Synopsis of Last Three Months
1/31 – seizure and discovery of brain tumor. Medication controls seizures but has negative side effects.
3/22 – Resection surgery with removal of 98 % of the tumor. Pathology shows an Astrocytoma grade 2. Continue to recover from surgery. Trying to return work and normal life. Back to 70-80 % of regular strength.
5/1 – Increase swelling in and around skull flap.
5/12 – CT scan and blood work reveal strong possibility of infection. Drainage from scar confirms.
5/13 – Surgery to reopen and clean out the infected area. Part of the skull flap left out. Multiple antibiotics used to combat infection. Pain, vomiting, discomfort: all are part of the process. Asking God to remove all infection and return to good health.
Conclusion
Although this is not the journey that I would have chosen, God remains faithful to provide His presence, His peace, and His strength in the midst of this life’s difficulties. My need for Him is in full display. His comfort is all-sufficient.
Jonathan B.
5/16/2011
Author: EyesOnTheUnseen
Unexpected yet known
Well, we are back in the 8th floor of the UAB North Pavillion. This was certainly very unexpected, but we trust God was not caught by surprise.
Jonathan’s first hours in the NICU after surgery were hard. Pain and discomfort were very present. His arms have being poked numerous times between continual blood work and IVs, and each time it seems to get more difficult because the antibiotics are hard on his veins.
He was moved into a room in the evening and he did a wonderful job walking to it instead of using a wheel chair. He had to wear a helmet to protect his head… yes, helmet and gown just looked fabulous together 🙂
His first hours in the room went well. It seems like the nurses finally found the best pain medication for him, so thank God, pain has been manageable.
Since midnight he has had a rougher time though. He had an allergic reaction to one of the three antibiotics he is taking and another blown IV. He also had nausea and vomit to add to the fun, so rest has not quite happened yet.
We are waiting for cultures to reveal what kind of bacteria we are dealing with and that will inform what specific antibiotic he needs to be on. Until then he has to be covered with three very strong ones… but this is hard on his body.
Please pray that we will have word from the lab soon and that in the meantime he won’t have more allergic reactions or infiltrated IVs.
I’ll try to keep this blog updated as much as I can.
May the Lord be honored by His children this Sunday… even those in the hospital.
So thankful for your support and prayers.
Karla
Surgery Update
Posted by Chris Kinsley on behalf of Jonathan and Karla.
Jonathan is out of surgery. The surgeons did remove his skull flap successfully. They will leave that portion of the skull off for the next 6 months, and Jonathan will be on heavy antibiotics for the next 6 weeks. The doctor was pleased with the procedure and was confident it was the right thing to do. They will replace the skull flap if they are able to get rid of the infection in the bone. If not they will place a synthetic skull piece to replace it. He will be in the hospital for 5 days at a minimum in order to treat the infection. Jonathan is in recovery in ICU and Karla is waiting to see him. Please continue to pray for him as he recovers and for the continued treatment of the infection.
We will update you as we know more.
Surgery today
posted by: Callie Priest on behalf of Jonathan and Karla
Jonathan has been recovering beautifully since his surgery a few weeks ago. However he began to experience some symptoms of possible infection last week. Jonathan went for a few tests on Thursday and last night was admitted to the hospital due to a possible infection near his incision. It was confirmed that he does have an infection. Right now Jonathan is in surgery. Jonathan will have another craniotomy today to wash the infection. They will remove the bone flap (the skull), which is believed to be infected. It will be removed for 6 months until the infection is completely gone. Jonathan will be treated with a series of antibiotics for a few months to remove the infection. The hope is that once the bone is treated they will be able to replace it.
As you can imagine this news is very unexpected to Jonathan and Karla. But they trust that this is completely known by God from the beginning of time. They are trusting in Him. Please pray for Jonathan now as he is in surgery. Pray for peace for Karla. Pray for the doctors to remove the infection and for clarity in treatment options. Pray for God to receive glory in all of this.
Jonathan and Karla have friends and family who are helping them at this time and are requesting no visitors. If you have questions, please feel free to email calliep@brookhills.org. We will update you as often as possible. You can follow Jonathan and Karla on their facebook pages as well. Thank you for praying.
Un Buen Reporte
Durante las últimas seis semanas hemos experimentado la fidelidad de Dios tanto al en medio noticias buenas y como en las malas en relación con la situación médica de Jonathan. Dios es bueno y es digno de confianza todo el tiempo: hoy hemos recibido buenas noticias de los doctores.
