A Real Thanksgiving

I have been reluctant to post any new news about Jake until I heard back from the doctors in India concerning the MRI results taken here in the U.S. Jake has experienced significant difficulties since we returned to the U.S. Particullarly extreeme fatigue and weakness after the 40 hour return trip. After 2 trips to the hospital, we have started him on Steroids to reduce swelling in his brain. His symptoms are improving very slowly. The 40 hour trip alone was exhausting.
To watch his difficulties increased our worry and emotions about whether Jake was winning or losing this battle. The growth comparison was taken by Rady Childrens Hospital by comparing the August 20th MRI with the November 19th MRI when we returned. The problem was there were 17 days from August 20th till Sept 6th when we started the first treatment. During this time, no treatment whatsoever was given. So the question became:
How much growth might have happened during the 17 day no treatment phase? I was more interested in how much growth there may have been in the 2.5 month time we were in India and doing the Cytotron treatment. I sent the Rady Childrens MRI to Dr. Kumar for analysis. Below is his reply:

Dear Dan,

I received the CD of Jake’s resent MRI yesterday Afternoon. We sat on it immediately. This is what we have got to say;

The study of November 20, 2008 shows:

Multiple focal lesions within pons, midbrain, left cerebellar hemisphere, right thalamus, lentiform nucleus, corona radiata, centrum semiovale, internal capsule, frontal and parietal periventricular white matter. Hemorrhages are noted within right thalamic and periventricular white matter lesions.

Altered signal changes are also noted within left frontal and parietal periventricular white matter.

Edema is noted adjacent and around the lesions.
Mild midline shift of 2.8mms to the left is noted.

We compared this with the MRI scans of September 6, 2008, October 30, 2008 and November 20, 2008. Dr. Sibia sent all these CDs on different occasions. We don’t have MRI scans taken before this. The resent study though shows very mild increase in the size of all lesions, but not significant for a GBM considering the period involved between September and November (GBM has a 3 month tumor doubling period). All the lesions existed in the first MRI and the last, and there are no new lesion(s) after Cytotron treatment was started. There is perilesional edema, mass effect in the form of effacement of adjacent sulci and a mild compression of right lateral ventricle thus a mild midline shift. The Edema is around the lesions and not global.

I think we gave too much of RF and too fast, though there are no problems with such exposures but causes perilesional edema as a reaction depending on how differentiated the tumor cells (undifferentiated – more edema). This is why we give a break between exposures and I was reluctant for the third exposure.

Jake has to be immediately put on anti-edema measures. He should be fine with this and give it enough time to settle down, atleast 2 to3 weeks. When he is fit to travel he can come to Bangalore, where we will target each of the lesions.

If his edema is controlled, Jake will be as he was when he was taking Cytotron in India as he has more of pressure effects on his brain than tumor effects. A little more fight and we will make it.

We have won the battle, now we need to win the war.

Thanks and Regards
Kumar

So after an exhaustive emotional day wondering if this would be Jakes last Thanksgiving we have been given good news and renewed hope.
Additionally, after Jake has recovered from the edema and is strong again we will travel to Bangalore and we will actually get to meet and talk with Dr. Kumar. I am excited that he will be heading the treatment and look forward to many hours learning more about Cytotron. Information we can bring back to the states to help others.
On February 22nd 2007 Jake was officially diagnosed with Glioblastoma Multiforme Grade IV. Coincidentally this was also the day of my 50th birthday. My goal will be this:
Get to Bangalore, finish treatment and return in time for "Dan's Fabulous 52 Birthday Party" where my gift will be a healthy son.