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      Part 1    In the Beginning: September at Cedars  
             
   

Brandon Update---September 9, 2004 (written by school district administrative assistant Sue Nowers)

fyi ... Brandon Hampson has been having problems with his eyes.  He recently had new contacts and attributed the problems to his new contacts .... maybe a wrong rx.  When he went to the eye doctor last Friday (September 3rd), the eye doctor told him it was not his eyes and he needed to go to a neurologist immediately.  He went to Dr. Ela in Brea Friday and had an MRI.  They didn't get the results until Tuesday morning (with the Labor Day weekend) and Dr. Ela told them it was a brain tumor about the size of a golf ball.  Dr. Ela told them they needed to see a neurosurgeon immediately and Brandon was scheduled to see the surgeon on Tuesday afternoon.  Additional tests were scheduled for Wednesday afternoon and Thursday morning.  The neurosurgeon suggested they may need a second opinion.  He also suggested Dr. Keith Black at Cedars-Sinai.  Brandon was able to get an appointment for Thursday (today) at 4 PM.  We feel Brandon is getting the very best attention he can get at this time.  He is holding up well, I think. 

Teresa is doing as well as you would expect.  Gary has taken off to go to all of the appointments with Brandon and Teresa.  She keeps saying what a wonderful, kind boy Brandon is ... and he is.  Brandon has lost some of his eyesight at this time .... peripheral vision is gone and he can't read at this point.  Keep him in your thoughts and prayers!

I tried to think of people at each site who may know Brandon to pass along the information to others that know him that I don't know.  We will keep you posted on what happens.

Sue

 

Brandon Update---September 10, 2004  (written by school district administrative assistant Sue Nowers)

Teresa called last night after their appointment with Dr. Black and was very excited about the outcome for Brandon.  He was scheduled at that time to return to Cedars-Sinai at 5:30 AM for the brain biopsy which began at 7:30 AM this morning.  The doctor anticipated the procedure would take four hours.  At the conclusion, it will be determined what the follow up will be.  The doctor is highly respected and known for using some promising new therapies.  Teresa and Gary are very grateful to be in the care of the best doctor in the West.  She will call me at the conclusion of the surgery so we will know how Brandon is doing.  We will continue to give you updates as we find out something new.

Sue

 

Brandon Update---September 10, 2004  (written by school district administrative assistant Sue Nowers)

Teresa called at 11:30 AM to report that Brandon is out of surgery and that he tolerated it well.  The doctor will not have any definitive answers for the Hampsons until Wednesday (a long time to wait)....  Brandon will remain in the hospital (I neglected to ask for how long) and Teresa and Gary will come home tonight and go back in the morning.  Beth works near the hospital and has been visiting with her parents and Amy also came home yesterday so they do have the support of both of their daughters, which is nice.   When we hear anything else, we will email.....

Sue

 

Brandon Update---September 13, 2004  (written by school district administrative assistant Sue Nowers)

Denise Keller and I went to see the Hampson family at Cedars-Sinai on Sunday afternoon.  They asked that we give you a progress report. 

Brandon had a bad day on Sunday .... he started out with a little agitation and appeared to be in discomfort.  The staff attributed it to medication at first.  They gave him some Vicodin and he got a little worse.  They took him in for another CAT scan that did show he had some swelling in his brain ... a result of the biopsy that was taken on Friday.  He had to go back into surgery around 3:30 in the afternoon and when we left at 6:30 he was not back yet ... and they had not heard from the doctor.  The plan was to take out a section of the skull so the brain would have space to swell. 

This has been a setback for Brandon as whatever treatment the doctor determines would be beneficial cannot begin until he's out of ICU.  He will be in ICU about 3 or 4 days now.  Teresa and Gary are staying in a hotel a couple blocks from the hospital for this entire week.  We are picking up their mail for them so if you send cards to the home, they will get them.  If anyone wants to send a card to Cedars-Sinai, the address is 8700 Beverly Blvd., Los Angeles, CA 90048.  They have an excellent doctor for Brandon and he is in one of the best hospitals in the country.  We will keep you updated as we hear from Teresa.

