Wednesday, March 6, 2013

Next steps

Oy.  This has been quite a day for Ryan, talking with lots of nurses and doctors.  As per usual, I am going to be doing bullet points because they help me keep my thoughts straight. :)
  • His bleeding has picked back up again slightly. Although there have been some changes and abnormalities in the last 24 hours. It is very important to keep praying that direction, but it hasn't yet happened completely.
  • He has another bleeding scan today at 1:30 CST to determine whether or not they will see any active bleeding.
  • Doctors are conjecturing that he is having "exudative" bleeding, which would be a tiny leak of bloody fluid seeping from minuscule capillaries.  That type of bleeding would not be picked up on any scan, angiogram, or laparascopic surgery but would still produce a noticeable amount of drainage.  It is not nearly as serious as "active" internal bleeding would be - Ryan's whole system would be shutting down and he would be in a lot worse shape if that were the case.
  • His hemoglobin went down a tiny bit and then stabilized and his bilirubin went up a tiny bit (from yesterday).  Although those are not the correct directions, they're minor changes and no one is alarmed. They're both still generally heading in the correct direction.
  • So, that brings me to the next steps.  His primary oncologist has consulted with radiation, interventional radiology, and surgery.  The best course of action - Ryan is going to have targeted radiation to specific tumors that will last for five days. After that, the hope is that the new growths will be slowed/killed and then he can start chemo asap.  Everyone is in agreement that chemo needs to happen as fast as possible, but radiation could be the first step to gain some momentum against the cancer's growth.
  • Consult for radiation (scans, mapping) should happen tomorrow or Friday.  Please pray for that to happen expeditiously - we are riding them to try to get it done as fast as possible.  He could possibly start radiation in the middle of next week.
  • We are all relieved that there are some courses of action, but some hurdles need to be jumped.  Good thing we're all athletic. ;)  And pushy.  No one with the last name of Prudhomme sits back on their laurels.
  • We know that many people would like to come and visit.  We have a lot going on right now, and Ryan only has so much energy.  Please direct your inquiries about visiting through Kendra - text me if you have my number, or email me through the form above and I'll get back with you shortly. If circumstances worsen and it becomes necessary for friends and family to travel, we will change our stance on this.  For now, though, it seems best to hold off.
Thank you so, so very much for your prayers.  I cannot reiterate enough how much they are sustaining us.  Today I'd ask you to pray for our sweet little boy.  We are doing our darndest to make sure that his needs are met, but obviously he's so little and he can sense something is up, yet he doesn't understand.  He does know that Daddy has "owies" but we are trying very hard to not alarm him and to keep him feeling safe and sheltered and loved.

John 14:27
Peace I leave with you; my peace I give you. I do not give to you as the world gives. Do not let your hearts be troubled and do not be afraid.


Laurie Cendrowski said...

Thank you Kendra!! :) been thinking of you all day!! Been praying daily for his miracle and strength for you all !

Anonymous said...

We'll keep praying... and especially for sweet little Colton today.

"The Lord bless you and keep you; the Lord make his face shine upon you and be gracious to you; The Lord turn His face toward you and give you peace." In Jesus' Name AMEN! Numbers 6:24-26

Jason and Melissa Hawkins

oates_reg said...

Wishing Ryan and your family the best.

Anonymous said...


Earlina said...

Rush Creek ladies bible study will be praying for you!Psalm 27:13(NIV) We remain confident of this: we will see the goodness of the Lord in the land of the living.

Kim Masterton said...

You have my prayers with you, as always.

Anonymous said...

Praying day and night for all of you & sending beautiful little colton hugs & peace
Janine Dulac

moorejoy said...

Thank you for these updates. I pray for your family on and off and will continue to as God brings those thoughts to me. Your testimony is a true blessing.. we are in this journey with you, The Prudhomme Prayer Partners! I'd say Army but it didn't fit. ;) I hope you will find things to laugh about... keep looking up (I know you are) ;) Sleep well tonight. Joyce Moore

Anonymous said...

Our prayer warriors have Ryan and your family in our daily prayers. My 15 year old son had stage 4 cancer and they told us that they didn't know if they could help him. Today he is 21 and healthy. God is all powerful.. Hang in there Prudhomme family. We are praying for you.

Anonymous said...

Prayers for Ryan, you, Colton and family; prayers for your medical team; gratitude for your courage, determination and example. God bless.

Anonymous said...

Prayers for you and Ryan but most of all for you little boy. May God Bless and always be with you. May the angels be with you always

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