I'm sorry to report that the past thirty-six hours have been among my worse along the journey. I had my monthly evaluation with the oncologist on Thursday and, upon reviewing the blood tests, he gave approval to begin round three of my chemo treatment. Within twelve hours I was deathly sick from nausea and pain. To this point, the nausea has been controlled with Zofran, but not this time. I was up all night Thursday dealing with gut-wrenching nausea, accompanied by some pretty severe abdominal pain, unlike what I had experienced before.
Anita was able to reach the nurse Friday morning and she asked us to come to the office. We spent several hours there, talking with the nurses and taking various tests. They did an x-ray to see if my lung had collapsed (it hadn't). None of the other tests showed anything that could be causing the difficulty.
Apparently I'm at the stage in the chemo treatment where the buildup is causing the increased nausea. The abdominal pain, we assume, is caused by referred pain from the celiac plexus nerve oblation.
I was given some additional medication for nausea and encouraged to take additional Oxycontin for break-through abdominal pain. I'm happy to report that I had a relatively peaceful night and was able to sleep. I dropped ten pounds of weight in 36 hours, primarily because I wasn't able to eat or drink anything. I'm hoping to reverse this trend today!
I told Anita this morning that this is a new day! I'm feeling much better and have already had my early morning walk. The sun is shining and I am full of hope!
I'm sorry to share this less-than-positive news, but wanted you to know the latest in the saga. Thank you so much for your concern and for your prayers.
Jack
Saturday, April 21, 2007
Monday, April 16, 2007
Post-surgery update from Jack
From Jack himself:
The surgical procedure last Friday went off without a hitch, but I was not prepared for the amount of pain engendered. Several weeks ago, when they did the nerve block, they infused the nerve bundle with a substance to deaden the nerves; hence I experienced little or no pain. In fact, I was back in the office that same afternoon. This time they infused the celiac plexus with a substance that literally “burned” the nerves, causing a great deal of pain. The regular pain medication that I’m taking kept the pain under control in large part, but I was very uncomfortable all weekend.
The doctor warned me that I must gradually wean myself off the Oxycontin. He said that my body is physically addicted to the medication and sudden withdrawal would be very traumatic. So, I will continue to take the full dosage for another week or so, gradually cutting back. Our prayer is that I can then exist on a much lower dosage and can regain some clarity of thought!
Another member of our Singapore church paid a visit yesterday. He is in the US for training and scheduled his travel to include a visit with us. He brought along some Chinese herbs to make soup which is supposed to provide energy and stamina. He also brought a supply of the infamous “Tiger Balm” and other ointments. I continue to be overwhelmed by the thoughtfulness of our friends.
It is impossible for me to respond to all the comments on the blog and the emails that you are sending. I wish I had the energy and time to write each of you. But I want you to know that I read and re-read your comments over and over and am greatly strengthened by them. I am fully convinced that your prayers and good wishes are what keep me going. Thank you so much.
I’m attaching another Along the Journey, growing out of my experiences of last week.
The surgical procedure last Friday went off without a hitch, but I was not prepared for the amount of pain engendered. Several weeks ago, when they did the nerve block, they infused the nerve bundle with a substance to deaden the nerves; hence I experienced little or no pain. In fact, I was back in the office that same afternoon. This time they infused the celiac plexus with a substance that literally “burned” the nerves, causing a great deal of pain. The regular pain medication that I’m taking kept the pain under control in large part, but I was very uncomfortable all weekend.
The doctor warned me that I must gradually wean myself off the Oxycontin. He said that my body is physically addicted to the medication and sudden withdrawal would be very traumatic. So, I will continue to take the full dosage for another week or so, gradually cutting back. Our prayer is that I can then exist on a much lower dosage and can regain some clarity of thought!
Another member of our Singapore church paid a visit yesterday. He is in the US for training and scheduled his travel to include a visit with us. He brought along some Chinese herbs to make soup which is supposed to provide energy and stamina. He also brought a supply of the infamous “Tiger Balm” and other ointments. I continue to be overwhelmed by the thoughtfulness of our friends.
It is impossible for me to respond to all the comments on the blog and the emails that you are sending. I wish I had the energy and time to write each of you. But I want you to know that I read and re-read your comments over and over and am greatly strengthened by them. I am fully convinced that your prayers and good wishes are what keep me going. Thank you so much.
I’m attaching another Along the Journey, growing out of my experiences of last week.
Friday, April 13, 2007
Surgery went well!!
Got a call from Anita around 2pm, saying that Jack's out of surgery and it went well. They won't know how successful it was for a bit - with all hopes, it will be such that it really relieves the pain for him.
It was probably painful to watch - turns out, Anita says, they had to keep him awake during the procedure! So I'm sure he's GLAD that's behind him.
He's being kept overnight, mostly to monitor his heart and things like that. But his heart rate did well throughout the surgery, in the 50's and low 60's - so that's GREAT news. Your prayers are mighty powerful, Friends of Jack!
We'll see if we can update this weekend as he comes home, too.
- Cindy
It was probably painful to watch - turns out, Anita says, they had to keep him awake during the procedure! So I'm sure he's GLAD that's behind him.
He's being kept overnight, mostly to monitor his heart and things like that. But his heart rate did well throughout the surgery, in the 50's and low 60's - so that's GREAT news. Your prayers are mighty powerful, Friends of Jack!
