It is 8 am Monday, I have a meaningful seminary lesson with my 13 students and completed 1/2 mile on the thread mill when Nathan the builder arrives to start the kitchen addition. He is ready to start the great Fox kitchen expansion project. First order of business is to build three new walls to enclose the area before he can remove the existing wall. As he is installing the east wall that parallels the existing kitchen wall that will remain in place, he discovers that it is set in about three inches from the current wall. There is no easy way to push the new wall out that three inches, so the decision is made to make a dummy wall so the walls will match. Over the course of the week, he gets the three new walls installed, moves the door to its new location and gets a new pantry framed in the corner. When he returns this week, it is anticipated that he will knock down old exterior wall (with the kitchen sink), level the floors, build the dummy wall. With the kitchen expanded and no wall obstruction, he will be able to measure for the cabinets and start building them at his home/shop. Hopefully, the plumber will be able to install the plumbing so that the kitchen sink will still be operational.
Tuesday I putter around the house trying to organize things that I have previously stalled doing. After all, Miranda and Rachel will arrive later in the day and Sue and Steve are due Wednesday evening. One of those things on the to do list was to replace the in line water filter downstairs in the water heater closet. It is an easy job and only took 15 minutes. And there were no leaks. Except...Once Miranda arrived, Rachel wandered into that room to get some toys and came out with wet feet. In order to reach the water filter, I had to move the reservoir holding the salt for the water softener and stretched a drain line enough it started to leak onto the floor. Damage control was minimal and Miranda helped get the water cleaned up.
Miranda had arrived in the early afternoon; she thought I might need some hand holding when I returned for the biopsy report with the urologist later that day. And she was right. We were welcomed to the office by a nurse with a t-shirt stating: 'urine in good hands'. While Rachel was entertained by a device, the doctor was very thorough in his reporting the findings of the biopsy, what it means and the next steps to take. My ears probably filtered out the unpleasantries, but Miranda was able to focus better. Here is her email after this experience (this could be TMI for some of you):
"So here's the summary: The biopsy shows that there is cancer. More tests will be needed to see if it is isolated to his prostate or if it has spread. If it is only in the prostate, the doc recommended either removing the thing entirely or doing radiation. If it has spread, then they would treat it entirely differently.
Here are the details:
The pathology lab assigns a rating of aggressiveness of the cancer detected in each sample, with 1 being not bad and 5 being the worst. And then rates the average aggressiveness for the samples collected in that area. Dad's samples were on the left side, a high of 4, average of 4. The right side had a high of 4 and an average of 3. The doc says that's fairly aggressive and recommended chest x-ray, MRI and more blood work to determine if the cancer has already spread. He said with a PSA number of 8.4 (which was Dad's most recent test), that he's hopeful the cancer hasn't spread yet, but no guarantees.
If the cancer is isolated to the prostate, Dad can choose either laparoscopic robotic surgery to remove it or the radiation - 9 weeks every day with about 15 minutes of radiation. They insert a gel to limit the radiation's effect on the colon, which the doctor said has reduced the risks there considerably. Each of these options has its own side effects, generally affecting either the bladder, the colon, or anything related to those. Unfortunately, Dad's previous hernia repair may make it impossible for the surgeon to access the necessary area, as the screen implanted previously is fairly impenetrable. The doctor will access the operation report to see if this is even an option for dad. If Dad takes no action, the prostate cancer will advance, usually spreading to the lymph nodes --causing uncomfortable swelling -- and to the bones -- causing pain. No matter which option is chosen, they will continue to monitor his PSA numbers and check him regularly, as it is possible for the cancer to have spread undetectably at this stage.
If the cancer has spread, there is no point in removing the prostate. The options mainly include hormonal therapy, which has shown pretty effective at managing the cancer and mitigating its effects for 5 to 10 years, though that's the best case scenario. Not all cancers respond to therapy, but even then 3 years or more is not uncommon. This is a really slow spreading cancer. "
The hospital was able to schedule me this coming Thursday for the lab work and imaging needed and then I will see the doctor again on Friday to get the (hopefully) good news. Miranda might say I am in denial, I prefer to think I have an optimistic view on this. No need to get too concerned until we get the results from the hospital. I am really grateful that Miranda felt prompted to come.
Wednesday they were to deliver the new refrigerator in the morning. Locally, that happened to be 4:30 pm, just as I was starting to prepare dinner. The days of just off loading a fridge, bringing it into the house and plugging it in ancient history. First they had to remove the doors to lighten the weight. There are electric cables that need to be unplugged in this process. An hour later, they were done and it was too late to make dinner, so Sue suggested eating out. So we went to the Thai restaurant and enjoyed a much better meal than I would have prepared.
Now I am having to adjust to the new fridge; the old one had lots of vertical storage shelves on the door; this one has minimal vertical and lots of horizontal. But it does have more room and I am adjusting.
Steve has been invaluable with his building experience and thoughtful trouble shooting process. Friday night I was ready to call an electrician to resolve some overwhelming challenges. Saturday morning Steve had some suggestions and we ran with those. There are three wires in the wall that need to be removed; we were able to identify what each does in the basement, and figured out a way to reroute those wires. Then he helped me install 10 electrical boxes in the addition and string the wires. I did call my neighbor who is an electrician by trade and he will stop by this week to look at what I am willing to pay someone else to do. That would be connecting three new wires into the existing breaker panel.
I made four phone calls to spray foam insulation businesses; two called back; only one came to give an estimate. It looks good, and hopefully they will be able to come and insulate the addition. Right now, the kitchen can be 5-10 cooler than the rest of the house.
With 75% of my kitchen wares temporarily in the living room, it can be interesting. I do manage to get my exercise.
This afternoon I will be off to Western Arkansas; dinner with Deborah's family to celebrate Samantha's and then to spend the night at Miranda's. I have an eye appointment in that area on Monday. So I will take the laptop and do seminary on the road.