machshefa: (patronus)
[personal profile] machshefa
Hi everybody.

I wanted to give you all an update on T. I spoke with her husband not long ago and the news is not good. He said that T was awake and groggy and that everything the doctors told him has been shared with her. He has given permission for all of this information to be shared with the community. Please do boost the signal so that the entire community is aware of what is going on. Thank you all. 

The news:

1. The surgeons discovered that the tumor was creating a great deal of pressure in the brain, and this was relieved by the surgery. We didn't discuss the implications of this, but I assume that relief of pressure will mean relief from some of her symptoms, but I don't know this for sure.

2. The tumor was found to be very advanced (Grade III or IV, which will be determined once the full biopsy is completed). It is a Glioma (Glioblastoma) which is the most malignant, aggressive brain tumor there is. This is, unfortunately, not the news anybody was hoping for, though it is consistent with the doctor's prior suspicions based on the CT and MRI scans done over the last few days.

3. The neurosurgeon did not remove all of the tumor because he wanted to avoid doing anything that might reduce her quality of life. Leaving part of the tumor does not impact her prognosis because even a “complete” removal is not complete... These tumors always come back. The goal is to keep the brain tissue as unharmed as possible to as to preserve her highest level of functioning.

4. As it turns out, it doesn’t matter when they would have found the tumor. The prognosis is the same with these tumors no matter when they are discovered. T’s husband told me that he’s grateful that they didn’t know earlier (and feels that T would feel the same way) because instead of being preoccupied with treatments and worries, they have spent time doing things they wanted to do and cared about over the last few years. There is nothing anybody could have done differently. There was no missed opportunity to make this different.

5. The doctors are talking about discharging T on Friday. The family is planning to return home at the end of the week.

6. T’s husband asked me to call her tomorrow. I hope to reach her and will be able to convey her wishes regarding what sort of contact (how, how much, etc.) with the fangurl community after we talk.

7. The doctor did not give T’s husband a specific “timeline” for what to expect. They plan to pursue radiation treatment and chemotherapy (which, he said, is in the form of a pill). This was the plan several hours after they received the news... once back home, they will meet with local oncologists and make a more comprehensive plan. These treatments are, again, intended to improve quality of life and, perhaps, to extend life. They are not expected to “cure” the cancer. This is a very painful but very important detail to understand. T’s husband and T are approaching this with eyes wide open.

What we can do as a community:

1. Stay available to T while remaining respectful of whatever level of contact she wants at any given time. It’s hard to know how T will want to interact with the fangurl community, so it’s our job to pay attention and respect that sometimes she may want to jump into conversation and giggle, and other times, she may want to cry, or yell, and other times, she may not want to talk at all.

2. Know yourself. Know your own limits and strengths so that you can be composed and grounded when you offer T support or companionship.

3. Support T’s close friends. (Check her flist... :)). Supporting her friends allows them to better support her.

4. Record podfic of SSHG stories. It’s not yet clear whether her visual field will still be impaired when she recovers from surgery. She had been having trouble tracking and reading, so having recorded stories for her to listen to will be an enormous gift. Record your own stories, or ask a favorite author if you can record her stories... Let’s get a library of recorded podfic together for her. MiaMadwyn has offered the library of stories recorded for her after her surgery last year, so we should have quite a large collection soon.

The smokingbaby community should be up and running in the next couple of days. We will be posting additional information about the podfic project there when it’s available.

5. Some people have asked about cards and care packages. We will get back to you about this so that we can coordinate delivery without compromising T’s privacy (with regard to where she lives). T has been historically strict about keeping identifying information out of public sight, so we plan to organize a mail forwarding system, where one fangirl plays postmaster and forwards cards and care packages twice a month over the course of her treatment.

6. Now that the biopsy results are in and they know what sort of tumor this is, it’s very difficult to know what to say, and people’s natural impulses in times like this - to share stories of people who’ve beaten this kind of cancer, or died from other kinds, or suffered from other serious conditions - are unfortunately not always the most helpful for the patient. The impulse is completely understandable (pain shared is pain halved), but the result is often the opposite of what we intend - such stories make the patient feel alienated, generalized, and not understood - so please, if you can, check those impulses.

We all want to believe in something right now and achieve understanding, but the best we can do for T is to be silently aware that her philosophy and way of handling the unimaginable will be unique to her. However hard it is not to speak or offer advice, it’s absolutely crucial rather to listen to how she’s making sense of this (or not) if she chooses to share and to affirm her choices regarding her path through this. We can walk with her, but no one can carry her.

Also remember, T may need us to be her sounding board, but she doesn’t need to be ours. We are all understandably upset, and need to process our feelings. Let your other friends support you in that way - don't add to T's burden.

If you've already posted/commented/buzzed something like this, don’t worry too much, and don’t bring it up by apologizing (however much you might want to). These days will be a blur for T, so just let it pass.

7. DO help make her laugh when her mood and the timing is appropriate.

8. Support each other. Hold together as a community and love her.
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Date: 2011-07-19 03:13 pm (UTC)
From: [identity profile] clairvoyant12.livejournal.com
Thanks for the update, M. What a difficult message to deliver, but you did it with grace and humanity.

*hugs for you and T*

Date: 2011-07-19 03:25 pm (UTC)
From: [identity profile] morganstuart.livejournal.com
My heart goes out to everyone who is touched by this. Thank you for the update and wise words. *hugs and love*

Date: 2011-07-19 03:29 pm (UTC)
From: [identity profile] mollyssister.livejournal.com
Thank you. I will stay tuned to smokingbaby for our next steps as a community.