We'll see if we can update this weekend as he comes home, too.
- Cindy
Thursday, April 12, 2007
YOUR words are beautiful
I just wanted to take an editorial moment, because Jack's fixing to go into the hospital for his nerve block procedure, so he's not here to stop me. That is, to say how much I appreciate not just his wonderful words - I have come to expect them. But YOUR wonderful words as well.
Reading your comments to the entries below, and in the Along the Journey entries, has been moving. From Father Morgan's sermon response, to the Haneys and Byers and Laraine and Laurie and Karen, all the way across the globe from Edward Tan -- I don't know any of you sweet souls, but I feel like I do, because of your lovely words about my friend. I know your words mean alot to him, as well, but I wanted to take this opportunity, while we're all encouraging each other to pray, praising God for the gifts thus far, and waiting with hope, to say "Thank you."
- Cindy
Reading your comments to the entries below, and in the Along the Journey entries, has been moving. From Father Morgan's sermon response, to the Haneys and Byers and Laraine and Laurie and Karen, all the way across the globe from Edward Tan -- I don't know any of you sweet souls, but I feel like I do, because of your lovely words about my friend. I know your words mean alot to him, as well, but I wanted to take this opportunity, while we're all encouraging each other to pray, praising God for the gifts thus far, and waiting with hope, to say "Thank you."
- Cindy
Wednesday, April 11, 2007
Happy News
During the time in our community gathering today (Wednesday, April 11) when we share praises and celebrations, Jack offered up a fact that we are ALL extremely grateful for. He shared with us that tomorrow it makes three months ago that he was first diagnosed, with an expectation of having three to six months. And here it is, three months later, bright among us. That is a praise! We hope – and pray – there are many more such months to come!
I was touched with what a pastor he is, offering up comforting words in honor of someone among us who has just lost her father. And this week, in several meetings, when we as a group are planning events and actions for the near and distant future, how engaged and passionate he is in the planning. When others might be feeling overwhelmed or daunted by the tasks ahead of us, he offers such a great perspective of living out our mission – he’s inspiring and passionate about what we do. He’s a life force that can’t be stopped and I’m so grateful for the last three months and the next ones to come.
Here are words from Jack himself on what the next couple of days have to offer. (I'll post the outcome on Friday afternoon, as soon as I get a word from them.)
God continues to give us opportunities to use our difficult journey to share a word of faith with others. Today we spoke at the Lunch Encounter at Second Ponce de Leon Baptist Church. We had expected fifty people, but 150 showed up! We shared, as honestly as we could, the challenge of dealing with a terminal illness—the practical implications, the emotional turmoil we struggle with, as well as the role our faith has played. I was overwhelmed at the response of those in attendance. I don’t have all the answers, but I am willing, as one pilgrim on the journey, to share with other pilgrims some of the lessons we have learned and the challenges we face.
Tomorrow is my “off week” from chemo. I go in for blood work. The good news is that I am scheduled for the celiac plexus ablation procedure this Friday. I go to the hospital at 10:30, so the surgery should begin about noon. I will stay overnight in the hospital. Please pray that the low heart rate and blood pressure that caused the procedure to be scrubbed last week, will be normal enough to allow us to move forward this time!
I was touched with what a pastor he is, offering up comforting words in honor of someone among us who has just lost her father. And this week, in several meetings, when we as a group are planning events and actions for the near and distant future, how engaged and passionate he is in the planning. When others might be feeling overwhelmed or daunted by the tasks ahead of us, he offers such a great perspective of living out our mission – he’s inspiring and passionate about what we do. He’s a life force that can’t be stopped and I’m so grateful for the last three months and the next ones to come.
Here are words from Jack himself on what the next couple of days have to offer. (I'll post the outcome on Friday afternoon, as soon as I get a word from them.)
God continues to give us opportunities to use our difficult journey to share a word of faith with others. Today we spoke at the Lunch Encounter at Second Ponce de Leon Baptist Church. We had expected fifty people, but 150 showed up! We shared, as honestly as we could, the challenge of dealing with a terminal illness—the practical implications, the emotional turmoil we struggle with, as well as the role our faith has played. I was overwhelmed at the response of those in attendance. I don’t have all the answers, but I am willing, as one pilgrim on the journey, to share with other pilgrims some of the lessons we have learned and the challenges we face.
Tomorrow is my “off week” from chemo. I go in for blood work. The good news is that I am scheduled for the celiac plexus ablation procedure this Friday. I go to the hospital at 10:30, so the surgery should begin about noon. I will stay overnight in the hospital. Please pray that the low heart rate and blood pressure that caused the procedure to be scrubbed last week, will be normal enough to allow us to move forward this time!
Sunday, April 8, 2007
Easter Update
What a glorious Easter Sunday in Atlanta. Spring has temporarily turned back into winter, but the sun is out and the promise of new life abounds!
I’m feeling a little better on this Easter. After a week of lows, I’ve had a couple of better days. I’ve learned to give thanks for every day of health.
I’m off to church to celebrate the most significant aspect of our Christian faith—the Resurrection which validates the claims of Christ and gives hope for the future. Never before has Easter had so much significance for me as this year!
I've shared a few words in another "Along the Journey" column.
Have a glorious day.
Jack
I’m feeling a little better on this Easter. After a week of lows, I’ve had a couple of better days. I’ve learned to give thanks for every day of health.
