December 27, 2012 |
No Hill for a Climber
This blog is about Karl Hamilton and the various health concerns he had from April 2008 until his death on Feb. 24, 2013. Most of us under the same circumstances would probably have been depressed and felt defeated, but to Karl it was "No hill for a climber."
Hammy's Slideshow
Friday, February 21, 2014
The Final Post
Monday, April 22, 2013
Karl's Song: "Folks Up the Road"
“Without question, one, or all of the Hamiltons were always at our house, whether we liked it or not (that dig was for you Kerry) or we were at their house every day that we weren't in school. As children we were always welcomed into anyone’s house in the hood. And everyone was welcome to our place. Our family had 4 children but it wasn't unusual to have 10 or 15 children at our place without any planned "play date". Just come on over and let’s have fun. Fun. Honest to goodness FUN with a capital F U N. Doing whatever. Maybe those very simple times are gone forever for children. I try to make my household similar to my childhood, fun and laughter whenever possible. Why not? Life is so very short and very precious.
“They say the apple doesn't fall too far from the tree. Well, Dean and Jo Ann Hamilton always had a smile on their faces. Always. And their wonderful children always did as well. As for Karl, who seemed so much younger than me. All of 5 years. When you are 8 or 9 someone who is 3 is really young. But we always included Karl in our activities. Everyone but Kerry that is (OK, I will stop bashing Kerry) Maybe not :-)
“I am so saddened by the passing of Karl. I know he had been through so much these last few years. Unimaginable. It is so strange, when you are driving down the road and pass a house, you never know who is inside and what experiences are going on in that house. Each house, each person in that house has a story. We can only hope that they are happy stories. As the years pass, I am sure that each house has its share of joy and sorrow. Inside, where life is happening, we need to be living that life to its fullest. For we never know the next day what could happen.
“I think of just in our little neighborhood, how much joy that happened and how much sorrow. My own brother Mark taken from us at 7 years old. Matthew Jones in his teens. Scott Schaffer tragically in his teens. Not to mention our parents who have passed. And now Karl. Way too early. Such a positive, smiling loving force of life. He battled so many obstacles.
“I will miss him. I will miss his smile, the sound of his voice -- he had such a distinctive voice.
“The song I wrote is called "Folks Up The Road". It is for Karl, and his entire family. It is also for all of us in the community who share those wonderful childhood memories and experiences. It was joy and love.
“My sincere condolences to the Hamilton and Smith families. I sure love them.
Here are the lyrics:
Thursday, April 11, 2013
Tracks on our hearts
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Photo taken 3-22-13 |
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Photo taken 4-11-13 |
One of the things that reminds me daily of Karl are the tracks from his wheelchair that were left in our lawn when he visited on Christmas Day – his last time here. I go between the pain of seeing them and knowing that he won’t be making them again to wanting them always there because I don’t want to lose the visible signs of Karl’s existence. But as we get more rain and the temperature rises and the shoots of new grass burst through the brown thatch, the tracks are fading. I don’t want them to. Frankly, I want Karl back. Regardless of the fact that the tracks in my yard are fading and will soon be gone, the tracks Karl left on our hearts may fade a little, but they’ll never completely disappear. Thank God for that.
That's no battle for a child of God
Satan's already been defeated
And the victory's been won
Jesus won the fight on Calvary
When he died for you and me
Now Satan get behind me 'cause I claim the victory
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At the wake: l-r, Steve Kampmueller, Annette Niedermier, Mom, Jeff Niedermier, Renee Cambrey, Kirk, Gloria Brooks, Julie Aten, Scott Kampmueller, me, Marcy Vanderpool |
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At the wake: far left - Izzy Lopez, Mom, Rodney Partridge, right center is Terri Partridge, Rodney's wife. |
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Sign inside Muk's Sports Pub on 2-28-13. There was a sign honoring Karl outside, as well. |
Sunday, March 31, 2013
Happy Easter
In the meantime, we are still receiving messages from friends and family that they've had dreams about Karl or have had strange things happen that immediately make them think of Karl. There are two ways to explain these things: coincidence or the real deal. Because of our faith in God and in Jesus' words and deeds (and because of the comfort it brings) we believe Karl is around, letting us all know he's enjoying the Easter promise and that we can be absolutely sure of it.
