Aveline Clark (Host) · 02:47
Okay, so I was born here. My dad was a doctor here. When I was 8 years old, his partner died suddenly, which left him as the only doctor in the county. I think at that point the county had about 3,000 people in it. I never intended to stay here. I intended to go to college, get a degree, and go off to a city somewhere. And I met a local farmer after going to college for 2 years and being in a really bad relationship and coming home. And I met a local farmer, fell in love, and knew that I would be here the rest of my life because he would not leave. We married, I think I was 22 when we got married. We had 3 boys. And moved around a little bit at first. He had a landlady who died, and so we moved down to my grandparents' farm about 45 miles south of here for about a year when our first son was born. And then we ended up coming back a little quicker than we could or thought we would. And he was asthmatic. And chose to farm wheat, which was his worst— turned out to be his worst allergy. And when I was, I think I was 29 and pregnant with our second child, about 8 months pregnant, I was in Texas with my mom picking up my nephew. And we got a call from my dad. He was in the hospital. He was okay, but he'd had a major asthma attack and stopped breathing. At that point, he did mostly quit harvesting and trying, you know, tried to not be out in the dust, but he was a wheat farmer and he wasn't going to quit doing that. So we went along, had a third child who's quite a bit younger than the other two. And 2012, he started having some symptoms and my dad thought it was a sinus infection. So put him on some antibiotics. Dad was not practicing then because in 2001 he had slipped on the ice, hit his head, spent almost a month in ICU after practicing medicine for 2 and a half days. They flew him to Denver in a blizzard and where he spent almost a month in ICU and 6 or 7 months inpatient rehab because he had a stroke the next morning after surgery. Brain bleed. And then he was, I think they were in Denver for about a year where he did outpatient rehab. And at that point he quit practicing medicine because he never felt like he could think quick enough. So in 2012, like I said, Mike started having some symptoms. Dad thought it was a sinus infection, prescribed him some antibiotics. That was in August. In October, he went to see his healthcare provider. Who also thought he had a sinus infection and prescribed him more antibiotics. And in January, the 1st of January, like, I think it was January 2nd, he went out to the farm and he couldn't see to come home. He thought he had something in his eye. He managed to, I think his vision came back enough that he could see. And he managed to get home. And the next day went to see an eye doctor and they prescribed something and he went to see his healthcare provider and they prescribed more and they just could not figure it out. And at the end of January, he went in to see his provider. His eyes were swollen, his ears were swollen, and his nose was swollen. At that point, his provider said, there's nothing more we can do for you here. You need to go to Hays, which is 90 miles. That's our regional medical center. And I suppose the population of Hays is maybe 20,000, so it's not huge. And they put him in the hospital. Kind of an interesting side note, at that point I didn't have a job, but I was getting ready to apply for the tourism job for the city of Oakley. And as they were were admitting him to the hospital, I'm writing a cover letter and stuff and send it in to apply for the job. I have no idea what the COVID letter said. I was so distracted when I was writing it. We had that day also gone— when they told us we needed to go to Hays, our youngest son was the only one living at home with us at that point, and he was 12 and in the 6th grade. So we went to the school and told him that we were going to Hays, not really sure when we'd be back, not really sure what he needed to do after school because at that point my parents were also spending their winters in Texas to avoid the ice which had caused, caused Dad's accident. We said, we'll call you and let you know what to do. And on the way to Hays called a friend and said, "Would you take him home?" Called the school and says, "This, this is what John needs to do after school." And from that time forward, the poor kid didn't know if we were coming or going. I got the tourism job, which was full-time. We had been to Denver to see a rheumatologist because he had been diagnosed with a really rare autoimmune disease called relapsing polychondritis, which is swelling of the cartilage. So we went to see a rheumatologist in Denver. He put him on some, you know, high-powered meds that they use for those things. But this disease was so rare, they didn't have the new biologicals and those kinds of things weren't, weren't being used for it, mostly because patients would have to pay full price. The insurance wouldn't cover it because it hadn't been researched. And they put him on steroids and that didn't help all that much. We played with the dosage and it was kind of a mess. And then in January, he got his esophagus, his throat got really sore. It was hard for him to swallow, hard for him to eat. And so we had, he had an EGD