I’m off to church to celebrate the most significant aspect of our Christian faith—the Resurrection which validates the claims of Christ and gives hope for the future. Never before has Easter had so much significance for me as this year!
I've shared a few words in another "Along the Journey" column.
Have a glorious day.
Jack
Thursday, April 5, 2007
Maundy Thursday Update
I just finished today's chemo. Here is a brief update:
The chemo treatment today (Thursday) went off without a hitch. The blood counts were sufficient for us to move forward. I also received an injection of Procrit to stimulate red blood cell production. Tomorrow I receive a similar injection to stimulate my white blood cell production. Today's treatment was the last of round two. I have next week off and, if I regain some of my strength, I plan to schedule the celiac plexus ablation.
These have been difficult days. No appetite, along with feelings of weakness and nausea, sap life of its zest. But I keep moving forward, day by day, and God supplies the strength to do so. I continue to receive assurances of your love and prayers and these are what keep me going.
During this Holy Week, I find myself at Gethsemane. I've tried to express what that means for me in a new posting of Along the Journey. As we move toward Easter, remember that without the cross, there is no crown; without death, there is no life.
Jack
The chemo treatment today (Thursday) went off without a hitch. The blood counts were sufficient for us to move forward. I also received an injection of Procrit to stimulate red blood cell production. Tomorrow I receive a similar injection to stimulate my white blood cell production. Today's treatment was the last of round two. I have next week off and, if I regain some of my strength, I plan to schedule the celiac plexus ablation.
These have been difficult days. No appetite, along with feelings of weakness and nausea, sap life of its zest. But I keep moving forward, day by day, and God supplies the strength to do so. I continue to receive assurances of your love and prayers and these are what keep me going.
During this Holy Week, I find myself at Gethsemane. I've tried to express what that means for me in a new posting of Along the Journey. As we move toward Easter, remember that without the cross, there is no crown; without death, there is no life.
Jack
Monday, April 2, 2007
Chemo and some rest days
Jack did manage to have chemo last Thursday, which is a good thing. But it rather sapped him, which is not so good. The cardiologist says his slow heart rate shouldn't keep him from the treatments or the pain surgery, but they're choosing to wait til he feels more up to it.
Here's an update in Jack's own lovely words.... and he promises an "Along the Journey" soon!
I went in for chemo in Thursday, but my heart rate was again slow (as it was when I went in for the nerve procedure on Tuesday). The oncologist postponed the chemo until I saw the cardiologist (I had an appointment scheduled later that day).
The cardiologist did an EKG, noted the slow heart rate and some PVCs, but said he didn’t see anything to cause him concern. So, he cleared me for the chemo (which I subsequently had on Thursday afternoon), and also cleared me for the celiac plexus nerve ablation.
I have had four or five of my worse days, feeling-wise, which I attribute to the beginning of my second round of chemo. Anita and I have decided to wait until I feel a little better before going forward with the nerve procedure.
All of this comes on the heels of experiencing ten very good days. Again, I have lost my appetite and am losing weight, and I’m feeling depleted of strength and rather queasy most of the time. I’m looking at this in a positive light, hoping it means that the chemo is doing its job!
All of this comes on the heels of experiencing ten very good days. Again, I have lost my appetite and am losing weight, and I’m feeling depleted of strength and rather queasy most of the time. I’m looking at this in a positive light, hoping it means that the chemo is doing its job!
Thanks so much for your continued prayers.
Tuesday, March 27, 2007
Surgery didn't happen today
I know all of you were eager to hear the outcome of Jack's surgery today... but it didn't get to take place after all. Here in his words is what happened:
I went in this morning for the celiac plexus nerve ablation, the procedure where they kill the nerve bundle that is causing the pancreatic pain. The blood counts from yesterday were fine and I spent the morning receiving IV fluids. I was taken to the operating room, connected to all the monitors, and prepped for the surgery.
Just minutes prior to being anesthetized, the doctor noticed that my heart rate was extremely low (low 40s) and there were occasional “skips” (pvc’s) in the heart beat.
He said that since this procedure had as one of its side-effects the drastic lowering of the blood pressure, he couldn’t run the risk of proceeding until he had my heart checked out.
I have never had any cardiac problems, so I’m assuming this is an anomaly. In fact, the doctor said that the chemo might be a contributing factor. He called Dr. Taylor, my primary care physician, and he is setting up some cardiac tests to make sure everything is okay.
My hope is that I can have the tests done quickly and then reschedule the nerve ablation. Of course, I’m disappointed, but I’m grateful for the caution of the doctor and look forward to clearing this up and moving ahead with the procedure.
Thanks so much for your prayers today. I’m convinced they were heard!
I went in this morning for the celiac plexus nerve ablation, the procedure where they kill the nerve bundle that is causing the pancreatic pain. The blood counts from yesterday were fine and I spent the morning receiving IV fluids. I was taken to the operating room, connected to all the monitors, and prepped for the surgery.
Just minutes prior to being anesthetized, the doctor noticed that my heart rate was extremely low (low 40s) and there were occasional “skips” (pvc’s) in the heart beat.
He said that since this procedure had as one of its side-effects the drastic lowering of the blood pressure, he couldn’t run the risk of proceeding until he had my heart checked out.