If Karl has visited you in a dream, or if you were thinking of him and something out of the ordinary happened that seems too coincidental, will you please share your experience? Everyone seems to love these stories; it's such a testament to the Easter promise. I want to compile some of them (I won't name you [unless you want me to]), and post them on this blog so that everyone can see that there's too many events occurring for them to be happenstance. I find it amazing that even now Karl continues to strengthen my faith! I hope he's having the same effect on you.
In January when he heard we had made plans to come to Florida, Karl said in his typical, guilt-trip, chiding fashion, "Oh sure...leave the cripple up north in the cold while you have a great time on vacation in the warm sun. Don't worry about me. I'll be just fine."
As nice as it is here, I'm sure Karl is in a heckuva lot better place than us!
Enjoy your day and remember to rejoice in the promise of Easter!
Blessings
P.S. Email hamiltonsmith.family@gmail.com with your "Karl event" and let me know whether or not I can use your name. Thanks!
Friday, March 22, 2013
Only Karl
to visit. Rather than text them his room number, we decided
to send them this photo instead.
Wednesday, March 13, 2013
The final climb
I'll try, to the best of my ability, to give you these events in chronological order. This is tough, but therapeutic
September 2012 -- After a great summer, that included swimming and taking a few steps, Karl starts to notice his legs aren't moving as well and are becoming more numb. He relies on the little bit of feeling and strength he has in them to transfer from chair to chair and in one case, to stand up and take three steps to and from a pontoon boat.
October 2012 -- Karl thinks perhaps the reason he is beginning to lose strength is because some of the hardware in his back is broken. A CT scan or MRI, not sure which, reveals that the hardware was still good, but no cancer appeared on the scans so Karl decides to buy a toy hauler, convert it into a wheelchair-accessible camper so he can go on the annual hunting trip -- which he had missed the four previous years -- with his buddies.
November/December 2012 -- Karl has lost all feeling and strength in his legs. His oncologist at U-M is concerned and contacts his surgeon at Mayo, Dr. Yaszemski. Dr. Y calls Karl on Christmas Eve and tells him to have a good holiday, but he'd like to get to the bottom of the issues and tells him he wants him to have an MRI, among other images. They will schedule it for after the new year.
Jan. 3, 2013 -- Karl starts off for Ann Arbor to get images. It is in the single digits temperature-wise. The door on his van won't close (it usually closes after going about 500 yards, but this time it doesn't). He comes back home and tries to start the other van. It won't work. By this time, he is freezing cold and comes inside. Mom starts to see the same symptoms Karl had when he had the pneumonia in 2010. She wants to get him as warm as possible as quickly as possible so she gets him in bed and puts a heating pad under his stocking feet because they are icy cold. She checks on his feet periodically and is satisfied that Karl is warming up and he begins to act normal again.
Jan. 5, 2013 -- Because Karl can't feel his feet and Mom's only thought was to get him warm, the heating pad was left on for hours. When Karl takes his socks off, well, let's just say it wasn't good. So Karl and Mom head up to Herrick Hospital. They think maybe it's frostbite because of how cold Karl's feet had gotten. The folks at Herrick decide it's a burn and tell him to go to U-M. We arrive at 10:30 p.m. After checking him out they decide they want to admit him because of the burns.
Jan. 6, 2013 -- At 4:30 a.m. Karl finally arrives at his room in the trauma burn unit.
January 2013 -- Throughout the month they take excellent care of Karl, debriding his burns, etc. In the meantime, he finally gets the MRI he was supposed to have on Jan. 3. It reveals a "mass" lower down near his spine along with one in the area he already had radiated. Dr. Scheutze tells Karl that if the mass in the area already radiated is cancer, there is little that can be done. However, the other mass further down can be zapped. That was a bitter pill to swallow. However, later on Dr. Scheutze talks with Dr. Yaszemski who thinks the mass of greatest concern is probably scar tissue and is likely the cause of the loss of function. Collective sigh of relief. In the meantime, a decubitous ulcer on his bum begins burrowing all the way to the metal in his back, AGAIN. We've dealt with that before. No big deal. We are told Karl will be released so Mom gets a Hoyer lift so he can get in and out of his bed/shower without irritating the decube.
Early February 2013 -- They continue to debride the burns on Karl's heals, which sometimes require them to take Karl to the operating room. At one point, doctors tell us that the wounds are so deep, the bone in his heal is nearly exposed and that if it doesn't get better, they would have to amputate. The way to grow healthy tissue is by eating massive amounts of protein. You can only imagine the copious amounts of meat, protein shakes, etc. Karl consumed. He didn't want to lose his feet. He can't go home because of the wound vacuum they put in each heel.
