So Much News

So when I last left you guys, I had just gotten the injections in my head/neck, was being treated for an infection, and we were full steam ahead towards wedding weekend!

So much has happened in life since then and I just need to start off with the largest thank you I am capable of. Owen and I are beyond blessed to have so many wonderful people surrounding us that care so unbelievably much about our happiness. We have felt embraced by all of you with your prayers, well wishes, gifts and love and the word grateful can’t begin to cover it. The wedding was everything we could have hoped for, a beautiful day with a little misty rain and lots of love. All of the planning and images in my head came together just as we had hoped and it became a day that we will never forget! Our relationship has been through more hardship than many see in a lifetime, and thankfully we have come through it more in love and thankful for each other than we ever knew was possible. More photos to follow :) I promise!

After our whirlwind weekend we left for a fantastic honeymoon in Hawaii full of road trips, waterfalls, snorkeling, zip lining, amazing food and so much more! Well worth the wait and so needed for us to just leave reality behind for a little while. Although we missed the pups tremendously, we didn’t want to come back!

Now that we are settled back home and back to real life, here is the news on the medical front...

The infection in my tooth extraction site was drained before the wedding and after two rounds of antibiotics it finally began to heal appropriately. So far so good, I go back to the periodontist in January unless there are any new issues that arise. Who would have believed that one pesky tooth could take more than six months to deal with.

I am still in physical therapy to work on my neck and jaw needs as well as headache management. We are hoping for some more improvement to lessen my headaches and pain overall so that will continue for a bit longer. I saw my physical medicine doctor this week to resume the med adjustment process and continue to investigate new ways to manage my pain long term. We trialed a new Injection in my upper back and neck with a steroid component to break up some of the inflammation and scar tissue. I’m pretty sore today but hopefully it will help more than the last round. I am also waiting for insurance approval to begin Botox injections in my jaw. I’m very nervous about this step, but the only way to know if it will settle the spasms and give me relief is to try. So we will see.

I also followed up with my primary care last week to discuss my ongoing thyroid issues. Because my numbers are all good aside from my hormone level which continues to be elevated from radiation damage, he doesn’t feel getting it controlled should be too difficult. I started a new medicine, very low dose, and will be rechecked in a few months to adjust it as needed. The only new development is that I need to have a carotid dopplar test done. As we know, because of radiation my muscles are are stiff and fibrotic. The arteries in my neck are also at high risk of hardening which can lead to plaque build up and blockages, which ultimately can lead to terrible side effects such as heart attack and stroke. So they will do a study to see if I have any build up at this point that needs to be handled and I will have a follow up screening every two to three years for life to make sure I stay clear in that area. It’s good we are being safe, but the possibilities are frightening. Especially since I see the life after strokes everyday at my job. Better safe now than sorry down the line.

Aside from all of that life is happy :). Owen and I are settling back into life with Max and Ellie and it’s been nice to get a routine back again. Maybe now that the wedding is passed I’ll get started on that book all of you keep pushing me to write. We will see :). I have a CT scan in December to make sure that my lung nodule and possible infection cleared, then nothing significant til March for my next round of oncology visits. Fingers crossed it stays that way and nothing new reveals itself until then!

Thank you all again so much for all of your kind words and well wishes the past few weeks! It means so much to us that so many people are as invested in our life together as we are!

Hi Everybody :)

Just a quick one for you all to put your minds at ease :).

The CT of my chest came back fine with no evidence of the nodule or any metastasis, however I did have a small bacterial infection in one lung. I was already on antibiotics for a small infection in my tooth extraction site that my periodontist found the beginning of that week, so no additional treatment was needed. I will have a repeat chest CT in December to make sure the infection in my lung clears. I see my periodontist next week to make sure the infection in my tooth extraction site is resolved.

I saw my physical medicine doctor at Penn last week to continue problem solving my pain management plan. I have gotten some great results with physical therapy for my jaw, but continued to end the day with headaches because of the tightness in my neck. We chose to try something called trigger point injections. Essentially they inject a combination of lidocaine and saline into the “knots” that are resulting from or causing spasms and pain, which can inhibit the headaches. She gave me around 20 or so injections throughout the back of my head (eeek!), both sides of my neck, upper back and right shoulder. Some of them were tough to pin point and get the needle into place because of how fibrotic my muscles are from radiation. Imagine sticking a needle in to a block of wood, slow and steady wins the race apparently. She would inject a small amount and massage the area to allow the muscle to detach from the surrounding tissue and loosen up, making it easier all around to inject the rest. My results so far have been positive, fewer and lower intensity headaches at the end of the day. Now we wait to see how long they last. I go back at the end of October to continue trialing whatever we need to.