I have never had any cardiac problems, so I’m assuming this is an anomaly. In fact, the doctor said that the chemo might be a contributing factor. He called Dr. Taylor, my primary care physician, and he is setting up some cardiac tests to make sure everything is okay.
My hope is that I can have the tests done quickly and then reschedule the nerve ablation. Of course, I’m disappointed, but I’m grateful for the caution of the doctor and look forward to clearing this up and moving ahead with the procedure.
Thanks so much for your prayers today. I’m convinced they were heard!
Monday, March 26, 2007
"Extremely Good"
Jack reports, in his own words, his latest news - a report from the oncologist that is "extremely good"! Also see his newest installment of Along the Journey.
Last Thursday, I had an appointment with the oncologist, the first time I’ve seen him in a month. The report was extremely good.
My blood counts, although still depressed, allowed me to begin the second round of chemo (three weeks of infusions, one week off). My pain continues to be under control with the use of pretty heavy pain medication, I’m able to sleep well, and my appetite has returned and I have gained back seven of the twenty-two pounds that I have lost!
But the most significant word was that the cancer marker had dropped from 360 to 244!
Dr. Franco says this probably means one of two things: the tumor has shrunk or it has become more inactive. Whichever the case, he says it is a good signal. I reminded him that in addition to the medical dimension of his treatment, I am convinced that much of my improvement can be attributed to the prayers of thousands of you around the world. He agreed. In fact, he said, “The power of prayer is verifiable. Tell your friends to keep it up!”
I was also cleared, pending more blood work today, to enter the hospital tomorrow (Tuesday) for the celiac plexus oblation—the killing of the celiac plexus nerve bundle. Because of the slight potential of side-effects, I will remain in the hospital overnight. Our prayer is that this procedure will be successful, will alleviate the pain, thus allowing me to back off of some of the heavy pain medication.
After a couple of pretty rough weeks, the past two weeks have been good. The pain is under control, the red blood cell booster has given me added energy, my weight gain has added strength, and I am learning to pace myself to conserve energy.
Although this last treatment of chemo has, once again, begun to sap my strength and I’m having to slow down a little, I continue to try to stay on top of my work and to enjoy each day as a gift from God! We completed two of our most intense weeks here at the office, and I have survived well! Week before last was our annual exploratory conference, the time when we invite candidates for mission field ministry to spend a week with us. Through a series of testing, interviews, and group work, we mutually decide who will join our mission force. Last week was filled with meetings of our various administrative teams and the administrative cluster. I was reminded, once again, of God’s blessings in allowing me to serve with such wonderful colleagues.
Last Thursday, I was both surprised and delighted to receive a wonderful “Book of Blessings” which included letters from many of you. I spend the weekend pouring over your wonderful words of blessings and I was deeply touched by your kind words and your strong affirmations. I’m convinced that your love and support have played a significant role in my growing strength. - JS
Last Thursday, I had an appointment with the oncologist, the first time I’ve seen him in a month. The report was extremely good.
My blood counts, although still depressed, allowed me to begin the second round of chemo (three weeks of infusions, one week off). My pain continues to be under control with the use of pretty heavy pain medication, I’m able to sleep well, and my appetite has returned and I have gained back seven of the twenty-two pounds that I have lost!
But the most significant word was that the cancer marker had dropped from 360 to 244!
Dr. Franco says this probably means one of two things: the tumor has shrunk or it has become more inactive. Whichever the case, he says it is a good signal. I reminded him that in addition to the medical dimension of his treatment, I am convinced that much of my improvement can be attributed to the prayers of thousands of you around the world. He agreed. In fact, he said, “The power of prayer is verifiable. Tell your friends to keep it up!”
I was also cleared, pending more blood work today, to enter the hospital tomorrow (Tuesday) for the celiac plexus oblation—the killing of the celiac plexus nerve bundle. Because of the slight potential of side-effects, I will remain in the hospital overnight. Our prayer is that this procedure will be successful, will alleviate the pain, thus allowing me to back off of some of the heavy pain medication.
After a couple of pretty rough weeks, the past two weeks have been good. The pain is under control, the red blood cell booster has given me added energy, my weight gain has added strength, and I am learning to pace myself to conserve energy.
Although this last treatment of chemo has, once again, begun to sap my strength and I’m having to slow down a little, I continue to try to stay on top of my work and to enjoy each day as a gift from God! We completed two of our most intense weeks here at the office, and I have survived well! Week before last was our annual exploratory conference, the time when we invite candidates for mission field ministry to spend a week with us. Through a series of testing, interviews, and group work, we mutually decide who will join our mission force. Last week was filled with meetings of our various administrative teams and the administrative cluster. I was reminded, once again, of God’s blessings in allowing me to serve with such wonderful colleagues.
Last Thursday, I was both surprised and delighted to receive a wonderful “Book of Blessings” which included letters from many of you. I spend the weekend pouring over your wonderful words of blessings and I was deeply touched by your kind words and your strong affirmations. I’m convinced that your love and support have played a significant role in my growing strength. - JS
To go with Jack, Along the Journey, Click Here.
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After being given the Book of Blessings last week, Jack and Anita look it over.
Thursday, March 15, 2007
Appetites
Jack says his appetite is improving. . . so he is a good Baptist, after all!
He’s been in the office working hard all week with prospective missions folk. And while he says he’s gained weight, I don’t know if it’s true or if he just wants to “fit in” with the rest of the Baptist world.