Feb. 10th (ish), 2013 -- After one of these debriding surgeries, in which they lay Karl face down to do the actual procedure, he begins complaining of severe neck pain. We thought it was a charlie horse. Then the pain spread to his right arm and his finger-tips and thumb start getting numb. Then he loses strength in his right arm. His blood pressure and heart-rate become erratic and he develops a low-grade fever. They transfer him to the trauma-burn ICU. They decide to do an MRI with dye on his neck. It reveals lots of small masses and a larger one, about 2 cm, on his C-spine, C-4 to be exact. They also tell us there are cancer cells everywhere; his brain "lit up." They figure it is metastatic cancer, but until they do a biopsy, they won't know for sure. We are all devastated. They think they can "peel" off the mass, which will not restore function, but it will stop it from getting worse. They tell us if it is metastatic cancer, he can have chemotherapy and radiation. New hope.
Feb. 13, 2013 -- Karl is scheduled for surgery, but they can't fit him in. They reschedule it for Friday, Feb. 15. First case.
Feb. 15, 2013 -- 8 a.m.: Karl is taken from pre-op to surgery. They tell us it will probably be two hours before they begin the operation, which should last about 6 hours, but will let us know how surgery progresses. At 10 a.m. we are told the surgery has begun. At 11:30 we are told they are doing a biopsy. At noon we receive another call saying they were closing. We are, again, devastated. We know what that means. About an hour later, Dr. Orringer, Karl's surgeon, tells us that the preliminary biopsy revealed it was malignant nerve sheath sarcoma and that the tumor they were trying to remove was intertwined with his vertebrae and spinal column. He tells us they removed some of it to give Karl some relief but would endanger his life if he removed any more. He tells us there is no cure. Karl is moved to neuro ICU and is his usual happy self. I tell him the outcome of his surgery and his reply? "Well, that sucks." A nurse approaches me and talks about palliative care. I know what this means, but choose not to mention it to Mom or Karl. None of the doctors approach me about it.
Feb. 18-20, 2013 -- Karl is transferred to the regular neuro floor. I approach his nurse about palliative care. She said there has been talk, but that nothing is definitive. Karl has numerous doctors come in and out of his room. One radiologist tell Karl nothing can be done. Devastation. An hour later, the head of the department tells Karl they can shrink the tumors and perhaps even make them disappear. Hope again. One morning a resident comes in to talk to Karl. He is alone. She tells him to get his affairs in order. He is devastated. I am ANGRY! Later as it turns out, I am complaining to a resident about the situation. I tell her a tactless, moronic resident with no bedside manner, and the compassion of a serial killer came it and told Karl, without a shred of empathy and without any family present for support, to get his affairs in order. After she left, Karl told me it was her! I wonder if she got the message. Then a discharge planner comes in and tells Mom that Karl is ready for discharge to a sub-acute unit. They want him to gain strength so he can handle the radiation. However, she says there are no beds available and asks Mom if she can handle him at home. We are baffled by this.
Feb. 21, 2013 -- I tell the discharge planner I don't think Karl is ready to come home nor is Mom able to take care of him in his present state. At 5 p.m. Dr. Scheutze comes into the room. He tells us they still don't have the final pathology report, but that it is, indeed, metastatic cancer. He said they are unable to do chemo. He thought a seed cell got into the spinal fluid and it "took off." He said he'd never seen anything like it. I ask how many tumors and he replies, "Many." I ask how long. He tells us it depends on whether it's slow-growing or fast-growing. He tells us if it's fast-growing, it may be a month or two. If it's slow-growing, which he thinks it is, it would depend upon how Karl responded to the radiation. Again, devastation. But it typical Karl fashion, he decides he wants to get strong enough to go back out to Mayo to see what Dr. Yaszemski has to say. We agreed.
Feb. 22, 2013 -- I get a call about 6:30 a.m. from my friend Marcy who works at the U. She had just gotten off her shift and was visiting him. As she was about to leave, Karl had severe head pain and then a "staring seizure." Doctors decide to take him to get a CT scan. It revealed there was fluid in his brain. En route to the hospital, doctors called to tell me there was a serious change of condition for Karl. Upon arrival, Dr. Orringer is there to greet us. He tells us (by that time, "us" was Mom, Randy, Marcy, cousin Trese [who also works there], the chaplain and me) that there was little that could be done for Karl. He has hydrocephalus caused by cancer cells clogging the ability for his brain to drain. Normally, they are able to put a shunt that drains into the body, but because Karl has an open wound, they can't do that; he'd get Meningitus which would cause excruciating, uncontrollable pain. The other two options are to make him comfortable and he'd pass within 24 to 48 hours or put a smaller drain in, which would give him 48 to 72 hours. Karl was very lucid and chose to be able to say goodbye.