Otherwise life is all wedding all the time right now! Which is probably why I forgot to update all of you when I got my CT results!

Nothing else new, fingers crossed it stays that way for the next month :)!

3 years and counting!

So I know I have been holding many of you in suspense the last week and figured I’d stay up to post this so you can all wake up a little less worried :).

Mom and I spent literally the entire afternoon at Penn, the downside to having the best doctor on the planet is waiting for him for unreal amounts of time. We always try to remember that three years ago, he spent an insane amount of time with us, which set him behind the rest of the day. So when we are late, it’s because someone else needed him more than I do right now. For the most part, I was given a clean bill of health three years out :). A small nodule on my right lung did show up on my MRI which I need to have a CT follow up scan for but according to him it is likely inflammation from allergies or aspiration and nothing to be concerned about, just taking an abundance of caution. That will be on the 7th of September. If that is okay, I see my oncologist for another MRI in March followed by Dr. Weinstein in August of next year.

In other news, my tooth site is still healing, although painfully slowly. I see my periodontist next week for a little more TLC/laser treatments to help it along. I am back in physical therapy to get my jaw/neck back in order after a decline in my speech, swallowing and pain after my tooth extraction. It’s definitely nice to feel like I’m getting back to my new “old” self. Once physically I’m stronger we will start to trial new medicines again so hopefully, as Dr. Weinstein said today “after the wedding next comes babies!” He also mentioned a good deal about possibilities for using my story as motivation for others through my job, a book, or becoming a motivational speaker. If anyone is interested in managing my social calendar to make any of that happen your welcome to since God knows I don’t have time right now!

Aside from the medical junk that has unfortunately become the normal, life is flying by with less than six weeks till the wedding and lots of plans to stay on top of! Fingers crossed I pass the CT with flying colors and we can move full steam ahead to enjoy our special day and honeymoon worry free! Get those RSVPs in :)!

Thank you all for sticking with us this far. I know some updates are more exciting than others and at times it can be a tough reality to face. Part of my challenge now is figuring out how to use my journey to help others as I live out this hopefully long life one day at a time. I will post a quick one after to CT to put all the curious minds at ease! :)

Lots of love and thanks for the prayers and positive thoughts,

Devin

Tomorrow is the Day!!

Tomorrow is the day! My last dive hopefully for a long long time! While I will miss two hours of relaxing me time each day, it will be nice to get back to a normal routine. I’m most looking forward to doing my make up in front of our bathroom mirror rather than sitting my car 😂.

So just a quick update. I saw my periodontist yesterday and I am healing, but very slowly. So my job for the next five weeks is to load my body with all the protein and other nutrients to help it heal. I will see her at the end of July so see how things are going. I’m just thankful she didn’t recommend additional hyperbaric treatment. So after tomorrow I have a whole month off from appointments. Then in August, along with the dental visits, I have my three year scans to look forward to. I just have to keep reminding myself that the wedding is right around the corner so i can stress about that rather than my health!

Thank you all again for supporting me over the last few crazy months!

I hope I don’t have to update you for a while :)!

Quick update

Alrighty everyone, here’s the story on life this week!

My extraction on Monday went well over all, the only complication was that my tooth did not want to come out. So it took a lot more effort and time on her part and uncomfortable positions on my part to make it happen. Aside from the Novocain injections and my jaw struggling with staying open, my pain was minimal throughout and that evening after. That was my first time getting Novocain since all this began and it was the weirdest pain I have ever had. Because it was on the side where my tumor was, it went through my skin flap and through the tissue that has the most nerve damage. The small needle felt like it went through the bottom of my chin, down my neck and out the back of my head depending on which direction she went. Not fun. I could also hear the sounds of my tooth being separated from my jaw bone, which is actually awesome and unexpected because of how much jaw bone loss I had from radiation. The fact that the bone held onto the one problem tooth I had for dear life means that there is a lot of hope for the rest of my teeth to stay stable and healthy for as long as I can keep them that way. She was also very happy with my blood flow in the tooth socket so I guess all those hyperbaric treatments were worth it! I was sent home with a list of instructions for the next few days, no food or water that night except with meds, Pain meds every 4 hours, ice ice ice, soft food only for a few days, and my least favorite, no brushing or rinsing my mouth for the first 24 hours.