I do know that he looks well and very Jack-like, if that makes sense. For instance, during our community worship time when the leaders played guitars and sang Neil Young’s When God Made Me, Jack closed his eyes and drank in the words. He seemed the essence of reverence when he sang along “I’ve got so much, so much, so much to be thankful for.”
Of course, it could be that he wasn’t being reverential, but just taking an opportunity to nap. (Do good pastors sleep through other people’s services?)
Just kidding - I know he wasn’t sleeping through a time of communion with his God and his friends. Jack is a man of appetites – for serving, for family, for sharing. I hope you, like me, enjoy hearing his perspective Along the Journey. (Click on this link if you’re not able to use the others: http://alongthejourneywithjack.blogspot.com/ )
I enjoyed seeing Anita singing her heart out in the choir at the Georgia State CBF meeting this past weekend, and know they were glad to have their family visitors along with them.
I'm sure you, like me, enjoy hearing updates from Jack himself. So here’s his health report today -- and below that, an update on “happenings” complete with some pictures too!
I have had two or three good days this week—the best in awhile. The pain is currently under control, my appetite has improved (thanks to the appetite stimulant I’m taking), and I have actually gained a couple of pounds. I’m learning to pace myself and am able to balance work, family time, and rest. God is good!
I went to the chemo lab this morning for blood work. This is my week to skip the infusion (three weeks on, one week off). The blood counts continue to be low, but the infusions last week have boosted the white and red blood counts. I continue to take the Tarceva daily and will see the oncologist next week to begin the second round of Gemzar, if the blood counts will allow.
*********
I went to the chemo lab this morning for blood work. This is my week to skip the infusion (three weeks on, one week off). The blood counts continue to be low, but the infusions last week have boosted the white and red blood counts. I continue to take the Tarceva daily and will see the oncologist next week to begin the second round of Gemzar, if the blood counts will allow.
*********
We have been blessed over the past week to have friends visiting us from Singapore. Andrew Goh was one of my students during my teaching tenure at Baptist Theological Seminary, Singapore. In fact, he took every class I taught. For a year-and-a-half I served Thomson Road Baptist Church (TRBC), the oldest Baptist Church in Singapore, as their interim-pastor.
When Andrew graduated from the seminary, I suggested him as a candidate for TRBC’s pastor. The church called him and he became our pastor. We have deep ties with this dear congregation and consider them part of our church family, even though we have moved from Singapore. When they heard of my illness, they collected money to send Andrew and his family to pay us a pastoral visit and to bring their love and care. In addition, they sent a love offering to assist with medical expenses.
So you can imagine the deep gratitude I feel toward TRBC and the Goh family. Their visit was a visible demonstration of their love and it became a source of encouragement for us. We enjoyed our visits together and I profited from Andrew’s pastoral presence and prayers.
- Jack
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Read more from Jack Along the Journey.
Read more from Jack Along the Journey.
Monday, March 12, 2007
Easing the pain. . .
Jack's procedure went well on Friday... here, I'll let you hear it for yourselves, from Jack:
The procedure yesterday went well. As a trial, I skipped my 2 p.m. dosage of pain medication and experienced little pain. The doctor said that if the treatment worked, I should have some short-term pain relief—the equivalent of deadening the nerves before having a tooth worked on.
So, I think it worked, which will open the possibility of step two of the treatment—killing the nerves. I will see the doctor in a couple of weeks to talk about going back in and killing the nerves.
On a more technical note, I have been calling the procedure of deadening and then killing the nerves “deadening/killing the pancreatic nerves.” Medical folk would correct me on that! What they did yesterday is called a celiac plexus nerve block. The killing of the nerves is called a celiac plexus neurolysis. The celiac plexus is the bundle of nerves adjacent to the aorta and the other blood vessels that supplies the pancreas. That’s more than you asked for, but I guess I need to start using the correct terminology! - Jack
***************************************
Reminded of times with the Snells in Singapore, Harriet Harral sent me some lovely photos of that time, including a visit to the Singapore botanical gardens. (Below right). And also, here's a shot she sent of Jack during reconstruction at Thompson Road church where he served as interim pastor:
The procedure yesterday went well. As a trial, I skipped my 2 p.m. dosage of pain medication and experienced little pain. The doctor said that if the treatment worked, I should have some short-term pain relief—the equivalent of deadening the nerves before having a tooth worked on.
So, I think it worked, which will open the possibility of step two of the treatment—killing the nerves. I will see the doctor in a couple of weeks to talk about going back in and killing the nerves.
On a more technical note, I have been calling the procedure of deadening and then killing the nerves “deadening/killing the pancreatic nerves.” Medical folk would correct me on that! What they did yesterday is called a celiac plexus nerve block. The killing of the nerves is called a celiac plexus neurolysis. The celiac plexus is the bundle of nerves adjacent to the aorta and the other blood vessels that supplies the pancreas. That’s more than you asked for, but I guess I need to start using the correct terminology! - Jack
***************************************
Reminded of times with the Snells in Singapore, Harriet Harral sent me some lovely photos of that time, including a visit to the Singapore botanical gardens. (Below right). And also, here's a shot she sent of Jack during reconstruction at Thompson Road church where he served as interim pastor:
Friday, March 9, 2007
Friday prayers called for!
This morning Jack's facing (a planned) surgery.
