Thursday

Well, exhaustion continues to rule the day.  I am becoming concerned about not picking up a little more.  A full day of activity, even light activity, can put me into quite a tailspin.

I had my ultrasound on Tuesday with the gynecologist.  Unfortunately, the cyst didn't get smaller and the hydro-salpinx is still hanging out.  I haven't heard from Johns Hopkins yet although they did get the cd of the ultrasound this afternoon.  The gynecologist here walked in the door after the ultrasound and her first question in greeting was, "remind me why you haven't had these surgically removed yet?"  I reminded her of the multiple abdominal surgeries resulting in many adhesions.  She responded that they must have determined the risk of waiting must be less for me than another abdominal surgery.  In normal circumstances both would have been removed some time ago.  They will both need to be continually watched because both are a risk for cancer.  So another ultrasound is scheduled for six weeks.  She said that I would be a "serial ultra-sounder" meaning that there won't be an end in sight since both have to be watched because they both pose a risk.  I will ask more of the gynecologic oncologist but I am ready to just ask for them to remove them both so I can move on.  Another surgery would stink, but I just want to get it behind me.  So I will wait to see what he says, and I suspect my desire won't be weighed as heavily as his reasoning about the risks both ways.  So I will need to be content with the decision either way.

I am thinking about perhaps visiting a doctor to see if there is an explanation for my exhaustion.  The reality of my life is that I just don't have the time to rest the necessary amount to do okay.  With four kids and a business to run, being short of help there, etc., it is a big job for a healthy person.  I'm just not sure what to do to get myself going a little better.  Please pray for strength for me!  It has helped in a certain respect having the kids in school, but the other side of that is now all of their activities start and they each need to be at different places at different times.  So my previous thought that I would pick up when the kids started school just hasn't become a reality.