Tuesday I was pretty bruised and sore, but stayed on top of my meds and wasn’t too interested in food. Thankfully mom brought me some soups and things at lunch to try and that helped. Wednesday I woke up a bit worse, probably because I slept through the night and didn’t take any meds in the night, both good and bad! So it took a while in the morning to get going, bring the pain down, and finally eat some. Owen and I ventured out to the store later that night and trying to find foods I could eat and was interested in proved so difficult. It was a deja vu moment back to when I was just starting to eat again. I remember wandering around stores and all the food I wanted looked so desirable but there were piles of reasons why I couldn’t have them yet. Back then it felt like there was no end in sight so at least this time around is much more temporary!

Thursday and Friday I woke up in a bit less pain, but more swollen which worries me a bit just because it’s on the same side where I had lymphedema from radiation, so it make take a little more time and effort on my part to make sure it goes back down, another part of my past I’m not too eager to return to. On the upside, I was able to resume my hyperbaric treatment on Thursday! I will have ten total treatments to promote healing and hopefully be finished up by the end of the month. I will also follow up with my periodontist on the 25th to make sure everything is healing okay.

Owen and I were able to celebrate five years together on Thursday with some ice cream and feelings of excitement for a wedding less than 4 months away!!

Please keep all your fingers crossed for quicker healing and no complications!

Devin

Sent from my iPhone

This is a quick one!

This is a quick one! 

My tooth extraction was moved from the end of the month to tomorrow evening! As long as they have all the info they need, I am scheduled for 6:30 Monday night. Please send up all your powerful prayers and positive thoughts that all goes well and I’m not too miserable for poor Owen and mom to handle! I will most likely have a follow up after a few days and then resume hyperbaric treatment when my periodontist clears me. With any luck that will be sooner rather than later and I will heal fast! To those of you who have had teeth pulled, feel free to send along food ideas and any other bits of info that may be helpful!

Thank you all!

Devin

Happy June!

Happy June!

A month ago my mind couldn’t even picture this day. I expected my 20 hyperbaric treatments to take forever and for my schedule to be exhausting. Truthfully, I kind of already miss it :). I think that’s more a testament to the wonderful staff at St. Luke’s wound center who made the process seamless, comfortable and even fun!

Thankfully, aside from a rude parking attendant who refused to believe I was a patient for a month, it has all gone as planned so far. I had my last dive of the first round this morning. Basically, for the last month I have gotten up, gone to the hospital for an 8am dive, changed into my 100% cotton “luxury” hospital gown, had my ears, lungs and vitals checked, and then enjoyed 110 minutes of me time in a clear tube. Unfortunately I wasn’t able to make myself sleep, I think I was just too nervous about making sure my ears would adjust appropriately. So it was a good chance to watch a boat load of movies I hadn’t seen in a long while. I would usually get out of the chamber around 1015, change, and then head off to work for the day. Initially the days were long, but the adjustment happened faster than I expected and it quickly just became part of the routine. I don’t feel hugely different, but I can say that my energy levels are a bit better, and I actually made it through a handful of days at work without additional pain meds so that’s win win for me! Now I have about three weeks off from the chamber, will have my tooth extracted on June 25th, and will hopefully resume hyperbaric the following day as long as I am not bleeding. I will need ten more treatments to promote the best possible healing, along with a diet high in protein which I’m already very used to. There is a chance that my periodontist will have a cancellation and I will start this all sooner, but I don’t want to get my hopes up.

Other than hyperbaric, I have had a few appointments with good outcomes. My thyroid continues to be an issue so I am following up with an endocrinologist this month to figure out how to correct it before it becomes a real issue. Fingers crossed for a good plan! I also saw a new physical medicine doctor at Penn since my last one left in March. I absolutely love her. She is very open to my concerns about being on certain medications and believes that we can get me on a regimen that will not only be safe for me long term, but will also allow Owen and I to safely try to have children down the road. I know a lot of people don’t like to air their fertility issues, but I think it’s a vital part of where we are headed in this journey. It would be silly for me to share every other detail and not that when, for someone my age, there are complications that average head and neck cancer survivors don’t have to address. It seems to be a constant battle to remind my physicians that I have a lot of life left to live and there are things that need to happen to make it the one we want. I have a feeling self advocacy will be something I have to keep in mind forever.