On one hand, it's a good thing.... the potential for alleviating pain. On the other, it's got to be a scary thing, anytime we're "under" at the hands of others. I'm praying for steady hands and successful work for Jack's surgeons, nurses, aides - everyone who gets to play a part in the blessed work of healing. And I'm praying for calm, peace, removal of worry for Jack and his family.... his wider family too, of course - us!
Jack's had a pretty up and down week, health wise. He had some good days, good enough to be in the office several times. But other days, he was queasy and weak, and wasn't able to accomplish as much as he had hoped. The chemo treatments as well as the heavy pain medication are much the cause of this, as well as leaving him in, as he says, a "fog" much of the time. The GOOD news, though, is that they are working a good bit at keeping the pain at bay. And he's able to sleep fairly well at night. "A gift!" he says!
Yesterday he had his third chemo infusion, and he's taking chemo orally each day. The blood counts are down and he's receiving injections to boost his red and white blood cells. And today, in a few hours (7:15 am), Jack will go in for a surgical procedure to deaden the pancreatic nerves.
If this surgery is successful, they'll repeat the procedure in a few weeks in an effort to kill the nerves. Let's all pray, as Jack and his family are, that this decreases the pain indeed, and will allow him to cut back on the stronger (fog-inducing) medicines for pain.
Jack has prayers for us, as well. You can read words to you by clicking here to read his thoughts Along the Journey.
Jack reports on the past week:
This past week has been filled with ups-and-downs. I’ve had some good days and was able to be in the office several times. However, I’ve had other days when I felt queasy and weak and was not able to accomplish as much as I had hoped. I attribute this to the chemo as well as the heavy pain medication I’m taking. The pain medication leaves me in a “fog” but it is keeping the pain at bay and I’m able to sleep fairly well at night. That’s a gift!
I’ve had a number of guests who have made the pilgrimage to Atlanta to bring their blessings and prayers. Two dear friends from Florida, a priest and a rabbi (sounds like the beginning of a good joke—a Baptist preacher, a priest, and a rabbi…!) came up for a day. But the fellowship was anything but a joke. We reminisced about our years together in interfaith and ecumenical work in Jacksonville, about world events, and about our personal faith.
Other friends from our past also came to Atlanta—dear friends from California/Florida whose love and support of me as a young minister opened doors and helped shape my ministry; and a dear college and seminary class-mate from Alabama whose ministry I value and whose pastoral presence was encouraging.
AT 5:30 a.m. yesterday morning, my former Singapore seminary student (who later became my pastor) flew in with his family from Singapore. Our church there made their trip possible and they have come to bring the blessings and prayers of the church. They are staying at the missionary house at Wieuca Road BC and we look forward to visiting with them. What a gesture of love and care from this wonderful church and from these dear friends.
I’m not a very good host these days and I’m only able to spend limited amounts of time with our guests, but their expression of friendship and love are deeply appreciated.
I had my third chemo infusion yesterday. In addition, I’m taking a daily dose of chemo orally. My blood counts are down so I’m receiving injections to boost my red and white blood cells. I went to the hospital at 7:15 this morning (Friday) for a surgical procedure to block the celiac nerves in my abdomen. If this works, the doctor will repeat the procedure in a few weeks in an effort to kill the nerves. We are praying that this will be effective, will decrease the pain, and allow me to cut back on the strong pain medication. We should know within eight to twenty-four hours if this us working.
I have been encouraged and strengthened by your messages of love and support. No one could be more fortunate than I to have so many dear friends. Please know that I love each one of you. - Jack
On one hand, it's a good thing.... the potential for alleviating pain. On the other, it's got to be a scary thing, anytime we're "under" at the hands of others. I'm praying for steady hands and successful work for Jack's surgeons, nurses, aides - everyone who gets to play a part in the blessed work of healing. And I'm praying for calm, peace, removal of worry for Jack and his family.... his wider family too, of course - us!
Jack's had a pretty up and down week, health wise. He had some good days, good enough to be in the office several times. But other days, he was queasy and weak, and wasn't able to accomplish as much as he had hoped. The chemo treatments as well as the heavy pain medication are much the cause of this, as well as leaving him in, as he says, a "fog" much of the time. The GOOD news, though, is that they are working a good bit at keeping the pain at bay. And he's able to sleep fairly well at night. "A gift!" he says!
Yesterday he had his third chemo infusion, and he's taking chemo orally each day. The blood counts are down and he's receiving injections to boost his red and white blood cells. And today, in a few hours (7:15 am), Jack will go in for a surgical procedure to deaden the pancreatic nerves.
If this surgery is successful, they'll repeat the procedure in a few weeks in an effort to kill the nerves. Let's all pray, as Jack and his family are, that this decreases the pain indeed, and will allow him to cut back on the stronger (fog-inducing) medicines for pain.
Jack has prayers for us, as well. You can read words to you by clicking here to read his thoughts Along the Journey.
Jack reports on the past week:
This past week has been filled with ups-and-downs. I’ve had some good days and was able to be in the office several times. However, I’ve had other days when I felt queasy and weak and was not able to accomplish as much as I had hoped. I attribute this to the chemo as well as the heavy pain medication I’m taking. The pain medication leaves me in a “fog” but it is keeping the pain at bay and I’m able to sleep fairly well at night. That’s a gift!
