Dr. Horacio Asbun - Zjudes blog http://www.zjudes.com Pondering over my pots Wed, 26 Jul 2017 19:49:48 +0000 en-US hourly 1 https://wordpress.org/?v=6.2.4 Purple Stride – 2015 http://www.zjudes.com/purple-stride-2015/2015/09/ http://www.zjudes.com/purple-stride-2015/2015/09/#respond Mon, 28 Sep 2015 13:13:11 +0000 http://www.zjudes.com/?p=1826 In June, 2010 I went to cooking school in the foothills of the Appenines just south of Florence, Italy with a good foodie friend, Kelly who is here today. We prepared our meals in a 300 year-old stone barn that had been renovated into a rustic kitchen. I learned to prepare tasty meals with limited...

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Delivering my speech before Purple Stride race begins.
Delivering my speech before Purple Stride race begins.

In June, 2010 I went to cooking school in the foothills of the Appenines just south of Florence, Italy with a good foodie friend, Kelly who is here today. We prepared our meals in a 300 year-old stone barn that had been renovated into a rustic kitchen. I learned to prepare tasty meals with limited organic ingredients. I fell in love with Italy, Italian cuisine and my teacher Chef Laura. So much so that I returned with 4 more of my friends in 2012.

In April 2014, when I lost my inspiration to cook, my appetite and my yearning for a great full-bodied cabernet, I knew something wasn’t right.

Mayo Clinic Docs found a mass in my pancreas and surgery was scheduled two weeks later.

Our sixth grandchild was presented by our only daughter and her husband a week before my surgery. They named him “Jude”. This was the single most important honor that has ever been given me.

I underwent 9 and ½ hour Whipple surgery by my hero Dr. Horcio Asbun. The human I credit with saving my life.

Many of you here today know first hand what that surgery entails. I lived thru the recovery, a serious infection, the chemo and the radio chemotherapy taking my final treatment Christmas Eve.

I stand here today 16 months cancer free.

What I do want to share with you is what my husband, my family and friends learned from our trial.

Tom, whom I now call Joseph, who led our family thru this dessert- and I leaned that God is in control .We agreed to say “Yes” to anyone who offered help. People want to help. They don’t know what to say or what to do or how they can help…but …if you answer “yes’ you will see the love of God thru them. They are His hands helping you and loving you. You are blessed and they will be too by making a meal, changing your bed, rubbing cream on your feet and hands. I felt God’s love in every action and our family did too.

When I was at my weakest point, Joseph, (Tom) asked me what I wanted to do in my life, what I dreamed of. I told him it was to take our family to Italy. He said “DONE”.
In July we flew 13 family members, our children and grandchildren to Milan. We took them on a tour of the Vatican and Rome. We rented a house on Lake Como and threw a wedding for our son and his bride in a small Catholic Church on that beautiful lake.

God winked at me that week. While I was walking 60 meters from the boat ramp to our rental home on a stretch of narrow road, my Chef Laura from cooking school saw me as she was driving from Milan to Billagio at that very moment. She stopped, came to our home, met my family and shared an hour with us.

Quite frankly, I never dreamed I would see Laura again. I believe God made that happen.

Laura Giusti, my Chef and my friend.
Laura Giusti, my Chef and my friend.

This disease is a beast. We all have an expiration date. Those with PC realize that date could be sooner than later. The vulnerability permeates to your family and friends. It shows them that each family member is a treasure, friend is a blessing, each moment of every day is a gift.

If you or your loved one has PC, remember this. God is in control. He loves every one of us. Put your faith in Him and give your worries and your fears up to Him. He will lift that burden from your shoulders and show you His love.

Todays walk will raise awareness of this dreadful cancer and increase research funding so that early detection stops the growth of this disease and doesn’t let it gain status of becoming the #1 cancer killer within the next five years.

NEGU and give your fear and your family up to God. He will bless you beyond your belief.

Thank you for being here today to walk by our side in this battle.