Aside from the medical issues, life is good :)! We are settling into our new home well and the wedding plans are moving along faster now the closer the big day comes!

Thank you all so much for your constant care and support. And a special shout out to my Good Shepherd family for never ceasing to surprise me right when I need it the most and always reminding me that they are there to help me stay #Devinstrong even when I’m tired and don’t feel like being that person anymore.

I love you all and appreciate all the positive thoughts and prayers you keep sending my way!

Devin

Hyperbaric Treatment Day 1

Well day one is over and I’m still standing :). Hyperbaric is certainly something that I never anticipated I would have to do in my life, but now I will add to a list of experiences that will hopefully give me more wisdom moving forward. To give you guys a glimpse of the chamber I’m adding a photo. It’s far more comfortable than any MRI or pet scan machine and sure beats having to wear a mask over my face for radiation, so I’m moving on up to the penthouse when it comes to comfort and medical treatment! It took long enough to become a VIP!

Here’s a little insight into the process and what my days will look like for a while. Everyday Monday thru Friday I need to be at the hospital before 8am to be prepped and assessed by the doc, vitals taken, breathing checked, and most importantly examining the inside of my ears. I change into 100% cotton gown and am not allowed to wear anything into the chamber that I wasn’t born with. No make up, deodorant, lotion, hair products, nail polish, jewelry and so on. Those of you that know me know that those items are extremely important to my daily routine, so leaving the house without my make up is quite traumatizing!

Once I’m cleared by the doc, I am given a bracelet that grounds me to the chamber, a water bottle, and some blankets because it can get cold. I am loaded into a clear chamber where I can’t here anything but the sounds of the machine and the volume from the tv that is filtered in. The respiratory therapist Lisa is awesome and can talk to me through a phone while I am on my “descent.” Today they brought the pressure of the chamber up slowly over 20 minutes until I was at a depth of about 33 feet below water. Throughout the descent, I had to use multiple strategies to make sure my ears popped accordingly. Think about making your ears pop once when on an airplane, and multiply that to constantly over a 20 minute period. Needless the say my jaw is exhausted by all of the movement required. Once I was “down,” all I had to do was lay there and watch a movie while breathing in 100% oxygen for 90 minutes. There is a risk of oxygen toxicity, so I have a mask that will provide me room air if I show symptoms of that. The staff can hear everything inside the chamber without the need for a phone or call button (although they give you one anyway), but all I can hear is the machine and the tv unless Lisa picks up the phone to check in or ask a question. I’m hopeful that as I get more comfortable this will be a great time to nap but who knows. Aside from the ear adjustments, I feel the same in the chamber as I do out, no floating, tingling, or any other odd sensations (bummer).

Once the 90 minutes is up, they started to bring me back up over a 15 minute period. Up was definitely easier than down and seemed to move quicker while also requiring a little less movement to make my ears adjust. When I’m taken out of the chamber, my vitals are taken again and the doc has to check my breathing and ears to make sure there are no negative side effects such as a ruptured eardrum. Because of radiation, my eardrums are stiff and fibrotic just like the rest of my tissue and head and neck cancer patients are prone to ruptured eardrums or inability to adjust to the pressure with hyperbaric treatment more so than other populations. If that happens, I will need to have tubes put in my ears in order to continue treatment. Radiation certainly is the gift that keeps on giving.

Once I was cleared by the doc I changed and was on my way to work, only a little later than expected and very sore! Thank God for pain meds. Now each day the descent and ascent process will shorten as long as my ears adjust properly so it will be about 110 minutes in the chamber all together once we get rolling. I’m still working Monday through Thursday and thankfully many of my patients were flexible and willing to change times to stay on my caseload which I am grateful for. As of right now, I am scheduled to have my tooth extracted on June 25th, but that will move up if there are any cancellations. Once it’s pulled I will start ten more treatments ASAP to make sure I am at my best to heal. So much for one pesky tooth, but worth it to avoid infection and loss of bone or additional teeth in the future.

