From: Timko, Terry M
Sent: Thursday, June 02, 2016 12:17 PM
Subject: Maura Update June 2nd ~around noon :)

I’ve been using the metaphor here of God writing another chapter in our story.  While we were hoping this would be a short and upbeat chapter, it is turning out to be longer one.  We are still in great spirits, know that we are in His hands, have a tremendous community supporting us (that would be you) and are confident this will have a positive outcome.

There has not been an update for several days because there was no new news.  I even started back to work because I’m not so good at sitting around.  I’m going to make up for the lack of updates with a longer post today.  Don’t feel compelled to read the whole thing.

The Short Version:
They still don’t know what it is and we are most likely heading to the Mayo Clinic for a brain biopsy next week or the following.

For those of you that wanted pics (I have DVDs full) here is one of the masses:


The longer version:
We met with the Neurologist yesterday and learned the final spinal tap (lumbar puncture) tests for MS and cultures came back negative.  As I said before we are playing a game of probabilities here and these tests are not definitive (i.e. 15% of people w/ MS test negative on the spinal tap test).  We spent a good 45 minutes w/ the neurologist reviewing all the what ifs, questions and the various options.  He reviewed several obscure inflammatory processes (i.e. Neurosarcoidosis) this could be as well as infections and cancers.  His sense is still that we are dealing with cancer.

The net is they don’t know what these masses in her head are.  They are relatively recent (i.e. weeks not months) and are related given how they react to contrast on the scans.  There are 2 options, 1) a series of semi diagnostic treatments (i.e. treat as cancer w/ chemo or as inflammatory process w/ steroids, …) but that is risky and inclusive so option 2) is a brain biopsy which is the course of action we are likely choosing baring an unexpected finding from a) the 18 blood tests they did yesterday or b) the doctor who did her sinus surgery in December with whom we are meeting tomorrow AM.  The PET scan lit up in the area of her surgery which is likely nothing but the neurologist wants the ENT to take a look.

So where are in the process of referrals to Mayo and Cleveland Clinics, with a backup referral to Mayfield here in town.  Packaging up all of her medical records and imaging now to send off now to all 3 for review.  This may be 1 or 2 trips and we may not have the procedure done for 2 to 3 weeks.  That said we could have the biopsy next week based on what the team of doctors think of her imaging and history.

Many of you have been saying not knowing is the hardest thing.  We really did not think so, but are starting to feel it and to be honest my head is all over the place, I want to fix things, manage things, … I want to be in control but one of the things this is teaching us is we are not always in control especially when we most want to be.  So we will walk this out in faith, eager to see the narrative unfold.  God is good.

We are shifting from sprint mode to 5k to marathon pace, planning on continuing on with life with interruptions.  So we will likely continue the couples thing (you know who you are), swimming, cookouts, … summer with a little more focus on what is important vs fleeting.

Finally, I heard the following song recently and it has taken on additional meaning so I thought I would share it:
"Whatever Pleases You"
When we hear your voice
When you call us out
To the unknown, uncertain
We will call to mind
Your ageless faithfulness
To your people, your creation
We will look to you
The author of our lives

Whatever pleases you will be our path
Trading what we have for what will last
We will seek your face and not your hands
Whatever pleases you will be our path

{When we cannot see just where the road will lead.
We are empty, we are broken.
When the enemy is strong and there seems nowhere to run.
We will trust you. You are with us.

This is another song that became one of our anchors, there are several versions out there, including the ManCamp version but this what we listened too.  We were led early on to let go of the things we thought were important and focus on the eternal, to seek God's character (His face) and not what He could do for us (His hands) and Robbie says so clearly here obedience over sacrifice}

p.s. There has also been much irony over the past couple weeks.  One I’ll share with you is Neurosarcoidosis is commonly known as Brain Fog.
One of Maura and my favorite movies is Joe vs. the Volcano w/ Tom Hanks & Meg Ryan (if you have not seen it you should).  The movie is about people who get caught up in the mundane of life until Joe learns he has a “Brain Cloud” and trades the mundane life for one of adventure and meaning.  Since the beginning Maura and I have been joking that she had a brain cloud.  Now it turns out it is kind of a real thing.

BTW the movie has a happy ending J


Terry 

Climb - Will Reagan

I lean not on my own understanding
My life is in the hands of the Maker of Heaven
I give it all to You, God
Trusting that You’ll make something beautiful out of me
I will climb this mountain with my hands wide open
There’s nothing I hold onto
If I had to choose one song that symbolized this journey and brought us the most comfort it would be this one. It was a constant in our lives since Janet brought it to us in the hospital back in May of 2016. I will forever think of this as Maura's anthem as it so clearly represents her approach to cancer and life in general