The walk was exhausting for little baby Jude
The walk was exhausting for little baby Jude

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The surgical consult…. http://www.zjudes.com/the-surgical-consult/2014/07/ http://www.zjudes.com/the-surgical-consult/2014/07/#comments Mon, 14 Jul 2014 11:40:40 +0000 http://www.zjudes.com/?p=1379 The week before surgery was surreal. Our new little “Jude” came home from the hospital, The 2014 Players Championship was literally being held in our backyard, my Father in law – Lugi was visiting as he always did for the tournament and of course for the birth of his fifth Great-Grandchild, and our neighbors and...

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The week before surgery was surreal. Our new little “Jude” came home from the hospital, The 2014 Players Championship was literally being held in our backyard, my Father in law – Lugi was visiting as he always did for the tournament and of course for the birth of his fifth Great-Grandchild, and our neighbors and friends were curious to see the completed backyard renovation that had caused the dumpster and porta-potty to be displayed in our front yard since October 2013. Add to that the sudden announcement that I had a very serious diagnosis..people were curious.

The effects of the cancer were beginning to zap my energy. I began to jaundice. The rapid 20 pound weight loss was clearly evident. I wanted to make this last week before surgery a celebration. Late in the week the surgeon had scheduled the placement of a JP drain to relieve me of some of the bile that was blocked from the bile duct and streaming into my system causing the jaundice, the itching and scratching. But by the weekend, I developed a fever and late Saturday night we made a trip to Mayo’s ER. I was very weak and nauseated. They decided to admit me and keep me on an IV until the surgery Monday. In retrospect, this was the best decision as I doubt I would have been strong enough for surgery without the fluids. I needed to build my strength for the huge surgery that lied ahead.

Dr. Horacio Asbun, my hero!
Dr. Horacio Asbun, my hero!

Thursday we had a pre-op visit with the surgical team. My team and several other surgeons had been meeting to discuss my case. They had read over 1500 images from my MRI and were diligently planning their attack on the tumor and surrounding cells. Some of the lymph nodes were lit up in the pancreas and kidneys. They would remove any suspect lymph nodes during surgery. All of the tumor and surrounding tissue would be removed until the margins surrounding the tissues showed cancer free. The tumor in the pancreas head measured roughly 3.5cm. They were confident the Whipple surgery would be a success. They also informed us of the most dangerous effects the surgery could have on me; excessive loss of blood requiring transfusion, infection, etc.etc. We left the appointment prepared to take the next and most important step in our battle against this demon.

Shortly after we left the hospital, we received a phone call asking us to return to the hospital. The surgical team wanted to discuss something further.

When we arrived they told us one of the surgeons had viewed an image from the MRI that showed something disturbing. Part of the tumor appeared attached to the biliary artery. Removal of the tumor would be very risky. Dr. Asbun said he had an obligation to tell us about this find and to offer some options. One would be to undergo adjunct chemo therapy to possibly reduce the size of the tumor. This would of course delay the surgery and really did not have any guarantees. If he went ahead with surgery he could excise the tumor and place a stint in the artery replacing the effected section. It was difficult, but he assured me he was not afraid and he could do it.

He told me I was the only one who could make the decision. Tom and I looked at each other, another punch in the gut. But, we had our faith. We were going to make it thru this. We were going to be one of the 20 percent that the cancer did not return. We believed this and we had prayer warriors who believed this too. I felt God was telling me to proceed, to remove the cancer from my body. I asked Dr. Asbun what he would do if I were his sister. He told me he would go with the surgery now. That was what I felt too. “Let’s get the cancer out as soon as possible.” I said. We were on for Monday.

Unknown

Whipple surgery is basically the removal of the portion of the pancreas effected by the tumor,(in my case, the head of the pancreas), the gall bladder and the small intestine. The diagram illustrates the resections.Since my cancer was located in the head only, I would not be required to live on insulin. I am blessed to have a surgeon who performs this procedure laparoscopically. Normally an incision would begin below the breastbone and down the entire stomach. Recovery for my surgery would be much more speedy than open surgery. I was confident I was in good hands. Plus, I had an army of friends, bible study Sisters-In-Christ, CHRP Sisters from our church and family who were praying for me constantly. God would surely hear those prayers and I knew He would bring me through.

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