Aside from hyperbaric I am also following up with a new physical medicine doc to work on medication management at the end of the month. The regimen I am on works fairly well, but will not allow me to safely have a child in the future when we choose to start trying. So the next step is finding a regimen that allows me to have relief and a baby to grow safely. Fingers crossed there is a solution, with the wedding fast approaching this is something very much on our minds. I am also in the process of determining what needs to be done to regulate my thyroid levels so appointments for that take time up as well. It will be nice come July when things settle down a little and we can just focus on a clear 3 year scan, wedding festivities and a fabulous honeymoon!

Well that’s it :) I will update you all if anything exciting happens, but truthfully I’m hopeful that the next month will be extremely uneventful and all will go well!

If you have any more questions about the treatment feel free to check in with me and ask!

Thank you all for the ongoing support, love and prayers. Your faith in my strength is what keeps me going everyday.

Devin

And the journey continues . . .

Well, Oral cancer has most definitely become the gift that keeps on giving with no end in sight. When I left you all last month, life was good. Cancer free, working, pain more managed, wedding planning, and the good has continued! Owen and I moved out of mom and dad’s house two weeks ago into his childhood home. It has been exciting, stressful, and a very hopeful time with lots of plans and ideas. Max and Ellie settled right in and love their new yard and couch more than us I think.

Unfortunately my health has once again complicated the happiness. On my MRI last month, one of my teeth in the area that was most highly radiated showed as an area of concern. For those of you that don’t know, many people who undergo oral cancer treatment lose their teeth or elect to have them removed prior to treatment to avoid the pain and decay that may likely follow. Because my teeth were young and healthy when I started treatment, obviously the concern was far less. But now extra vigilance for life in the result. I see a dentist every three months for routine cleanings, have special toothpaste and mouth wash to use a few times a day, and battle dry mouth with my companion biotene spray that never leaves my purse or bedside. Despite all that, I am still prone to issues. After a maxilofacial CT scan, dental visit, and referrals to the periodontist and endodontist, the results are in. My teeth are all healthy, miraculously in fact considering all my mouth has been through. The the bone density loss caused by radiation is actually regenerating. The bad news is that my back problem tooth has zero protection. Because of the location of my tumor and all that was removed during my surgery, there is no viable gum line surrounding my molar and it continues to recede, exposing the roots to bacteria and making it increasingly sensitive and at risk for infection. To put it in perspective, average healthy gum lines have a flexible depth of 1-3 millimeters. My problem tooth allows for 11 millimeters of exposure to the elements. Since the inside of my mouth is so complex and part of my bone was removed with surgery, there is no reasonable way to build up the gum line to protect the tooth from all of those risks and the only option is to have it extracted. Simple right? Unfortunately not so much in my case.

The right side of my mouth was very highly radiated which resulted in killing off the blood supply and limiting the oxygen available to the area. In order to heal safely and properly after the extraction, blood supply and oxygen are essential. Thankfully, there is a solution. Hyperbaric Oxygen Treatment. Yep, the machine they use for divers with the bends is going to be my new best friend for the next two months. Essentially, they are going to flood my body with 100% oxygen which will allow the damaged blood vessels to heal, redevelop, and supply affected areas with the oxygen necessary to heal. Starting may 7th, I have to go to to St. Luke’s every morning, 5 days a week, 2 hours a day, for 4 weeks. Then they will pull my tooth, which will be followed by ten additional treatments to ensure I am in the best position to heal well. The positive is that the growth of new blood vessels is permanent and in the future I will not need as much treatment to heal in that area. All for one tooth that is perfectly healthy, but has the potential to cause a lot of trouble down the road.

As you can all imagine there have been a lot of emotions this month. Wedding planning is exciting and happy, but time consuming and difficult to focus on with so much other life happening. Moving into a new home with the love of my life is amazing, but a huge change to wrap my mind around after all that we have been through at my parents house. April is also Occupational Therapy Month, which makes me want to celebrate the fact that for over a year now I have been able to tolerate being back to work part time and feel like I have a true purpose again. It’s a chance to focus on improving the quality of life for my patients and not have to focus on my own health and challenges. April is also Oral Cancer Awareness Month, which is a cause I never thought I would be connected to. I want to celebrate my life and all that I have overcome, and that has been difficult with the ongoing side effects that effect my daily life and the change to my routine that is about to happen. Thankfully, along with my loved ones, Good Shepherd is the strongest support system I could hope for, from managers/friends/coworkers, to patients, in helping me to schedule my work hours to accommodate for my treatments while allowing me to still follow my patients and work part time.