Después de que le quitaron las grapas a Jonathan nos reunimos con el Dr. Markert, el neurocirujano quien nos dio el reporte de patología que confirmó un tumor de crecimiento lento llamado Astrocitoma de grado 2. Este reporte de patología en combinación con la resonancia magnética post operatoria que mostró que el tumor fue extirpado casi totalmente son muy buenas noticias. El Dr. Markert continúa sintiéndose muy complacido con el resultado de la cirugía y con la recuperación que Jonathan ha tenido hasta ahora. En su evaluación, el doctor notó una ligera mejora en la pérdida del campo de visión y cree que es posible que Jonathan pueda recuperar por lo menos parte de su campo de visión durante su período de recuperación. La semana entrante vamos a ver a un neuro-oftalmólogo que va a hacer un mapeo del campo de visión y nos va a guiar para su potencial recuperación. Oren porque Jonathan pueda recuperar suficiente campo de visión para poder volver a manejar y regresar a sus actividades normales del trabajo.
Vimos a continuación a Dr. Nabors, el neuro-oncólogo. Él nos mostró las resonancias comparativas de antes y después de la cirugía y pudimos ver una diferencia drástica. Mientras en la primera resonancia podía verse claramente una tumoración del tamaño de una pelota de golf, en la resonancia post operatoria no quedaba prácticamente nada del tumor. Nos explicó que un Astrocitoma en un tumor difuso, es decir no está bien delimitado y tiene una tendencia a recurrir o a transformarse en un tumor de grado más alto y por tanto de crecimiento más rápido. Pero el hecho de que se trate de un tumor de grado 2 significa que en este momento su crecimiento es muy lento. El Dr. Nabors también se mostró muy satisfecho con el resultado de la cirugía y no ve la necesidad de realizar ningún otro tratamiento inmediato. Programó una nueva resonancia de seguimiento en tres meses y animó a Jonathan a reincorporarse gradualmente a sus actividades normales.
Al practicar esta noche el versículo que nuestros hijos están memorizando esta semana, recordamos una vez más la esperanza que tenemos y que proclamamos: “Dios es nuestro amparo y fortaleza, nuestro pronto auxilio en las tribulaciones. Por tanto, no temeremos, aunque la tierra sea removida, y se traspasen los montes al corazón del mar; aunque bramen y se turben sus aguas, y tiemblen los montes a causa de su braveza”. Esta es nuestra confianza.
Que el nombre de Dios glorificado en el reporte positivo de hoy y que podamos seguir confiando nuestras vidas y nuestro futuro a Él. Que en toda circunstancia podamos siempre decir: “Bendito sea el nombre del Señor”
Good Report
Over the last six weeks we have experienced God’s faithfulness in the midst of both receiving good and bad news about Jonathan’s health situation. God is good and able to be trusted all the time. Today we received very good news from the doctors.
After Jonathan’s staples were removed, we met with Dr. Markert, the neurosurgeon, who gave us the pathology report confirming a slow growing tumor called an Astrocytoma Grade 2. This pathology report combined with the post-surgery MRI showing that the tumor was almost completely removed is very good news. Dr. Markert continues to be very pleased with the results of surgery and Jonathan’s recovery so far. On his assessment, he noticed a slight improvement in Jonathan’s field of vision loss. Dr. Markert thinks that it is possible that Jonathan may regain at least part of his field of vision loss as he continues to heal. Next week we will see a neuro-ophthalmologist that will map the field of vision loss and guide us in the potential recovery. Pray that Jonathan’s field of vision would recover sufficiently to drive and resume normal work activities.
Next, we moved to see Dr. Nabors, the neuro-oncologist. He showed us comparative MRIs from before and after surgery and we could see a drastic difference. While in the first MRI you can clearly see a golf ball size tumor, in the post-surgery MRI there is virtually no tumor left. He explained that an Astrocytoma is an infiltrating tumor, which means it is not contained, and has a tendency to recur and/or transform to a higher grade, faster growing tumor. But the fact that it is a grade 2 means that it is currently growing very slowly. Dr. Nabors was also very pleased with the results of surgery and does not see a need for any other immediate treatment. He scheduled a follow up MRI in three months and encouraged Jonathan to gradually resume his normal activities.
As we practiced this week’s memory verse with our kids tonight, we are reminded once more of the hope that we have and proclaim: “God is our refuge and strength, a very present help in trouble. Therefore we will not fear though the earth gives way, though the mountains be moved into the heart of the sea, though its waters roar and foam, though the mountains tremble at its swelling.” This is our confidence.
May God be glorified in today’s positive report and may we continue to trust Him with our lives and our future. May we say in all circumstances: “Blessed be the name of the Lord.”
Alégrense siempre en el Señor
Ha sido muy bueno estar de vuelta en casa y Jonathan se siente mejor cada día. Todavía tiene dolores de cabeza ocasionales, varios medicamentos que tomar y una pérdida significativa del campo de visión. No sabemos aún si ésta será una pérdida temporal o permanente, pero ciertamente no ha sido impedimento para Jonathan: el sábado tuvo energía suficiente para ir por un rato al juego de fútbol de Dani, el domingo fuimos a la iglesia, y hoy me hizo llevarlo a la oficina por un par de horas, ¡increíble!
