The MRI today showed that the lesion has grown about 2 mm since the last MRI from Dec. 22. Because the lesion has grown (and because of Steve's worsening vision), Dr. L suggested a biopsy for tomorrow.
We had planned to fly home this afternoon and return, if necessary, next week. Instead, Steve stayed at M.D. Anderson for lab work and an appointment with the anesthesiology department. Jim was with us, so he stayed with Steve, made sure they were in the right place at the right time, took notes, etc. I took a cab to the airport, changed my flight to the next one available and flew home.
I'm home with Cooper and Katie now. I'll get them ready for bed, pack for the next few days and drive to Houston tonight with Liz's help. Ami is driving back from Austin tonight to take over here again.
Steve will check in for surgery by 5:30 a.m. tomorrow. He will be sedated and fit with a halo that will keep his head stable. They'll give him more anesthesia, tighten the halo some more and send him for an MRI. The MRI will provide precise X- and Y-coordinates of the lesion. Those coordinates will be used to guide the wire and needle that will extract a tissue sample of the lesion.
A pathologist will be available to provide a quick reading of the tissue. Exact pathology results should be ready by next Friday, when we'll return for a follow-up appointment, including suture removal.
Tomorrow's procedure should be complete by noon or 1 p.m. Steve will be admitted to ICU and spend the night for observation. If there are no complications, he would be released sometime Friday. We will probably stay in Houston for a day or two after to make sure he's comfortable before the drive home.
I have a few of requests for you all.
1. If you have time, please leave a comment here for Steve or send an e-mail to email@example.com. He already feels so much love and encouragement from you all -- I think an extra note right now would be even more meaningful.
2. Please pray for Steve, his doctors and his family, especially tomorrow morning.
3. Continue to think positively!