As I have tried to do all along, I am taking this all in stride one day at a time. Although it’s impossible not to feel angry and overwhelmed at times in a “fists shaking at the sky” type of way, I have to remember that I am lucky to still be here to be fighting this battle, as many people don’t have the opportunity to make it this far. Throughout this journey I have been lucky enough to not have to walk it alone. There are people fighting this same illness who are the only ones who can truly say they understand when I talk about my excitement at opening my mouth wide enough to eat a sandwich or mention the fact that I can’t whistle anymore. Unfortunately, my dear friend and coworker Rick who began his journey the same time I did, has had a much more trying path, after years of surgery, radiation, chemo and clinical trials, he chose last month to end treatment and pursue hospice care. He and I have exchanged gifts and letters, words of wisdom and humor, and support that I will forever be unbelievably grateful for. I ask all of you that as you send up your powerful prayers for me, you also send some up for Rick and his family during this time of transition, to bring them all peace with his decision and to keep him free of pain and suffering after all he has already been through.

So, I know this has been a long one, so thank you to all of you who hung on to the end of my rambling. I truly hope that when all of this passes, I will not only feel stronger and healthier, but Owen and I will also be able to focus full steam ahead on the wedding, honeymooning in Hawaii, and building our life together.

Love and Thanks <3

Devin

2.5 year update - 3/12/18

Okay everyone, here is the long awaited update on life! I know it has been a while, but I think that’s just because life is moving forward so there is less to update you all on :)!

I’ll start with the important piece, I am officially 2 1/2 years CANCER FREE!! Follow up wit Dr. Lin, my oncologist, went well overall. They continue to be happy with my progress and excited for where life is headed. I see him in a year and hopefully will not need scans if my MRI in six months looks good. Huge step! Every time they bump down those restrictions I feel like I’ve achieved a new milestone in my recovery and they are less concerned with each visit about it coming back. Huge deep breath about that!

Alright now that the important info is out there I’ll back up a bit. When I last left you, I was in physical therapy, seeing a wonderful new pain doctor, followed up with my plastic surgeon, wedding planning and working part time hours. Much of that has remained the same. With therapy and new meds my pain is more controlled, although still limiting my daily function so we are still exploring options. Unfortunately my pain doc is leaving penn as of this month so I have to find a new one. My oncologist recommended a replacement and I will probably start there to see how I feel about it all. I am also starting to live with the lifelong side effects of the type of treatment I had. Damage to my teeth and to my thyroid, changes in the density of my cervical spine, persistently fibrotic muscles, spasms, appetite issues and so on. There is certainly a price to pay for having my life saved, but as long as it isn’t cancer I know we can handle it as it comes. My plastic surgeon also discussed with us a few options for the future if and when my function declines but feels with how well I’m doing it would be more hurtful than beneficial to do at this point, so that is on the back burner to allow me to live life for a while.

Alright so aside from the medical side of life, everything finally feels like it should be for a 29 year old female, engaged, occupational therapist. I am blessed to be planning a wedding with the love of my life for later this year. I have an amazing group of friends and coworkers that support my recovery more than they even realize to allow me to do a job that makes me feel like I have a purpose again and live a full life. My family is healthy and happy and despite their love for us they are very happy that Owen and I will be moving out of mom and dads house soon to really start life together. I can’t forget my two wonderful fur-babies that take the best care of me on my tired days. Remove the cancer journey and all of those positive bits may not have happened the way they have.

I’m learning now that living beyond the cancer is the true test, dealing with the parts that won’t get better, embracing my new normal, living in the moment and becoming the best version of myself despite the downsides. Overcoming the cancer itself was a temporary battle, the new battle is accepting the life I have been given and making it work despite its unwillingness to cooperate the way I want it all to. This is the part that people don’t talk about. They focus on the cancer being gone, which is certainly a reason to celebrate. But no one likes to talk about what comes next, especially for a woman my age who should be living a healthy, disability free life. Whatever that is, I know it will be doable, although maybe not always pleasant. Thank you all so much for the prayers and continued support! Your confidence in my strength has made all the difference in how I have been able to face this monster and come out on top and I will be forever grateful. Hopefully the next update I will be 3 years cancer free, a month away from becoming a married woman and turning 30! I have a feeling I’m going to want a lot of wine in the fall!

Love to you all!

Devin ❤️