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On Jan 20, 2014, at 11:02 AM, Daniel Borders-Ashe <dbordersashe@gmail.com> wrote:

Quick update:about my dad:

I just spoke with Dad and they were rolling him in to surgery. He sounded great-- he was very positive and in generally in good spirits. My mom and aunt Sally are there with him. He had his MRI a couple hours ago, so they are all prepared for the biopsy. I should a longer update for you all this evening.

Love to you all,

Daniel

Sent from my phone. Please excuse typos & brevity.

On Jan 19, 2014, at 9:26 PM, Daniel Borders-Ashe <dbordersashe@gmail.com> wrote:

Hey fam,

Dad's biopsy is tomorrow morning. He will be sedated while they do it, and Dr Rapacki estimates it will take 2-4 hours. Dad goes in for another MRI to prep for the biopsy operation at 10 am. We don't have a specific start time for the biopsy procedure itself, but the first operation takes place at 7 am tomorrow morning and Dad is second in line. So hopefully he will be out of surgery at 2 or 3 tomorrow afternoon.

During the biopsy a pathologist will be with Dr Rapacki. The pathologist will basically be interpreting the results on the spot, and there is a possibility we could have a diagnosis tomorrow. If an infection is the underlying cause of the tumor there is a better chance we will have the diagnosis more or less immediately. However, there is a chance that they will have to send the biopsy off to a lab... in which case we may not have the results for a week or more. If this is the case Dad could probably go home in the interim.

After the procedure, they will take Dad to the ICU for monitoring. The risk of complications from the biopsy is very low.

Also, Dr Rapacki said they will drain Casey's tumor of the fluid during the biopsy procedure. This should shrink the tumor considerably, which is obviously very good news.

Please continue to keep Casey in your thoughts and prayers!

I'll send out another email tomorrow as soon as I hear anything.

All my love to you all,

Daniel


On Jan 18, 2014, at 12:54 PM, Daniel Borders-Ashe <dbordersashe@gmail.com> wrote:

Ok another update:

Dr. Rapacki came by and spoke with my dad this afternoon. We still need to wait until his biopsy on Monday to get any more concrete information, but Dr. Rapacki did give us some more information about the tumor.

Unfortunately, the tumor is pretty deep inside of Casey's brain, so it is most likely inoperable. However, it seems to be filled with fluid and so it is still likely treatable. The doctor said there are three possibilities:
1. The tumor is just an infection, in which case it would be treatable with antibiotics.
2. It is a benign growth, in which case it would be treatable with radiation.
3. It's untreatable.

Obviously the doctor has no idea which of these is more likely, so he wouldn't say one way or the other. We just need to wait for the biopsy results to know more.

We haven't asked this yet, but it would be good to find out whether or not Casey will be conscious during the biopsy on Monday. We think the answer is probably yes-- as far as I know any time they do anything with the brain they keep the patient conscious, but we don't know for sure.

Dr. Rapacki is very professional and direct and Casey is in very good hands with him. I'll let you all know more as soon as I do!

Daniel

On Jan 18, 2014, at 10:00 AM, Daniel Borders-Ashe <dbordersashe@gmail.com> wrote:

Hello again everyone,

So we spoke with the admitting physician this morning about the MRI results.

Casey has a 4 cm tumor left of center of his brain. The doctor said it is about golf ball sized, plus the swelling around the tumor. The tumor is pressing on the region of the brain that controls motor functions, which explains some of my dad's symptoms.

So far, every other test has come back clear-- no problems with Casey's EKG results and as I said yesterday he has no other tumors that we are aware of.

The next step is to find out if the tumor is malignant or benign. Casey will meet with the neurosurgeon, Dr. Rapacki, on Monday 1/20 and he will have a needle biopsy performed on the tumor on Monday as well. We probably won't have the biopsy results until Wednesday, so we still don't know much about the overall prognosis or treatment plan at this point.

However, the admitting doctor did say that radiation treatment would probably be recommended by the neurosurgeon because the goal is to shrink and hopefully remove the tumor, and radiation treatment often helps with this

Thank you all so much for all your kind words, support, and prayers.

Love you all,

Daniel

On Jan 17, 2014, at 7:21 PM, SALLY BARNARD <saab4@cableone.net> wrote:

Thanks Daniel! Your mom arrives from Vancouver tomorrow, 7PM. So glad she got a flight back. I will be meeting with the doctor tomorrow at 10AM for the MRI and EKG results. I'll update you after. Thanks for keeping everyone informed. Love you ~sally


On Jan 17, 2014, at 6:27 PM, Daniel Borders-Ashe wrote:

Hey ya'll,

At this point, I'm sure some of you have heard that my dad has been admitted to St John's hospital in Tulsa with symptoms of some sort of brain tumor. Obviously, things are still very early at this point and much of what we know is in flux, but he is conscious and doing well. He has palsy on one side of his face (paralyzation) and is a little flushed, but is otherwise doing just fine. As Sally (my sistter) told me, he's been razzing the nurses and otherwise up to no good which is just what we should expect of an Ashe in the hospital.

So far, we know that CT scans of his chest and pelvis are clear. No tumors. He also had an MRI today, but we won't know the results of that until tomorrow. The hospital is keeping him through Monday for observation and to continue running tests. He'll be having a needle biopsy on Monday. So we should continue to learn more about Dad's prognosis as the weekend progresses. I will of course keep everyone updated as I hear the news.

Please keep my father in your thoughts & prayers as I move forward with treatment.

Love to you all--

Daniel - to be on futer update email list, contact Daniel at dbordersashe@gmail.com
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