I’ve had a number of guests who have made the pilgrimage to Atlanta to bring their blessings and prayers. Two dear friends from Florida, a priest and a rabbi (sounds like the beginning of a good joke—a Baptist preacher, a priest, and a rabbi…!) came up for a day. But the fellowship was anything but a joke. We reminisced about our years together in interfaith and ecumenical work in Jacksonville, about world events, and about our personal faith.
Other friends from our past also came to Atlanta—dear friends from California/Florida whose love and support of me as a young minister opened doors and helped shape my ministry; and a dear college and seminary class-mate from Alabama whose ministry I value and whose pastoral presence was encouraging.
AT 5:30 a.m. yesterday morning, my former Singapore seminary student (who later became my pastor) flew in with his family from Singapore. Our church there made their trip possible and they have come to bring the blessings and prayers of the church. They are staying at the missionary house at Wieuca Road BC and we look forward to visiting with them. What a gesture of love and care from this wonderful church and from these dear friends.
I’m not a very good host these days and I’m only able to spend limited amounts of time with our guests, but their expression of friendship and love are deeply appreciated.
I had my third chemo infusion yesterday. In addition, I’m taking a daily dose of chemo orally. My blood counts are down so I’m receiving injections to boost my red and white blood cells. I went to the hospital at 7:15 this morning (Friday) for a surgical procedure to block the celiac nerves in my abdomen. If this works, the doctor will repeat the procedure in a few weeks in an effort to kill the nerves. We are praying that this will be effective, will decrease the pain, and allow me to cut back on the strong pain medication. We should know within eight to twenty-four hours if this us working.
I have been encouraged and strengthened by your messages of love and support. No one could be more fortunate than I to have so many dear friends. Please know that I love each one of you. - Jack
Thursday, March 1, 2007
Along the Journey
Periodically Jack will be sharing his own thoughts, Along the Journey.
Click here to read a word from Jack. . . .
Click here to read a word from Jack. . . .
Sharing photos
Yesterday I heard raucous laughter coming from the far end of the hall in the office. . . I figured as much, and it was - Jack and a group outside his office!
Even thought he'd had chemo a few hours before, he was obviously sharing that Jack spirit and was able to share it with the rest of us too (above). He will periodically post bits of that Jack spirit, as he shares with us his thoughts Along the Journey.
In the meantime, another friend has invited us all to share in enjoying his photos of the wedding. Here's the message from Tim Rucci on how to do that:
I just saw Jack's blog, and I thought I'd let you know that if you'd like, you can see more of the photos from Stephanie & Henry's wedding online. Phil Barnes and I photographed the wedding for the Snells, and I posted 144 photos from the event on my web page.
I'm more of a nature and sports photographer, but when asked by Jack and Anita to be the wedding photographer, although I felt inadequate to do a wedding, I just couldn't say no.
If you haven't already seen the photos, you can go to http://www.timrucciphotography.com and click on the thumbnail wedding photo of Stephanie and Henry on the bottom right, or you can go directly to the wedding gallery by clicking here: http://www.pbase.com/tim32225/stephanie_henry . You can feel free to share these links with anyone else as well.
It was at Jack's 'arm twisting' as he called it, that my wife and I finally joined HAB about a dozen or so years ago, after visiting every Sunday for almost a year. We both still sing in the HAB choir, and the entire Snell family will always be special to us.
I'm glad to see the blog, and I will check it regularly.
Thanks for your effort in kicking it off.
Sincerely,
Tim Rucci
Even thought he'd had chemo a few hours before, he was obviously sharing that Jack spirit and was able to share it with the rest of us too (above). He will periodically post bits of that Jack spirit, as he shares with us his thoughts Along the Journey.
In the meantime, another friend has invited us all to share in enjoying his photos of the wedding. Here's the message from Tim Rucci on how to do that:
I just saw Jack's blog, and I thought I'd let you know that if you'd like, you can see more of the photos from Stephanie & Henry's wedding online. Phil Barnes and I photographed the wedding for the Snells, and I posted 144 photos from the event on my web page.
I'm more of a nature and sports photographer, but when asked by Jack and Anita to be the wedding photographer, although I felt inadequate to do a wedding, I just couldn't say no.
If you haven't already seen the photos, you can go to http://www.timrucciphotography.com and click on the thumbnail wedding photo of Stephanie and Henry on the bottom right, or you can go directly to the wedding gallery by clicking here: http://www.pbase.com/tim32225/stephanie_henry . You can feel free to share these links with anyone else as well.
It was at Jack's 'arm twisting' as he called it, that my wife and I finally joined HAB about a dozen or so years ago, after visiting every Sunday for almost a year. We both still sing in the HAB choir, and the entire Snell family will always be special to us.
I'm glad to see the blog, and I will check it regularly.
Thanks for your effort in kicking it off.
Sincerely,
Tim Rucci
Wednesday, February 28, 2007
Maybe some pain relief!
Today at CBF's community gathering, Jack gave us an update on the pain management specialist he saw yesterday.
In typical Jack fashion, he shared the optimistic and good parts. The doctor has suggested an operation that will deaden the nerves around Jack's pancreas, and that will help lessen the pain. In the last few days, the pain's been pretty unbearable, even causing him to not be able to get sleep.
Last night, he said, the doctor had tripled his pain medication, and that allowed him the first full night's rest in a while. "If you've ever not been able to sleep, and then are given the blessing of rest, you know what a real gift that is," Jack reported.