Nos sentimos muy bendecidos de tener a nuestras mamás todavía con nosotros. Su compañía y su ayuda con los niños y las necesidades diarias en la casa son para nosotros invaluables.
La mañana del lunes 4 de Abril tenemos una cita de seguimiento con Dr. Markert, el neurocirujano y Dr. Nabors, el neuro-oncólogo. Durante la cita, van a quitar las grapas, a realiza una evaluación pos-operatoria y vamos a platicar y a determinar el mejor plan de acción que debemos seguir con base en los resultados de la biopsia.
Dios continúe extendiéndonos su gracia para que podamos vivir de manera práctica las palabras de Filipenses 4:4 “Alégrense siempre en el Señor. Insisto: ¡Alégrense! Que su amabilidad sea evidente a todos. El Señor está cerca. No se inquieten por nada; más bien, en toda ocasión, con oración y ruego, presenten sus peticiones a Dios y denle gracias. Y la paz de Dios, que sobrepasa todo entendimiento, cuidará sus corazones y sus pensamientos en Cristo Jesús.”
Rejoice in the Lord always
It has been good to be home and Jonathan is feeling better everyday. He still has occasional head aches, several medications to juggle, and a significant gap in his field of vision. We still do not know if this is a temporary or permanent loss. But this hasn’t really slowed Jonathan down: on Saturday he had the energy to stop by at Danny’s soccer game, on Sunday we went to church, and today he made me take him into work for a couple of hours… unbelievable!
We are very blessed to have both our moms still with us. Their company and their help with the children and the everyday needs around the house is invaluable.
On Monday morning April 4th we will have a follow-up appointment with both Dr. Markert, the neurosurgeon, and Dr. Nabors, the neuro-oncologist. They will remove Jonathan’s staples, perform a post-surgery assessment, and discuss and determine the best plan of action going forward based on the biopsy results.
May God continue to give us grace to practically live out Philippians 4:4-7 “Rejoice in the Lord always; again I will say, Rejoice. Let your reasonableness be known to everyone. The Lord is at hand; do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.”
Nos vamos a casa
Al salir el sol esta mañana tengo una hermosa vista de la Ciudad Mágica desde nuestra ventana en el octavo piso del Pabellón Norte del hopital UAB, pero la vista que tengo hacia adentro del cuarto es para mí mucho más placentera. Jonathan se siente mejor y nos vamos a casa hoy.
El Dr. Markert está muy satisfecho con los resultados tanto de la resonancia magnética como de la recuperación que Jonathan ha tenido hasta ahora. Se sintió incluso seguro en decir que en su opinión 98% del tumor pudo ser extraído. Las molestias de Jonathan son normales y son parte de la tremenda intervención quirúrgica de ayer. Todavía prefiere el silencio y mantener sus ojos cerrados la mayor parte del tiempo, pero ya se ha levantado a caminar un par de veces. Todas sus funciones neurológicas están intactas con excepción de su campo de visión en donde aún queda un punto ciego, pero se necesitará más tiempo para determinar si ésta es una pérdida temporal o permanente.
Aproximadamente en una semana vamos a regresar para una cita de seguimiento y entonces platicaremos sobre los resultados que arroje la biopsia y los pasos a seguir en su tratamiento.
En este día por favor oren por una buena transición a nuestra casa y por un buen contro del dolor en los póximos días. Oren por nuestros niños que están deseosos de ver a su papá, pero no podrán todavía jugar con él en varios días. Y oren porque esta situación continúe abriendo puertas para que el evangelio sea proclamado y la gracia de Dios sea manifestada.
Karla
Going Home
As the sun comes up this morning, I have a beautiful view of the Magic City from our 8th floor window in the UAB North Pavilion, but the view inside the room is so much more pleasing to me. Jonathan is feeling better and we are going home today.
Dr. Markert is very pleased with both the MRI results and Jonathan’s recovery so far. He was comfortable to say that in his opinion 98% of the tumor was removed. Jonathan’s discomforts are part of the huge procedure he went through yesterday. He still prefers quiet and eyes shut most of the time, but he has been up for a stroll a couple of times already. All his neurological functions are intact with the exception of his vision field that remains with a blind spot, but we need more time to determine if this is a temporary or a permanent loss.
We will come back for a follow up appointment in about a week and we will discuss biopsy results and next steps then.
Today, please pray for a good transition into our home and good control of pain in the next few days. Pray for our children that are eager to see daddy yet they won’t be able to jump into his lap for several more days. And pray that this situation will continue to open up doors for the Gospel to be proclaimed and God’s grace to be displayed.
Karla