After countless visitors on Feb. 22 and 23rd, he announced at about midnight on the 24th to my brother Kirk that he was going to die. At 10:45 a.m., surrounded by family and two of his best friends, Karl took his last breath. And we were all laughing when he did. Can you think of a better way for Karl to go to heaven?
My next post, when I get the strength and time, will be about all the amazing things that happened while Karl was in the hospital and after his death. What an amazing dude.
Blessings and love,
Kerry
Monday, February 7, 2011
Love Lifts Us Up Where We Belong
The important words, "feeling alright" and "I get by with a little help from my friends," describe how Karl's doing right now. Each day he's been traveling to Herrick Medical Center where he's receiving his antibiotic infusions and making friends with the nurses and staff there. The daily trips are making him stronger because he has to get in and out of his wheelchair. During the so-called blizzard last week, Mom and Karl stayed with Randy and me so he could get to the hospital. We were afraid their country road would be drifted shut, which it was.
Last week we met with Dr. Scheutze whose medical assistant removed the stitches in his long incision. The shorter one has a small amount of fluid leaking, which they think is because he's been stretching and perhaps tearing the stitches a bit. Karl's getting a CT scan Wednesday and we will meet with Dr. Scheutze again on Thursday to see how it's healing.
Dr. Winder from Mayo called Karl to see how things were going. He said the nurses and staff there were asking about him. Of course we've been wondering about everyone there as well, namely Joline and Elizabeth. We hope all is well! Just remember what Joe Cocker sings, "Loveliftsusupwherrrre we beelong."
Blessings,
Kerry
Wednesday, January 19, 2011
Willie Nelson's Got Nothing On Us
If all goes as planned, we'll be on the road late tomorrow morning after Karl meets with the physical therapists to discuss what he needs in terms of a seat and a new power chair. We've had a flurry of activities the past few days. Karl's had his rear mapped and has been getting out of bed to build strength as well as giving all the nurses a rough time. Mom and I have been packing and she's been learning how to take care of Karl's wound. Stitches are due to come out on Monday.
Dr. Yaszemski, or should I say Gen. Yaszemski, left yesterday for a two-week stint with his Air Force group. Before he left, he told Karl what he thought about his condition: he hopes the infection can be controlled with the antibiotics and he has prescribed Karl eight weeks of daptomycin and another antibiotic I can't remember. If he can't tolerate that, they cut it back to six weeks. He will go every day to Bixby to get these drugs. We are trying to change that to Herrick, and if that doesn't work, perhaps Saline. After the IV infusions, he will go on oral antibiotics. We pray no new dicubitus ulcers form. If they do, Karl will have to come back for surgery to remove the hardware. We truly hope that doesn't happen because that could mean a very long stay for Karl.
Karl's physical therapists think some of the metal in his back is digging into the muscles in his rear when he sits. We agree. And when he transfers from uneven surfaces he sometimes lands with force on his bum. So he also has to work on building up his strength. The therapists have advised us to have Karl fitted at Mayo (since they are about the only hospital in the world that does this kind of surgery). Of course we want to be sure he gets the appropriate power chair that fits him best to prevent further injuries and ulcers. This process will take about eight weeks and since Dr. Y wants to see Karl in April, we figured it makes sense for Karl to get fit here in Rochester.
In terms of Karl's overall health, his heart rate is still a bit high, but his blood pressure is normal. His kidneys are the best they have been in over a year (creatinine was 1.9 today!). His INR (blood thickness) needs work and he'll be giving himself heparin injections until he gets that in check. His hemoglobin is still low, but higher than it's been in quite some time. His heels have healed significantly with the new boots in which he's styling. The Rooke boots, designed by Dr. Rook, a Mayo physician, look like mukluks. Karl said they are very comfortable.
Anyway, we are hoping to be home sometime tomorrow (Thursday) night and we are all looking forward to being home. Thank you all for your prayers and good wishes. Oh, by the way, Karl's neighbor, Joline, is doing much better. I have absolutely no doubt that your prayers helped her turn the corner. Today I walked by her room and saw her chatting on the phone.
Blessings,
Kerry