Page 41 - The Exceptional Harley Fetterman
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THE EXCEPTIONAL HARLEY FETTERMAN

             adventured off to the San Antonio Rodeo, where much to Harley's
             pleasure they were able to see Hilary Duff perform again. He was
             ready and eager to participate in several fair concessions and rides
             like the Bouncing Bungee Cord Exhibit where, strapped into a safety
             harness, Harley stylized his own free form high bounces and spinning
             flips. What a joyful, carefree adventure for mother and son. To make
             it official, Harley's second “Off Treatment” party was held at Austin
                                         th
             Children's Hospital March 17 , 2006 to celebrate with family, friends,
             and hospital staff where he was presented with his second “Courage
             Award” trophy.
               He continued to have MRI scans every 3-6 months to make sure all
             was well. The MRI's continued to show no change in Harley's tumor.
             However, the radiologist started reporting the appearance of a cyst
             around the tumor that began to increase in size. So, Harley and his
             parents went to visit the new pediatric neurosurgeon, Dr. George, who
             reassured them that the cyst was not a dangerous size, but this new
             situation needed to be monitored. By October of 2007, the cyst had
             doubled in size and Harley started seeing stars in the sky during the
             day which suggested something was pressing on his optic nerve.
             Other troubling health symptoms included loss of weight (nearly 20
             pounds which may have due to discontinuing steroid medication for
             hormone treatment), and lack of growth (a year ago he was in the 95 th
                                                        th
             percentile for his age and now he is in 50 ) which could indicate
             something   (tumor   or   cyst)   was   pushing   on   his   hypothalamus.   If
             Harley's   tumor   “advanced”   the   oncologist   warned   that   radiation
             treatment, which frightened Harley, would need to be considered.
             Doctors had avoided radiation because the tumor was too close to his
             hypothalamus   and   might   create   hormone   issues   such   as   stunted
             growth.

               In December of 2007, all of Harley's  doctors met together to
             discuss all of Harley's medical issues and offer options for a plan of
             action. They arrived at a consensus that Harley should have surgery to
             place a shunt (tube) to drain the cyst around his tumor. Harley would
             have preferred that they just have surgery to remove the cyst so that
             he wouldn't have to worry about it ever again. But the neurosurgeon
             thought a more conservative approach could take care of the issue.
             Removing the cyst would be major surgery taking several days to

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