The following section of this post is courtesy of Art Usher, Lisa Marie's lawyer brother:
Lisa Marie is out of surgery. After the surgery was over the surgeon (Dr. Paul Sugarbaker) met with Sean and Art and discussed and wrote up aspects of the surgery. Dr. Sugarbaker reported that Lisa Marie’s color was good and that she was being transferred up to the 3G Surgical ICU while we were speaking.
We attempted to go see Lisa Marie immediately but she was just being admitted to the surgical ICU at the same time as the nurse shift change was occurring. Thus we were informed that it would probably be at least 45 minutes before we could schedule a visit with Lisa Marie.
Overall the surgery went well and the focus is on Lisa Marie surviving and recovering from the lengthy (7+ hour) procedure that she just underwent. Lisa Marie lost an estimated 1200 cc of blood and received three (3) units of blood and six (6) units of platelets. Lisa Marie’s platelet count was not good. Her incoming platelet count was low (90K) as a result of the 10 rounds of chemotherapy that she has already undergone. This number sank to 50K during the surgery, but went back up to 60K with the infusion of platelets. However, with respect to any complications related to embolisms and the like, Lisa Marie’s low platelet count makes the use of any blood thinner such as heparin problematic if not outright prohibited.
In no particular order Lisa Marie’s procedures today included the following:
1) Excision of tissue and walls;
2) Repair of incisional hernia;
3) Lysis and resection of adhesions (scar tissue apparently being a common place for cancer cells to reside);
4) Extensive exploratory for evidence of visible cancer cells;
5) Greater omentectomy;
6) Lesser omentectomy;
8) Hysterectomy and bilateral ovaries and tubes;
9) Pelvic peritenectomy
10) Recto-sigmoid colon resectomy and anastomosis;
11) Intraoperative chemotherapy.
Dr. Sugarbaker was guardedly optimistic about Lisa Marie’s long term prospects, but made it clear that this post operative recovery time in the next week is the critical period upon which we need to be focused. Dr. Sugarbaker saw little macroscopic evidence of cancer. While he found (and removed) various nodules in the cul de sac region, such nodules did not appear to be viable cancer cells. Similarly, the tumor in Lisa Marie’s pelvic region appeared to be lifeless. All such tissue, however, was part of that removed. Similarly, the evidence of cancerous tissue on her left ovary was not sent to a pathologist as the ovaries were being removed.
More may be written later but Sean is anxious to go back and schedule a visit in the surgical ICU to see Lisa Marie for himself. We feel blessed by God that Lisa Marie is out of surgery and stable and that there was so little evidence of macroscopic cancer cells during the procedures.
Latest update as of 11:30 pm EDT:
I spent the last 3 hours or so with Lisa Marie in the ICU. Her breathing tube was removed around 10:30 pm which made communicating much easier. The lip reading and scribble on a clipboard was getting frustrating. She is in very good spirits considering everything. She received some Benadryl for itching from the pain medicine and was resting peacefully when I left. This was some day. May none of you or I ever have to go through it again.
Thanks again to all for the prayers, thoughts, well wishes, and general support through this whole ordeal. It has meant a lot to us, more than any of you could ever realize.
Special thanks to Art for being here with me for the whole thing.
And to Sally for the unexpected quick pop-in to the waiting room bearing hamburgers, fries, drinks, chips, double chunk chocolate chip cookies (yes!), and assorted candies. Who was that masked woman?
And also to Renee for the laptop that let me avoid having to do all this blogging on the Blackberry like the first time we did all this colon cancer surgery thing. My eyes thank you.
And now to bed. I've already had my sweet dream. I love you, honey.