done. And the doctor came in after the EGD and he said, well, he doesn't have cancer. And I was like, oh, well, that was the farthest thing from my mind, was it the relapsing polychondritis that caused this throat problem? Well, I don't know. So he sent us to Denver to another specialist. And again, they found nothing. Let's see, that was in January and we kind of went on and that got better on its own. And then he started getting anemic. So we went back to the GI doctor and he did another EGD and a colonoscopy to see if he was bleeding somewhere, which is a common reason you get anemic. Everything was fine. And I looked at him and I said, what do we do from here? I said, we've been thinking about going to the Mayo Clinic in Rochester. He said, I think that would be a good idea. So I think it was about a month later. It would have been the end of July that we drove to Rochester, Minnesota. I think it was about a 10-hour drive because we, I worked for 2 days and then we drove in 1 day. And had doctor— he had appointments on Thursday and then he had some on Friday too. And we took 2 days to get home and I took the next Monday off of work and I didn't realize it until Thursday. I was so tired. I basically don't know what happened at work those 2 days, Tuesday and Wednesday, until Thursday. And that's when I thought, well, I'm just emotionally dehydrated. My emotions are shot and I'm emotionally dehydrated. So the two doctors, he saw a hematologist there and he saw a rheumatologist there. I didn't know at the time the rheumatologist was one of a few doctors that specialize in relapsing polychondritis. And he told us of the 7 million patients they had seen at Rochester at Mayo Clinic, They'd had less than, I think, 400 cases of this disease. And he recommended a rheumatologist at KU Med Center that he had worked with. He'd been at Mayo Clinic before, and I think he's the head of rheumatology at KU Med Center, which is in Kansas City, Kansas. And that's where Dad went to school. So we were happy to be half the way to Mayo Clinic to see doctors. And we went to see them, I think it was in September. And then he wanted him to see a pulmonologist because of his lung issues. And we went to see him in October and he looked at the CT that they'd done at Mayo Clinic and the radiologist's report and listened to him. He said, I don't think we need to run another CT. For 6 months, like the radiologist said, I think it would be overkill, which made total sense to us. And we said, okay, you know, came home. I think I stopped for a— we had regional tourism meetings. I think I stopped for a regional tourism meeting on the way home that day, brought him home. The next day I went to another meeting that was about 100 miles away. And he called me, the meeting was done and we were standing outside and he said, I'm okay. I'm at the hospital in the clinic and they're doing all this stuff. And I said, okay. He said, you don't need to rush. So I finished the conversation we're having and I came home. And when I got here, it was just a little after 5 o'clock. So the clinic was closed. So I went around to the hospital and I asked where my husband was. I forget, I kind of grew up in the hospital and the nurses used to all know me. And they don't anymore. And I kind of forget that. Um, and they said, well, who's your husband? And I told him about that time his provider walked around the corner and they said, well, there's Lynn. She'll know. So she's, she said, well, have you seen him? I said, no, I just got here. And she took me into a room and she said, sit down. And she said, he has lung cancer and it's spread. And that's all I heard. She said other stuff, but that's all I heard. He has lung cancer and it's spread. Then she said, so take him home. And I'm like, take him home? Well, yeah, there's nothing we can do for him here. So take him home tonight. Okay. And then the next morning I'd gone to work and before, before we even opened, he called and he said, Lynn called. She wants to fly me to KU Med Center. And he said, I told her that I wasn't flying. I said, okay, have you talked to my dad? Not yet, because dad had seen the report, the chest CT that they did, and he kind of said, they can't diagnose from that. So then he called me back and he said, well, now she wants to send me in an ambulance. And he said, I told her that if I need to go to KU Med Center, you can drive me. I said, okay. So Dad had an appointment with this provider later that morning and he said, have him come and we'll talk. The three of us will talk. She basically told him that if he would not follow her medical advice, he would no longer be her patient. And he said, okay. And left. So what ended up happening is my dad called one of his surgical friends and they did a thoracentesis, which is they drained fluid from around his lungs, a lot of it. And then they set up an appointment with an oncologist at KU Med Center. And we went the next week and got this great oncologist. He was doing— he was in his last few months of his fellowship. And he explained to us the difference between these two lung cancers. And he said, I'd like to have a bronchoscopy done. Can you spend the night? Because he knew where he lives, actually farther west. He grew up farther west than, than we live