Sue

 

Brandon Update---September 14, 2004  (written by school district administrative assistant Sue Nowers)

Tuesday morning ...As of late last night, Brandon is slowly coming around...very slowly.  He does show movement in his hands and feet, so that is a good thing.  His vital signs are very good, but he remains unresponsive most of the time.  Teresa and Gary spent the night in the hotel and the girls (Amy & Beth) spent the night with Brandon.  We should know something about the results of the biopsy tomorrow and the doctor, regardless of the outcome of the biopsy, has several options for treatment.  But Brandon remains in a holding pattern because he needs to get over the second surgery before he can go forward with a new procedure or treatment, whatever it may be.  Brandon will be in ICU for at least 3 days and that makes it hard for the family also.  They can only see him sporadically so he can be attended to and monitored by staff.   We will continue to keep you up to date as we received information from Teresa.

Sue

 

Brandon Update---September 15, 2005  (written by school district administrative assistant Sue Nowers)

Keeping you posted .....

Brandon is still in ICU .... he will be for at least a couple more days.  He's slowly gaining consciousness.... slowly.  He does obey simple commands ... squeeze my finger, etc.   The girls were in with him when the doctor was there on Tuesday evening and they saw him follow the doctor's finger with his good eye.  (The tumor is more behind one eye than the other.)  He's still on oxygen, but not on the ventilator.  He does need to be on his feet before they start treatment.  Teresa is writing a letter to everyone today .... we are seeing her for lunch and will bring it back.  She will know more because the team of doctors meets to review their cases today.  Little bits of progress are encouraging, but the situation remains heart wrenching, at best.

Sue

 

Brandon Update---September 15, 2004  (first message written by the family)

Dear Friends of Brandon Hampson ...

At this most difficult time, your outpouring of support, good wishes and prayers has meant the world to us all.

Thank you so much for your cards, phone calls, e-mail messages, visits, gifts and positive thoughts.  Knowing how many people care touches us all very deeply.

Those of you who know Brandon won't be surprised at the positive attitude with which he faced his first surgery.  His strong will was clearly shown in the hours just out of recovery, when he seemed to be quickly recuperating.  The bleeding and subsequent swelling that necessitated his second surgery have significantly complicated his recovery, and he remains in ICU making very gradual improvement.

Assuming all goes well in the days just ahead, his future holds a program of many more treatments, and he and we would appreciate your continued positive thoughts and prayers.

We take strength from the knowledge that Brandon is under the care of one of this country's most pre-eminent brain- tumor specialists, and are impressed on a daily basis with the competence and caring of the staff here at Cedars-Sinai.

Thank you again for all your expressions of compassion and kindness towards Brandon and all our family.

Teresa, Gary, Beth and Amy Hampson

 

Brandon Update---September 16, 2004  (written by school district administrative assistant Sue Nowers)

 Gary says today is a better day for Brandon .... the CAT scan did show the bleeding in his tumor has subsided.  He is taking commands ... his left side is stronger than his right side, however, there is movement on both sides so they are not concerned.  They may start treatment before Brandon is better because (since the tumor is in a very bad place and inoperable because of the spot) they would like to begin shrinking it.

It definitely sounds like a better day than yesterday.....

Sue

 

Brandon Update---September 20, 2004  (all messages from this point written by the family)

Seven days out from his second surgery, Brandon is breathing on his own and has had several periods of lucidity where he recognizes his family, responds to questions with appropriate hand signals and reveals clearly that his memory, personality and sense of humor remain intact.  As he still cannot consistently swallow, he will have a tracheostomy and a feeding tube put in today to further his recovery.  He and his family are greatly appreciative of your continued support. 

The Hampson Family

 

Brandon Update---September 21, 2004

Brandon was awake all day for the first time yesterday.  He ran a temperature and responded infrequently.  This morning his temperature is near normal and he followed the doctor's requests (raise arms, wiggle toes) well.  His “brain drain” and staples from his incisions were removed, and he's scheduled for a tracheostomy this afternoon.  Terri and Amy will be coming back to Brea briefly during this time to do laundry and other chores and Gary will remain at the hospital.  As always, your continued interest and support are greatly appreciated. 

The Hampson Family

 

Brandon Update---September 22, 2004

Brandon's tracheostomy went well, and he seems much more comfortable.  He continues to respond well to the doctors' examinations, wiggling hands and feet, holding up fingers, and nodding “yes” or “no.”  He communicates with us using an expanding set of hand gestures and nods.  Brandon is still being fed by a tube through his nose (a favorite thing to try to pull out), and we expect the tube to be directly inserted into his stomach by the end of the week. 

We are adjusting as quickly and as best we can to the rapidly changing circumstances.  Terri and Amy plan to move Friday into a room in Beth's Santa Monica apartment made available by the generosity of one of Beth's roommates.

