in-law, Joyce and her husband had me to dinner last night. So, what could be better?

I spent the afternoon planning a second photography/painting workshop with Guy Magallanes. We collaborated on a very successful workshop which was held in Pacific Grove at the Asilomar Resort. We decided to hold another one early next year. Guy teaches watercolor painting and I teach photography. The workshop is Sunday through Friday and provides instruction to a wide range of levels.

I'm beginning to schedule work for August. My hope is to be back in action at least part time.

Sharon and I are headed to Pacific Grove tomorrow for one more good weekend before surgery. We will be back in San Carlos on Sunday to get ready for preop appointments next week. Our daughter, Jordan will arrive from Chicago on Tuesday and plans to stay a week.

I'm looking forward to finally getting on with this next step. Thanks, again, for all your thoughts and prayers. You have lifted my spiritual and emotional state to match a very strong physical state. I am optimistic that I will recover as quickly as possible from surgery. Hugs to you all!

Monday, May 7, 2007

Summer Is Here!







We've had a beautiful string of sunny, warm days in Pacific Grove. Everything has the shimmer of summer on it. The ocean shimmers. The trees shimmer. Even the monarch butterflies, which live here from October to May in three trees by the tens of thousands, shimmer.


My good friend, Kevin Woodson, came by for a day and we did some plein air watercolor painting. Well, actually, Kevin gave me a lesson in plein air watercolor painting. I did take some good photographs while absorbing 'the Woodson Method'.


Our remodeling project is mostly done and there are only one or two contractors here at a time now. Our home should be completely livable by the time we leave for the surgery date.


The surgery is still, somehow, academic. I'm feeling no anxiety or fear. At some point, I'll probably break out in a sweat, hives, or who knows what, but I'm enjoying the peace while it lasts.


I'm doing so well that Sharon is headed for Chicago on Wednesday for a week of visiting with our daughter, son-in-law, and two grandchildren.


I'm headed to Napa Valley for a few days to visit with our son.


We are both looking forward to some children time!


Again, I am overwhelmed with well wishing and prayer. I can't express how much your support has meant.

Monday, April 30, 2007

Still on Schediule!


My recovery time is working well. I've gained about 5 lbs back which is just about enough. I'm getting lots of exercise and fresh air. Surgery is still scheduled for May 23. My job, in the meantime, is to build muscle tone and stay healthy.
My good friend, Wayne Lewin, from HP sent me a note regarding a new book called "Bill and Dave:How Hewlett and Packard Built the World's Greatest Company" by ABC's Michael Malone. Wayne said that the book is great. He also gave me a 'heads up' that about three pages near the end of the book describe an encounter I had with David Packard. I picked up a copy at Border's on Sunday. It is a great book and Mike Malone did a great job describing my encounter with David Packard. I highly recommend the book to those of you interested in business.

Friday, April 20, 2007

Surgery Scheduled!

Surgery is scheduled for May 23rd. That date is a week or two later than I hoped, but it's the only time we could schedule the two surgery teams on the same day. May 22nd will be a preop day. So, I have several more weeks to recover from chemo and radiation and build up my strength. I feel great, but my muscle tone still needs work.

The dye contrast scan that I did yesterday was negative as expected. The scan is a precaution that is necessary because about 2% of patients have aggressive cancer growth in spite of chemo and radiation. That didn't happen in my case.

The surgeon was very impressed with the speed of my recovery from chemo and radiation and was encouraging about recovering from surgery relatively quickly as well. He said that a team led by Dr Norton will perform the first stage of the surgery to remove the cancerous tissue and then turn the surgery over to Dr Whyte's team who will handle the second stage which involves critical and careful stitching the esophagus and stomach back together in their new positions.

I will be in Stanford Hospital for 7-10 days including the first day or two in the critical care unit. The long stay is required because I won't be allowed to eat for the first 5 days. At the end of 5 days, I will take a barium scan to make sure that the stitches in my stomach and esophagus are not allowing any leakage. If the stitches are good, I'll start drinking and then eating over a few days. If the stitches are not good, I will need more surgery to fix the problem.

Following the hospital stay, it will take a month or two at home to get my strength back and to learn how to eat the right amounts and the right number of meals per day.

This is complicated surgery and I wouldn't want it done by someone who does it twice a year. These people do the procedure every week and teach it to medical students. I'm very confident about the surgeons and their experience. That helps a lot! The prognosis is excellent.

Our daughter, Jordan, and son, Josh, will take turns supporting us through the first few weeks. Sharon's sister, Joyce, and her husband, Ed, live nearby and will continue to play a critical support role as well. We will stay in San Carlos during recovery time until I don't need to see doctors on a weekly basis. Then, we plan to complete the move to our Pacific Grove residence. If all goes well, we will complete our move by the end of August.

We are back in Pacific Grove today and will stay here most of the time until surgery.