Date: 2011-07-19 03:30 pm (UTC)
From: [identity profile] miamadwyn.livejournal.com
This is the most helpful summary of information I've ever read on this topic. Thank you so very much for this. It truly does help me and will help us all, and ultimately, Mis-T.

Date: 2011-07-19 03:32 pm (UTC)
From: [identity profile] pokeystar.livejournal.com
(((hugs)))

Date: 2011-07-19 03:44 pm (UTC)
From: [identity profile] tophoenix.livejournal.com
Thank you, it must have been really hard to write this, but you have done what you suggest in the last line, "holding us together" in the most generous way.

As I wrote in another comment, the first day, my sister suffered the same thing, and yes, there wasn't just one surgery for her, too.

Following your advice I won't say more than this, but I'm checking daily the news with hope.

Date: 2011-07-19 04:00 pm (UTC)
From: [identity profile] melenka.livejournal.com
Though I do not know her, I send up prayers for her and her family.

And some for you, for being a good friend and messenger.

Date: 2011-07-19 04:08 pm (UTC)
From: [identity profile] ariadne1.livejournal.com
My heart goes out to her, her family, her friends, and in a fiercely awestruck way to everyone who was with her in Chicago. You've all handled this so beautifully, with tremendous grace and courage.

*hand through screen* *squeezes*

Date: 2011-07-19 04:30 pm (UTC)
From: [identity profile] mundungus42.livejournal.com
Thank you for this. And bless you for being there and saying exactly the right thing. ~holds you tightly~

Date: 2011-07-19 04:52 pm (UTC)
From: [identity profile] dreamy-dragon73.livejournal.com
Thank you for posting this.
~hugs~

Words seem inadequate at the moment. I'm not friends with T, but I've seen her around and my best wishes go out to her and her family.

Date: 2011-07-19 05:03 pm (UTC)
From: [identity profile] tonksinger.livejournal.com
~hugs~ to all affected by this. I don't know T personally, but I hope I can support those that do through this time. Thank you for your write-up, M.

Date: 2011-07-19 05:31 pm (UTC)
From: [identity profile] hp1fan.livejournal.com
I don't know T but my thoughts and prayers are with her and her family. I feel this fandom is a family and I will lend support where I can.

Date: 2011-07-19 05:32 pm (UTC)
From: [identity profile] pythia-delphi.livejournal.com
I only met T recently on Buzz, and I am so incredibly sorry this has happened. All my good thoughts and best wishes to T and her family, as well as to all her close LJ friends. ~hugs and much love~

Date: 2011-07-19 05:41 pm (UTC)
From: [identity profile] deemichelle.livejournal.com
&HUGS&
thank you for the update
it's a sad time in our close-knit community

Date: 2011-07-19 05:42 pm (UTC)
From: [identity profile] ozratbag2.livejournal.com
I don't know T very well at all, though we had only just connected on Buzz. I was looking forward to getting to know her deliciously wicked sense of humour.

The news is not good, no and bless you, M for being there for T and her husband.

Date: 2011-07-19 05:42 pm (UTC)
From: [identity profile] droxy.livejournal.com
Understood. Excellent explanation and "sensitivity training".

This sucks.

Date: 2011-07-19 06:26 pm (UTC)
From: [identity profile] stefdarlin.livejournal.com
Thank you, Machshefa.

I am not on her f-list, but my positive thoughts and prayers are going out to her, her family, her friends, and you.

Date: 2011-07-19 06:44 pm (UTC)
ext_405596: (Default)
From: [identity profile] arynwy.livejournal.com
I also do not know T. However, I do know many of you. I offer my prayers and support. ::hugs everyone::

Date: 2011-07-19 06:47 pm (UTC)
From: [identity profile] firefly124.livejournal.com
Thank you for this, Machshefa.

Date: 2011-07-19 06:54 pm (UTC)
From: [identity profile] mortegami.livejournal.com
I've fought with myself over commenting. I don't know T; I wasn't even aware of her before Juno_Magic boosted the signal initially. And to be honest, Juno is the only one out of all the commenters that I know.

But, that doesn't mean that I don't feel the pain and sadness at this news. My heart goes out to T and her husband (as well as all of her family, blood-related and not) and I'll be joining the many who are sending positive and healing/health energy to them both!

Date: 2011-07-19 06:59 pm (UTC)
From: [identity profile] natasnape.livejournal.com
I have an impulse since Monday that I need to discuss with someone who knows. Can I write you a PM?

Date: 2011-07-19 07:10 pm (UTC)
From: [identity profile] pennfana.livejournal.com
Machs, I am so, so sorry to hear all of this. My thoughts and prayers are absolutely with you and T's other friends and family.

*big hugs*

Date: 2011-07-19 07:11 pm (UTC)
From: [identity profile] amydmartin.livejournal.com
Hi. Thinking of you and Annie and others right now. That's what i'm thinking.

Date: 2011-07-19 07:21 pm (UTC)
From: [identity profile] anonymous-plume.livejournal.com
Eloquent and constructive. Thank you, M.

Date: 2011-07-19 08:44 pm (UTC)
From: [identity profile] sabrebabe.livejournal.com
I can't seem to make a coherent post without crying again, and I barely know Mis_T. :( I know she has a wicked sense of humour and I love reading her responses in everyone's journals.

We are all blessed to know her. We are all blessed to know that her train is coming, and that we have time to send her off properly, with love and with joy for having her in our lives.

And afterwards, we will all mourn our loss in our lives, because Mis_T is irreplacable.


And most likely I have said the wrong thing, but it's all that's been bouncing around in my head since you post this morning. I needed to put it somewhere. Thank you.
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