
BRUCE AND EPIDERMOLYSIS
BULLOSA

Surviving Squamous
Cell Carcinoma
and Living Life
As printed in the Spring 2000 issue
of DebRA Currents

In the spring of 1997,
a sore on my right ankle wasn't healing properly. When my family doctor
put me on oral antibiotics, I thought it would be healed within the month.
I continued taking that medicine even after a month passed without improvement
of my ankle. As time passes, another doctor would change my antibiotic
and show me a different method of mending my ankle, which I continued
doing despite the unchanging condition of the sore.
By December of 1998,
I was becoming really sick. I was tired. And had no energy. Soon I found
out about an internal infection in my neck/shoulder area. When I was put
in the hospital, my blood count was found to be 7.5 a dangerously low
level, which explained my constant fatigue. My family doctor started me
on IV antibiotics and began occupational/physical therapy on my ankle.
After three days in the hospital I was forced to leave, as my insurance
company claimed that I didn't need the medical care. This unfortunate
turn prevented the infection from improving and led me to be in and out
of the hospital three to four times within six weeks as the infection
ran up and down my neck.
As this was going on,
my ankle was not improving despite the occupational therapy. Finally,
my family doctor sent me down to I.U. Medical Center in Indianapolis with
a referral to an infectious disease doctor, who was able to take care
of my internal infection.
While there, I requested
a dermatologist to get involved with my ankle. Several doctors had been
examining me until one asked an unforgettable question. "Has anyone told
you, you have a risk for cancer?" No, no doctor had ever said that to
me before.
As the infection in my
neck/shoulder was improving I had a biopsy done on my right ankle. A few
days had passed before they called with the results. I had Squamous Cell
Carcinoma, Cancer (SCC). I was told to see a plastic surgeon within the
next 10 days. I was in the clinic with that surgeon for only ninety minutes
when he said that this was so serious that I might loose my leg. Those
words were like a death sentence to me. I could want nothing more than
just to survive, to get through this.
If the cancer had spread
to the bone, I decided to have the leg amputated. No one was able to say
if an EBer could withstand the chemo and radiation needed to fight SCC.
I decided that losing my leg would be better than taking the chance of
chemo since I was already so small, weighing only 103 pounds at 5' 4".
While the tests to determine if it had spread to the bone came back negative,
there were no guarantees until they were actually doing the surgery. Those three weeks before surgery were
the longest weeks of my life.
The first surgery was
long, about four to five hours. The cancer was not found in the bone but
only 1 mm away. The doctors had to take much of the good part of my leg
and ankle to get all of the bad area that was affected. The second surgery
worked on increasing the leg muscles, which had been removed, while the
third surgery was needed to remove the pins holding my leg and ankle together.
My hospital stay spanned
five weeks. Though I knew the recovery time would be long as I had three
major operations and four days of radiation, a non-medical breakthrough
made a world of difference in my recovery. My transporter after the first
surgery looked on my chart and was compelled to ask about my EB. She informed
me that someone who worked in the hospital, Kathy Crecelius, had started
a DebRA chapter in Indiana to give support to EBers, and that Kathy had
a son who was about 6 years old with EB.
Within ten minutes Kathy
Crecelius was standing in front of me. I told her that until that moment
in my life, I had only met one other EBer, my friend Jill. I met Jill
about eleven years earlier while recovering from hand surgery. However,
I lost contact with her and was amazed to learn she was in Kathy's support
group. I was overjoyed to be able to find Jill and a support group after
living alone with EB for 32 years with my home and work comprising my
support system. At that point I was just grateful to have something to
think about other than the feeling of pain and the uncomfortable splint
like cast my leg was in.
Jill came to visit me
in the hospital. I was caught off guard by her visit but knew who she
was immediately. I was so happy to have someone else to talk to and we
spent over two hours talking that day. We discovered that we shared the
same dermatologist at Riley Hospital. Jill informed that this dermatologist
told her that any sore which wouldn't heal could possibly be cancer and
needed to be checked out. While he had informed Jill of such a possibility,
nothing of the sort had ever been mentioned to my mom or me-my illness
was quite a shock to my family and me.
I'm recovering from cancer
and have had no internal infections for 3 months now. Since December of
1998 my medical cost have been $250,000 and counting I'm thankful for
having medical insurance at work, and have been lucky to get most of my
medical costs written off in addition to some financial assistance from
other resources. But I don't wish this disease on anybody especially those
alone.
However, I feel like
I went through my illness for a reason, and God
was watching over me, putting me in a direction I needed to be in, Jill
and her husband Ken have been a big support; they gave me an extra computer
they had. Jill found a support group online as well as other EBer homepages.
Since then my life has changed for the better. I had plans and God changed
them for a reason. I know I have gone through a lot of bad with my illness
in the last year and a half, but so much good has come out of it.
While on-line one day
I saw an invite to DebRA's "EB-Family Reunion at Walt Disney World" and
hoped I would be well enough to go. Walt Disney was right, dreams can
come true, as I was able to go to Disney and can not express the wonders
of that experience. Never could I have imagined not only meeting so many
people with EB, but also discovering what good people they were and what
friendships I would leave with. I have to thank Randy and Lorraine Cameron
for putting the trip together. It was such an inspiration to see so many
others with EB having fun, learning from each other and making friends.
It is a great feeling to know that I can offer hope to parents and EBers:
hope for the future, gaining independence, surviving cancer and most importantly
enjoying the good times that life has to offer like friendship (and amusement
parks).
I will be living in my
own home through Habitat for Humanity by the next EB Disney Trip in 2002.
I know I'll be there and hope you will too.
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