Truly, all of the emotional, physical and spiritual support from our “extended family” at work and in the community is nothing less than wonderful, and we thank you all very much.

The Hampson Family

 

Brandon Update---September 23, 2004

Terri and I were excited to see Brandon alert and interested in communicating when we first saw him in the morning on Wednesday.  We were so excited and full of news that Brandon said to us through hand gestures, “Mom, Dad, please sit down!”  He rested through the remainder of the day, and was breathing well without the use of the ventilator.  We expect that he will remain in ICU through Friday.  

His elevated white blood count and slight temperature are explained by a bit of pneumonia in his right lung, which is being treated with antibiotics. 

We are thankful for good days of small steps forward, even with some steps sideways.  Wednesday was a good day. 

Gary and the Hampson Family

 

Brandon Update---September 24, 2004

Brandon spent most of Thursday out of bed and in a “cardio chair” -- much like a recliner.  He was evaluated by a speech therapist who believes he probably has some right-side weakness.  Further testing and therapy will follow.

The doctors remain impressed with his progress.  He's awake much of the time, follows simple directions and is able to respond meaningfully to questions.  With Amy's help, he was able to compose a list of his favorite things for the white board on his wall, including eating nachos, watching Star Wars, walking our dog Winnie and driving his Matrix. 

Tomorrow, he's scheduled for a “peg,” a stomach-direct feeding tube that will be much more comfortable than the nose model he now has.  Hopefully, he'll start to drink and eat as he grows stronger.  Tomorrow he's also expected to “graduate” to a private room that has a “step-down” level of care from the ICU. 

We are very happy to say that he smiles when we share with him the many cards and messages that we've received. 

The last several days have brought stability and progress, and for that we're thankful.  Just before we left the ICU for what we hope is the last night, Brandon indicated one thing he wants to do when he's able: to again help the band at Brea Olinda High School. 

We want to express our heart-felt appreciation and thanks to all who extend their thoughts, prayers and support.

The Hampson Family

 

Brandon Update---September 26, 2004

Two weeks following the emergency surgery that saved his life, Brandon is showing signs of significant recovery.  Although he still sleeps a great deal as his brain "rewires," when he's awake he recognizes familiar faces, asks questions, makes comments and lets his wishes be known through a combination of hand signals, “air” spelling and lip movements.

Although he sometimes exhibits the agitated behavior we've been assured is normal for recovering brain-injury patients, he generally is peaceful and “himself.”  This weekend he’s shown improved visual and cognitive powers, telling the time on the clock on the wall, reading his sisters’ college T-shirts and enjoying a few minutes of TV.  He remains extremely confused about how much time has passed and what's happened to him.  Although his longer-term memory is clear, his short-term memories are fleeting.

His new routine is punctuated by a parade of medical professionals:  multiple doctors, physician’s assistants and nurses, respiratory technicians, and speech, physical and occupational therapists.  He's ever patient and cooperative with all who work with him, and eager to get out of bed, get his voice back and start eating again.  He especially looks forward to lunch at Olive Garden.

Thanks to the grace of a generous roommate, Terri and Amy have settled in at Beth’s place in Santa Monica and someone from the family can be with Brandon night and day.  Gary has returned home and to work at Beckman Coulter, and will be visiting as often as he can.

The surreal nature of this new existence bogs us down at times, but we take strength from the progress Brandon makes, the encouraging words of his doctors and the overwhelming support we feel from so many special people.

Thank you so much for your continuing kindness, and for sharing the mountains and valleys of this experience with us.

The Hampson Family

 

Brandon Update---September 27, 2004

Some days are harder than others.

On the plus side, Brandon’s ability to express himself continues to improve, and he’s now able to write (penmanship notwithstanding) on a white board with his left hand. 

On the harder side, Brandon got his “peg,” a stomach-direct feeding tube that we’re told will be a good deal more comfortable than the nose model.  Still, surgery is surgery, and he’s been uncomfortable.

He smiled and waved at people from the gurney on his way to the operating room this morning, and did so again this afternoon as he returned from the x-ray lab – even though he just said he was in pain.  A generous young orderly stayed past his shift to get Brandon back to his room as swiftly as possible so he could get some pain medication.

Our first real conversation with the doctor who most likely will oversee the next phase of Brandon’s treatment occurred today, and – though he was more than kind – this, too, was a difficult moment.

We take it a day at a time, and delight at Brandon’s smiles and good humor. 

We continue to be thankful for the support, thoughts and prayers of so many caring people. 

