It’s Adenocarcinoma

I felt a nudge this morning to share my recent challenge with lung cancer.


Back in late January 2021, I went to my PCP after developing a nagging dry cough after starting Lisinopril 8 months prior, during the first months of COVID. I concluded that it was a Lisinopril cough. My PCP agreed with me, changed me to olmesartan, and, just to rule out Valley Fever (I live in AZ,) ordered a CXR. My cough went away with the new med in a few weeks. In the meantime, my routine CXR in February 2021 showed a 1.4 cm suspicious nodule at the apex of my right lung. I’ve never smoked. No smoker in my home. No family history of lung cancer. Long story short, by the end of April, the biopsy confirmed NSCLC adenocarcinoma Stage 1.


I had a right upper lobe lobectomy deemed a “curative surgery” this May. I am taking targeted therapy now with the idea it will decrease any recurrence. I feel almost back to my pre-surgical days.


What was this all about? Why? What purpose does this trial serve? I’m not sure, but I know the Lord is providential and sovereign. I know He is on my side. Always. Was I worried and anxious? Yes, but as I’ve always done, I immediately turned to Him. Whenever I feel anxious or worried, I ask Him to help me believe and trust in His plan, His sovereignty. He honors what faith we have, whether it is just a smidge or an abundance.


My faith walk has been “from faith to faith, from grace to grace” all these years through medical school, residency, marriage, motherhood, full-time practice in EM. He has been faithful to mold me trial by trial to be more Christ-like.


As I was praying that first Sunday after my biopsy resulted, the Lord gave me a wonderful vision, clear as day.


I saw myself as a hippity-hoppity lamb running around with the other lambs near Jesus as He walked amongst the herd through an expansive green pasture with His rod and staff in His hand. But, as we approached the ominous dark valley, I saw myself naturally going right up to, next to Him wide-eyed and worried. I looked up at Jesus.

He was smiling at me.


I immediately felt a profound sense of peace and assurance. I felt deeply that even though I didn’t know what will happen in my future, I felt so sure that I can trust Him! He knows exactly what the pasture beyond the Valley of the Shadow of Death is like. He is going to be right beside me the whole way there, through the darkness. I’ve replayed in my mind’s eyes that imagery over and over again whenever anxiety and fear tried to sneak in over the past 5 months.


My buddy said to me today, “you have a really strong faith.” The Lord grew and nurtured my faith through strategically placed challenges in my life from my younger days to now. He embedded my understanding of His sovereignty and providence deeper and deeper in my soul with each trial. By the time I reached this challenge, I reacted instinctively with faith. I reacted by turning my heart and mind to Him. I believe He honors our faith and our reliance on Him. I have prayed throughout this challenge that His will be done and not mine. I can’t say I’ve always had that attitude. I absolutely have my own plans. But, I am convinced that His will and His plans are better than mine.


So, I’m sharing to encourage your walk with our merciful and mighty Father. Always go to Him. Because, ultimately, our only hope truly is our Lord, the Rock of Ages, the God of Jacob, Abraham and Isaac, the God who parted the Red Sea, and the God who raised Jesus from the dead. The God of the universe has a beautiful master plan and we are all a part of it.


I’m in my my 30th year of EM practice having completed my residency at Maricopa Medical Center in 1992. I am the “OG” according to my staff! It has not been easy. But, by the grace and the patient tender-loving care of my Lord, He has sustained me through my many trials and challenges of life, and continues to sustain me every day, every shift. God bless you all. I hope my testimony points your heart and soul toward Jesus.

A Mother’s Pain

A mother’s pain.

The restrained sobbing broke out and he quickly put his arm around her. The news is bad.

“There are 2 spots in her spine that look like cancer,” I said softly to the elderly mom and her companion. The patient is actually sleeping because she has been over medicated. This is so sad. She is only 58. I can imaging the joy and triumph 2 years ago when they finished the chemo and radiation. Now this.

“Sherry, open up your eyes for me.”

“There are 2 spots on your spine on the MRI that may be cancer.” She had droopy eyes, she nodded slightly.

I am an ER doc. We see life and we see death. We see blood and all sorts of body fluids. We give great news and we give devastating news. But, the mother’s pain got me this day.

I remember having to tell a distraught young mother that we couldn’t save her 4 month old baby girl. She completely lost it, threw herself on the floor, sobbing uncontrollably.

I remember telling a mom her teenage boy had a brain tumor which caused him to lose his vision and run into the corner of a wall because he couldn’t see it. Her cry was piercing.

A mother’s pain.

How indescribably, excruciatingly painful must it have been for Mary as she looked upon her precious son being spat upon and beaten and dragging that wooden cross across the city.

How utterly crushing to look upon the crucified Christ on the cross.

grayscale photo of crucifix
Photo by Alem Sánchez on Pexels.com

Modified Valsalva Technique for SVT

I created this short video tutorial while at ACEP 2017 a week after trying the Modified Valsalva I got from #FOAMed. To my utter shock, it actually worked. It’s pinned to the top of my Twitter feed. Well, this Modified Valsalva for SVT worked again (sort of) for the second time the other day, I thought I’d share the video tutorial here, too. More than 500 views so far. I will post the second video soon. #FOAMed

My Promo on Emergency Medicine News

 

Yup, I’m official now. It is kind of weird to see myself on a major EM website. Cool, though.

iCubedEMNPromoPage

 

My colleague texted me a picture of his paper copy of EMN. I don’t even get that in the mail anymore, haha. 

emnmagpromopage-e1530306898104.jpg

 

My first episode came out about 2 weeks ago and I have been getting good feedback. It featured my colleague Dr. Marc Zosky, new grad from New Orleans and a great addition to our group. He’s a natural at this educational podcasting.  The next episode will feature another of our newbies, a sophomore to our group, Dr. Paul Beeston who hails from my own residency, Maricopa Medical Center in Phoenix. He is fantastic, smart and hardworking. He is also very POCUS-savvy which I love.

**PLEASE PROCEED TO THE EMERGENCY MEDICINE NEWS WEBSITE FOR ALL OF MY iCubed EPISODES.

 

 

Announcement: My Screencast Blog

I am so excited to announce that I will have a screencast blog featured on Emergency Medicine News to start in March 2017. It’s called iCubed: Impart, Instruct, Inspire. It’s an opportunity that came to me somewhat unexpectedly last year. I had sent EMN a few educational items related to EM and the editor posted them. As we communicated through the year, the editor offered me my own blog on their website. She loved my excitement about the amazing cases I’ve had through the years, and my enthusiasm about sharing them.

So, folks, it’s going to happen! I’m stoked!

icubedcoverpage

My First Published Case Report Is A Doozy

 

Another step toward educating my fellow ER docs and future physicians. Yay for me! I’ve been published again in Emergency Medicine News. The thing is, where I work, the kind of patients and acuity we see, there is such an untapped treasure trove of incredible “real” Emergency Medicine. I have so many, many cases in my personal files which I’ve collected over the past 24 years, it could take months to prepare them for publication. But, there is such juicy medicine, amazing authenticity and rich lessons in them. It’s only the beginning, my friends. Only the beginning.

How Many Physicians Does It Take to Perform a Cricothyrotomy?

IMG_3279