in Kansas. So we said, sure. And they did this bronchoscopy and he said, and then come back the next week to get the results. Well, he called before we had left and said, you don't need to come back to get the results. They're negative. For cancer. He said, I'm going to get with the rest of your team and we'll figure out the next steps. So the day we were supposed to go back was my birthday, which is November 18th. So right before the US Thanksgiving. And we spent 6 out of the next 8 weeks going to KU Med Center, which is 350 miles, to try to find cancer. And they never did. And things progressed. I felt like they weren't figuring out the anemia thing because he'd had several blood transfusions. So I found the doctor at MD Anderson in Houston who had the most experience with what they had said it was. We, so we went down there and he did chemo down there for 3 months. Between every trip down there, my parents had a house down there because that's where they stayed in the wintertime. So we didn't have to worry about that. But between every trip, we went to Kansas City to KU Med Center for something. And the throat condition had come back, or esophagus condition, because it was actually right above where his stomach was. And he could not, I mean, he could not get food down and he was in so much pain. And we had an appointment at KU Med Center, and he said, well, I'm just, we're not going to go back there for that. And I said, yes, we are. You're in too much pain. And then I think it was that night that we spent 8 hours in an ER in Houston. I mean, they were trying to figure out what the pain was. We knew what it was, just trying to get some pain meds for him so he could get a little bit of rest. Went to KU Med Center. They put a stent in his esophagus and that worked for about a week and it slipped., and they had him as an add-on EGD, and I had gone out to an outer waiting room, and I thought, you know, I think I should go back to that EGD, the smaller waiting room, and about that time the doctor came out and he looked at me and he said, I need to go get another surgeon. Okay. Then he came and he got me and he put me in a room and he said, he'll be in in a minute.. And a doctor who we had seen in the fall before when they were trying to find cancer in various places and said, well, after this test, what I was going to do is way too much. So we're not going to do anything. Came in and introduced himself. And I said, yes, we've met. Anyway, at that point he had a hole in his esophagus. So the next steps were to do— there's some special kind of a test that they do to see if it was leaking into his his body because it could cause peritonitis. And he said, if that's the case, we're going to have to do surgery tonight. And it wasn't, his heart was blocking that hole. So nothing was getting out. So they didn't need to do surgery. And he was in the hospital for 2 weeks while, and at the end of that, they put a feeding, took the stent that had fallen down into his stomach out and put a feeding tube in. And he was in and out of that surgeon's ER just having EGDs and dilations so many times in the next few years. I mean, we got to know him so well and still they couldn't ever figure it out, you know, what was going on. Then he was supposed to have surgery. They were going to take out part of his esophagus and so that he could eat normally. And he got sick right before he was supposed to have surgery. We'd gone and done all the pre-surgical workup and, and he got sick and they ended up hospitalizing him again, running test after test after test, put him on antibiotics because they didn't know what was going on and messed up his kidney functions. And when they did have a test result that they thought they knew what was going on, they couldn't give him the antibiotics they needed to because his kidney functions weren't wonky. They sent him home. They said, there's nothing more we can do here. They sent him home on some antibiotics. He was in the hospital for almost 3 weeks that time and said, if the tests come back from the Mayo Clinic that it is, so what they had thought it might be was brucellosis, which is a cattle disease. And when I called my dad and told him about that, he said, you know, we talked about that in medical school, but in my years of practicing medicine, I never saw a case of it. And when they did decide that's what it was, they set it up so that we could do IV antibiotics for 7 days at our local, well, not our local hospital, but one that's about 20 miles away. And because his veins were shot, he'd blow his IV almost every day and they'd have to put a new one in. And I thought the antibiotics were going to kill him. He was so gray and so listless and it was, This is gonna be it. And it's the antibiotics. It's not nothing else. He got through that. Where the feeding tube was, didn't really close very well. And so there was a one summer that they moved it 3 or 4 times and he'd have to come home with a wound vac on because the incision that they had made wouldn't close up properly. And, or in September, I went and had my mammogram done. And they called and said— and I'd had it done at someplace new— they said, we need to see your last few mammograms. We're seeing something on here that doesn't look quite right.