Happy to go to the Hospital

We made it through the week-end without going to the ER.  Monday he had an appointment at the Providence Cancer Center.  Doug L. came over and helped me get Mark into the van.  He is so weak that he can't stand or even sit up.  We were taken to a room with a bed (not just the recliner chair typically used at the infusion center) and IV's were started immediately.  Fluids helped only a bit.  He continued to be extremely weak and nauseous  There was no way he was going home--we were actually happy that he was admitted to the hospital. Having him so sick at home was scary! 

The doctors we are working with conferred and have determined that this is not just from coming off of the steroids too fast, although, that could have been an initial contributing factor.  Now, he is dealing with another side-effect of the immunotherapy.  His immune system has attacked his colon causing colitis. Not only was he having constant diarrhea, but he also was not getting the benefit from the oral medications.  The doctor explained it this way.  When the colon is healthy it has microscopic bumps on the surface causing the colon to have a surface area about the size of a tennis court. With colitis, the surface becomes smooth diminishing the area in which nutrients and medications are absorbed to about the size of our hospital room. Another medication, Remicade (infliximab) was given last night via IV.  Today he has been able to keep food down.  He will definitely be here one more night, but more likely two.  Of course, it all depends on how his body responds.  It would be nice to be home for Thanksgiving, but we don't want to go home until we know that he is definitely on the mend! 

Before the double immunotherapy began, we had a feeling that there could be some challenging times.  It is proving to be so, but we are handling it well, especially with the help and support of so many.  We appreciate it, as well as all of your love and prayers!