The Hampson Family

 

Brandon Update---September 28, 2004

Although he still can't talk, eat or get out of bed, Brandon remains remarkably cheerful and friendly -- and many of the staff seem to enjoy working with him.

He benefits from an amazing array of resources on a daily basis, and travels between procedures with a 2-inch file that says "Thinned on 9/19" on its cover.  Today he was fitted with a custom-made mask that will be used for radiation therapy, a process that kept a full eight people busy for more than an hour.  Starting soon, precisely targeted short bursts of radiation will be directed at the tumor, which lies so deeply in such a complex and vital area of this temporal lobe that it can't be surgically removed.  Other therapies are expected to follow.

We often show Brandon the scores of cards, letters and other expressions of support people have sent his way, and he invariably smiles, raises his eyebrows and says "Wow!"  We agree that the kindness of many makes all of this more bearable.  Thank you so much for remembering Brandon and all of us so thoughtfully and so often.

The Hampson Family

 

Brandon Update---September 29, 2004

Brandon had a busy day today.  He sat in the "cardio chair" for five hours and was visited yet again by an army of doctors, therapists and significant others.

This afternoon, a tiny camera passed painlessly through his nose to film the strength of his swallow, which determines when he can eat, talk and function without the tracheostomy, and the associated tubes and technicians that keep his lungs clean.

Unfortunately, the test showed the right side of his throat is paralyzed, which will delay the return of these activities.  The specialist behind the exam says more time should help the throat injury heal, and that a surgical procedure at a later date also could help bring back his voice.  For now, "eating" will remain a straight-to-the-stomach, 1500-calorie-a-day diet called "Crucial" made by--of all folks--Nestle.

The qualities of patience and perseverance that Brandon learned and practiced as a student serve him well in therapy, where he works hard, adds repetitions to exercises, cracks "jokes" and makes those he works with smile.  His sister Amy is amazing with him--keeping him amused with conversation, jokes and games, helping him with his exercises and generally being her little brother's best buddy.  She and Mom are brushing up on ASL finger spelling so they can communicate with him better.  Today, Mom (who catches on less quickly to some things in her advancing years) got a compliment from the patient, who signed that she had "kicked butt" learning some new letters.

The days pass and Brandon smiles and gradually grows stronger.  He knows a good deal about many things, but has virtually no short-term memory, living in the moment and then moving on.  We don't know whether this is a passing or a permanent feature of this new life, but for now, it works out just fine.

The Hampson Family

 

Brandon Update---September 30, 2004

Brandon's big news for today is that his slippers touched the floor, and he stood up---though greatly aided---for the first time in 20 days.  Standing was a struggle, but being Brandon, when it was over, he insisted on doing it again.

With Paula, the speech pathologist, he began some new exercises which hopefully will strengthen his swallow, and took a whirlwind trip to X-ray courtesy Carlos, the galloping orderly.  Radiation treatment is now scheduled to begin Monday, and a move to the rehabilitation floor is scheduled soon as well.

The comfort and hope that come from believing Brandon will be receiving the best treatment possible was again reinforced today.  Each time we’re faced with a major decision regarding Brandon’s care, we ask the doctors (and anyone else we can find), “If Brandon were your son, who else would you consult with?”  Each time, the answer is: Cedars-Sinai.  When faced with major treatment decisions again this week, that same question led Brandon’s dad to email Brandon’s diagnosis and projected treatment plan to The Brain Tumor Center at Duke in Durham, North Carolina.  He was pleased to talk with a doctor there this evening who said that Duke’s treatment approach at this point would be exactly the same.  We were also pleased to learn that the doctor at Duke knows well and spoke highly of the doctor who will be overseeing Brandon’s treatment at Cedars-Sinai, and that Brandon's doctor undertook research and training at Duke before recently joining Dr. Black's group at Cedars-Sinai.  It seems that it’s a small, but reassuring, world after all.

As always, our deepest thanks for your continued support through these difficult times.

The Hampson Family

 

Brandon Update---October 3, 2004

What a difference a month makes. 

Friday, September the 3rd, started out like any other day at the Hampson house, full of the trivial business of life.  Mom was expecting the “termite man,” so Brandon drove himself to the optometrist, thinking that some minor adjustment needed to be made to his nearly new eyeglass/contact lens prescription, as things just weren’t as clear as they should be.

