Saturday, May 1, 2010

Time Line for a Cure

Time Line
I thought it would be useful for everyone, including myself, to have an overall time line of doctors, tests, results and surgeries:

October 2009 - after 10 years of off and on abdominal pain, I begin to experience extreme pain and pressure in my lower right abdomen. I am unable to keep food down due to nausea, and am extremely fatigued

November 25, 2009 - appointment with OBGYN Dr. Pinzon to discuss condition, she orders an ultra sound

December 21, 2009 - t/v ultra sound reveals a complex ovarian cyst and two major fibroids. Dr. Pinzon orders an MRI.

February 17, 2010 - MRI with and without contrast completed at University Radiology.

February 27, 2010 - appointment with Dr. Pinzon to discuss MRI results, which revealed a thick cell wall around the ovarian cyst that contained internal bleeding and complexity. Pinzon recommends consulting with a gynecological oncologist. She also orders a CA-125 test.

March 8, 2010 - CA - 125 test completed at LabCorp (results negative)

March 11, 2010 - first meeting at CINJ (Cancer Institute of New Jersey) with Dr. Alison Wagreich, who reviews MRI and orders a CT scan and endoscopy; she indicates that ongoing health issues could be caused by a necrotic fibroid leaking fluid into the abdomen. Because of my symptoms and the complexity of the ovarian cyst, she recommends surgery.

March 18, 2010 - CT Scan with and without contrast completed at University Radiology

April 1, 2010 - second meeting at CINJ with Dr. Wagreich; small new cyst discovered - CT revealed complex cyst is still potentially cancerous. Surgery is scheduled to remove cyst and fibroids and test for cancer - hysterectomy pre-authorized depending on the biopsy results.

April 2, 2010 - endoscopy performed by Dr. Kastuar (results mild esophagitis, mild gastritis, no bacteria, duodenal diverticulum)

April 5, 2010 - RWJ (Robert Wood Johnson Hospital ) Pre-Admission Testing (EKG, chest x-rays, blood work)

April 21, 2010 - laproscopic surgery preformed at RWJ: removal of fallopian tube, ovarian cyst, two fibroids, and uterine palap - cross section of cyst reveals it's non-cancerous. During the course of the surgery, a general surgeon is called in for a consult to look at my "deformed" appendix. Surgeon gets familial approval to remove appendix.

April 22, 2010 - released from RWJ after slight complications

April 27, 2010 - biopsy of the appendix reveals a 3cm carcinoid tumor - referred to Dr. Maloney Patel for right hemicolectomy surgery

April 28, 2010 - meeting with Dr. Maloney Patel to discuss surgery. She confirms that right hemicolectomy is the next course of action, and orders a CT and colonoscopy prior to surgery. Surgery is scheduled for June 8, 2010. Additionally, she explains that my case will be presented to the RWJ Tumor Board later this month.

May 5, 2010 - Dr. Maloney Patel presents my case to RWJ Tumor Board

May 6, 2010 - follow up appointment with Dr. Wagreich

May 17, 2010 - signed out pathology slides from RWJ


May 20, 2010 - appointment with Dr. G. Nash at Sloan-Kettering

May 28, 2010 - pre admission testing at RWJ

June 1, 2010 - follow up CT scan at University Radiology

June 7, 2010 - colonoscopy

June 8, 2010 - right hemicolectomy surgery - 3-5 days hospital recovery; 3-6 weeks outpatient recovery

Not Yet Scheduled
Octreoscan Test (if needed)


  1. Marlena,

    Sasha informed me yesterday, and I read about it on your FB page today, about the carcinoid tumor. I hope that I am posting this correctly, as I am sometimes technically challenged. :)

    The Cano family, and you, know that the healing of what we are told is impossible is indeed possible with faith, prayer and the strong positive attitude that you are already displaying.

    We will put you in our prayers and will remain steadfastly in the "positive boat" for you. Our faith and expectation is that the Lord will indeed heal you from this cancer. May God bless you, Marlena.


  2. Thanks Herbert! I am sooo in the positive boat...I know you guys are rooting for me :)

  3. Hope all goes well for you during your post-op recovery period.