(I will leave out the part where he said that doubling the pain medication hadn't helped, and tripling it helped a bit, though he may be in a cloud or fog and forgive him for walking around "high as a kite." I will leave that part out because it's unseemly for such a dignified upright individual to be promoting an altered state of consciousness!)
And though he said he might be in a fog, he did not appear to be at all. Still making us laugh, he did share that today special people were coming to take him to lunch. Friends from other faith groups that he was close with in Florida were flying up today to spend time with him, eat some, tell stories, and laugh alot. He expressed how touched he felt that they would take the time and effort to fly up just for this.
Expect another update from Jack himself in the next few days... or read his latest (below) from last week. Or add your own comments, observations, or wishes here.
In typical Jack fashion, he shared the optimistic and good parts. The doctor has suggested an operation that will deaden the nerves around Jack's pancreas, and that will help lessen the pain. In the last few days, the pain's been pretty unbearable, even causing him to not be able to get sleep.
Last night, he said, the doctor had tripled his pain medication, and that allowed him the first full night's rest in a while. "If you've ever not been able to sleep, and then are given the blessing of rest, you know what a real gift that is," Jack reported.
(I will leave out the part where he said that doubling the pain medication hadn't helped, and tripling it helped a bit, though he may be in a cloud or fog and forgive him for walking around "high as a kite." I will leave that part out because it's unseemly for such a dignified upright individual to be promoting an altered state of consciousness!)
And though he said he might be in a fog, he did not appear to be at all. Still making us laugh, he did share that today special people were coming to take him to lunch. Friends from other faith groups that he was close with in Florida were flying up today to spend time with him, eat some, tell stories, and laugh alot. He expressed how touched he felt that they would take the time and effort to fly up just for this.
Expect another update from Jack himself in the next few days... or read his latest (below) from last week. Or add your own comments, observations, or wishes here.
An update from Jack
From 20 February – an update from Jack himself! He felt a little queasy afterwards, but we’re glad he felt well enough to give us insight into what’s going on with him:
I began a regimen of chemotherapy this past Wednesday. It consists of two parts: Gemcitabine and Tarceva. The Gemcitabine is injected weekly through a port that has been inserted. The Tarceva is taken daily in oral form.
Neither is curative, but it is hoped that both will have a palliative effect in shrinking the tumor so that I can have some relief from the increasing pain, as well as giving me a few months of healthy life.
A dear friend from Singapore, Dr. Lilian Lim, president of the Asian Baptist Graduate Theological Seminary, came over to spend a week with us and to bring us the love and encouragement from our Asia friends.
Next week, a Rabbi and a Catholic Priest from Florida are coming up for the day. These were dear friends and colleagues during our years in Jacksonville.
The second week in March, our church in Singapore is sending their pastor and his family to Atlanta to pay a pastoral call. Andrew was student of mine at the seminary in Singapore prior to becoming our pastor.
As you can imagine, I am overwhelmed with the expressions of love from these and others around the world. I’m attaching a picture of our family at Stephanie’s and Henry’s wedding. It was a glorious event.
I began a regimen of chemotherapy this past Wednesday. It consists of two parts: Gemcitabine and Tarceva. The Gemcitabine is injected weekly through a port that has been inserted. The Tarceva is taken daily in oral form.
Neither is curative, but it is hoped that both will have a palliative effect in shrinking the tumor so that I can have some relief from the increasing pain, as well as giving me a few months of healthy life.
A dear friend from Singapore, Dr. Lilian Lim, president of the Asian Baptist Graduate Theological Seminary, came over to spend a week with us and to bring us the love and encouragement from our Asia friends.
Next week, a Rabbi and a Catholic Priest from Florida are coming up for the day. These were dear friends and colleagues during our years in Jacksonville.
The second week in March, our church in Singapore is sending their pastor and his family to Atlanta to pay a pastoral call. Andrew was student of mine at the seminary in Singapore prior to becoming our pastor.
As you can imagine, I am overwhelmed with the expressions of love from these and others around the world. I’m attaching a picture of our family at Stephanie’s and Henry’s wedding. It was a glorious event.
Tuesday, February 27, 2007
Sign up for automatic email alerts
You can receive automatic emails that let you know whenever new content is posted on Jack Snell's 411 site.
You sign up for this "alert" service at:http://www.blogarithm.com/
Under "URL to watch" put: http://jacksnell411.blogspot.com/
then enter your email address and follow the instructions you're given next.
(You'll be asked to enter the numbers you see, to make sure you're for real. And you'll have an email sent to that account, asking you to "activate" it - again, a security measure.)
Questions? You can write the person helping Jack manage this blog - Cindy - at cindyabell@gmail.com.
You sign up for this "alert" service at:http://www.blogarithm.com/
Under "URL to watch" put: http://jacksnell411.blogspot.com/
then enter your email address and follow the instructions you're given next.
(You'll be asked to enter the numbers you see, to make sure you're for real. And you'll have an email sent to that account, asking you to "activate" it - again, a security measure.)
Questions? You can write the person helping Jack manage this blog - Cindy - at cindyabell@gmail.com.
February Getaway
Jack and Anita were blessed with some time away together in February, just the two of them. Anita said they got lots of rest, were soothed by the blue ocean out their window, took a carriage ride around Nassau, and generally enjoyed getting away and just being together.
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