The optometrist grew concerned when he realized Brandon’s vision had changed significantly in just a few days, and now no longer could be entirely corrected.  A few phone calls brought Mom and Dad to the office, and an appointment was scheduled that afternoon with a neurologist, who scheduled an MRI.  By 6 o'clock, it was done, yet unread, and the long Labor Day Weekend was just beginning…

Brandon had good and bad moments over the past three days, but generally looks and acts stronger at weekend’s end.  Although none who knows him would guess it, he occasionally can be quite a handful as a patient—-though he seems to do his best work while he’s asleep.  He was a master at pulling out his nose feeding tube, and several times has torn out IV’s, even when they’re protected by Ace Bandages and other barriers.  Over the weekend, the staff requisitioned some mittens designed to make it harder to do damage, but he found a way—-by “Houdining” them off using his teeth.

Here’s hoping he’s less inclined to eliminate his equipment tonight…

The Hampsons

 

Brandon Update---October 4, 2004

Brandon took four steps with a walker and sat in a regular chair for a few moments today.  He repeatedly exercised his arms, legs and face, and (with assistance) sat several times upright in bed and brushed his teeth using his left hand.  He played cards with Amy, shot hoops with his new Nerf basketball and watched (of all things) "ER" on TV.  He also took an elevator ride to the hospital's lowest level, and was welcomed by some very kind people for his very first radiation treatment.  If attitude counts, he earns an "A" every day for staying positive, not dwelling on what he can't do, but working to expand what he can.  Sometimes his struggles make our eyes mist and our throats tighten, but we make sure all he sees are smiles and all he hears is praise.  He grew up with struggle, and knows how to cope with it now.  The least we can do is not make his new job any harder.

Having spent so many days in the hospital, most of it when Brandon was in surgery, recovery or ICU and had no "real" room, our family has experienced pretty much the full gamut of human emotion in some pretty public spaces.  In intense times we've shared hugs and tears with staff members and families who also have loved ones in trouble, and, as the days wear on and we continue to see the same certain few faces, we develop a quiet camaraderie.  A Hispanic woman with a sweet smile whose husband had been in a motorcycle accident was one of the first people who shared our pacing space in the ICU hallway, and we've kept in touch and exchanged words of comfort virtually every day.  Tonight he passed away, and we gave her one last hug.  It wasn't until we walked away that Mom realized we never knew her name.

To be sure, these are difficult days, but they also are filled with the knowledge that many people far and near care about Brandon and the rest of us, and that helps ease all our hearts.

The Hampson Family

 

Brandon Update---October 5, 2004

Although his short-term memory issues persist, Brandon seems more in touch with his surroundings and more interested in "conversing."

His tracheostomy was downsized, a step toward its eventual removal---though this still may be days or even weeks away.  Reducing its circumference gives him a better chance to improve his swallow and, with the help of his speech therapist, perhaps even make some sounds.

He was very tired following his radiation treatment this morning, but worked hard to do physical therapy not long afterward.  He got in some good strong sitting up before falling asleep on the job.

His temperature is up tonight, which should confound the poor infectious-diseases specialist, who just today pronounced him fully fit and able to go off antibiotics.  Due to a combination of blood drawn for lab work and a reaction to radiation, his red-cell count is low enough that he's being transfused for the very first time.

We continue to be strengthened and heartened by the wonderful and continuous support Brandon receives from so many kind and generous people, and our entire family -- including Brandon -- thanks each and every one of you.  We have learned to take things one day at a time, and to value -- even cherish -- each day.

The Hampson Family

 

Brandon Update---October 7, 2004

It was weak and breathy, but the words, "Hi, Mom," never sounded better than when Brandon spoke again today for the first time.  He did it with the aid of a "speech button" inserted into his tracheostomy by his therapist, but he clearly was thrilled---and, no surprise, so were we.  His second first today was raising his right arm all the way back to touch his pillow.  It doesn't sound like much, but considering that not long ago his wrist hung limply and he couldn't lift his elbow, this is remarkable progress.

Today he also "graduated" once again, leaving the now-familiar room and staff on 8th Floor North and transferring to 7th Floor South Tower (Room 7920) in the Rehab Unit.  This is a major move forward for him, but it also means another adjustment as we again lose all the people---nurses, therapists, social workers and assorted others---who now are the mainstays of our daily lives.  Tomorrow we begin again with a new crew, hopefully those who will help give Brandon  back the skills he needs to live well in the world again.

Continued thanks to so many for the steady stream of cards and good wishes that now adorn Brandon's new room.  As we approach the one-month mark in this strange new circumstance, home often seems very far away, and warm wishes from friends make us feel less alone.

The Hampsons