Re: [MOL] Don't Give Up! [01853] Medicine On Line


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Re: [MOL] Don't Give Up!



LINHILLIS@aol.com wrote:
> 
> Shelley & John
> 
> Thank you both for the warm and encouraging posts. John could you share
> with me your story?  I guess I missed your earlier posts or I hadn't joined
> mol-cancer until after you had.
> Take Care
> Diana
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Dear Diana,

Thank you for encouraging me to render my journey with cancer to writing. 
Marty has also been after me to do the same...so here goes a condensed 
version.

I have spent most of my adult life in health care management in one form 
or another.  As a result, I do not hold physicians in the same light as 
do most people.  I am probably the last one to take care of me.  I smoked 
a pack of cigarettes a day since I was in the Army 30 years ago (my how 
times fly!).  That is I used to smoke...until my surgery in March of this 
year.  I always felt that somehow I was immortal...I faced death several 
times in Vietnam, had several near death experiences in civilian life but 
was never "brought to my knees" to the extent of dealing with my 
mortality.

All of that changed in February of this year.  I had been experiencing a 
bloody mucus discharge from my nose for several years.  I attributed this 
to some medication I sprayed into my nose daily to manage my migraine 
headachs (another example of my immortal attitude).  I suddenly realized 
one day that I had a hole in the hard palet of my mouth and was able to 
draw air from my nose into my mouth through the hole.  I realized that I 
could not drink soda through a straw because the hole and made it 
impossible to create suction. 

I immediately had this sinking feeling in my gut that I was in serious 
trouble and something was drastically wrong.  I discussed it with my wife 
(I'm married with four daughters ranging from 17 to 3 and a half year old 
twins...I'm 55 by the way...so you see the extent of my commitment to 
immortatity! :-)) and we both agreed I had to get to an ENT specialist 
pronto.  I used a local one who, after scoping me, advised that I have a 
biopsy asap.  Two days later, I was in the local community day surgery 
having the biopsy done of my nose and the upper palet of my mouth.  I 
will never forget his telephone call to me two days later...I had 
squamous cell carcinoma.  I cried like a baby and my wife and I just held 
each other for what seemed like hours.

Once my initial reaction passed, I focused my attention on getting as 
much information as I could, dealing with the children and deciding what 
course of action I was going to take.  I was fortunate to be working in a 
cancer research laboratory and so, was guided by both the professional 
staff and my contacts within the National Cancer Institute.  I was seen 
within three days of diagnosis by head and neck specialists at Memorial 
Sloan Kettering Cancer Center in New York City (I live & work in northen 
Weschester).  They recommended radical surgery and radiation therapy.  
Still somewhat in a daze, I sought a second opinion at John 
Hopkins...they confirmed what Memorial Sloan Kettering physicians 
recommended.

A good part of me was still in the immortal stage and I expressed to a 
physician friend of mine (on the job) that I was considering doing 
nothing since my wife and family would probably be better off financially 
without me (what bravado nonsense!) and I wanted to maintain my "quality 
of life".  Thank God he read the riot act to me and related some 
experiences he had in treating terminally ill cancer patients...there 
went the "quality of life" argument!  I then spent the next week 
preparing my wife and children for the eventuallity of surgery (I was 
really preparing me!).  The twins were young enough that, as long as 
their routine was maintained they would be OK.  The tough ones were my 17 
and 7 year olds.  My wife and I met with the school psychologists to be 
sure that there was emotional support for them.  I also was very open and 
honest with them as to what was going to be done.

All this time I never turned to God for my strength but continued to 
occupy myself with the details of what I had, what would be done and 
helping others prepare for what I was going to go through.  All I 
remember about that day was getting up early, going into the city and 
going to sleep after admission to Memirial Sloan Kettering.

I came to in a hospital room with my wife and her sister at my side.  I 
had been in the OR for sixteen hours and had my nose and upper jaw 
removed,  bone from my laft arm grafted into my mouth to form a new jaw, 
and bone removed from my hip to graft to my arm to make up for the 
loss of bone in my arm!  In addition, my migrains hit with a new vengence 
as a result of the trama to my face.

It took several weeks to integrate everything that had happened to me.  
The physicians were wonderful as was the nursing care.  When I got 
depressed, the chaplain and psychiatrist were both there.  All I had to 
do during my three weeks in the hospital was deal with my feelings.  It 
was during this time that I let God into my life as I gradually realized 
that I was going to live!...they had successfully removed all the tumor!

Once home, I began the six months of recovery which included 37 
treatments of radiation therapy of my face.  I could not have made a 
successful recovery without 1. the daily love, acceptance, and support of 
my wife and children. 2. placing my life in God's hands and just paying 
attention to the daily tasks, each in there own time. 3. the skill and 
dedication of all my oncologists...the surgeon, the plastic surgeon, the 
orthapedist, the radiation oncologist and the dental surgeon who, very 
skillfully, made prostetic nose and teeth for me.  There were many ups 
and downs during that six months including a readmission for dehydration. 
 I was only abe to deal with each and every one of them because of the 
love and support that I had from my family, my physicians, and my God.

Returning to work in September was my latest major adjustment.  I was 
extreemly fortunate to have an organization that stood behind me, paid me 
during my absence, applauded my "courage" and welcomed me back.  Of 
course the political and power game had changed during my absence.  My 
experience with cancer has given me a new perspective on life and a new 
course and direction to follow that does not have any room for such 
foolish games...besides , cancer tends to "humblize" one and removes any 
illusion of immortality!

Thus is the journey that has brought me to experience the love, warmth 
and security of friends who have had the courage to overcome the beast 
called cancer and to let in the light of hope through the website.  I 
feel fortunate to belong to the growing number of cancer survivors...for 
without this journey, I don't believe I would be so close to my God nor 
so sure of my charted course for living life.

My love and prayers to all

John Lehner
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