Overton sonographer found her own cancer; she awaits liver transplant
By BETSY FRIEDRICH Hub Staff Writer
OVERTON — Trisha Grote has been doing ultrasounds on humans and animals for 17 years, so when she scanned her own liver, there was no mistaking what she saw.
“Back in May, we were in Connecticut setting up for an equine lab, which we’ve done a hundred times. We had a new piece of equipment, and I wanted to see what the image looked like, so as we were setting up I said, ‘Oh, I’ll just scan my liver quick to get an image,’” Grote said.
“Lo and behold, it was full of tumors. I had had no symptoms. I felt completely normal, so it was quite a shock to me.”
Grote has worked as a sonographer for small animals and horses for the last five years. She also helps veterinarians set up and train with new equipment. She said she chose to scan her liver that day because it’s an easy organ with which to test the machine.
“It’s a big solid organ and gives me a pretty good indication if the machine is set up right or if I need to tweak something. It’s easy to get to. So as a sonographer, when I look at my liver, I think, ‘Oh, no. It’s metastatic cancer,’ meaning it had spread to my liver from somewhere else. That’s what it looked like, and several tumors looked like a bullseye tumor, which is a metastatic tumor,” Grote said.
She finished her work and returned home, where she immediately called Kearney surgeon Tom Sorrell, who helped her get into see his father, Michael Sorrell, a hepatologist at the Nebraska Medical Center in Omaha.
The results of CAT scans, an official ultrasound and a liver biopsy were sent to Mayo Clinic in Rochester, Minn., to be analyzed. Grote’s liver has about 15 tumors and the largest is about 1½ inches in diameter. She was diagnosed with hepatic epithelioid hemangioendothelioma, a rare liver cancer.
“It’s a very rare type of primary liver cancer, and Kearney actually did not know what it was,” Grote said. “When the doctor walked into the office he said, ‘I have a diagnosis for you. I know what you have and the only treatment for you is a liver transplant.’”
Grote wasn’t immediately placed on the transplant list because more testing found lesions in her lungs. After thoracic surgery in late June, doctors determined the lesions were benign, and she was placed on the transplant list.
She said throughout the process, her medical background has been a blessing and a curse.
“You know too much, if that makes sense. When I was at the Medical Center in school, I used to scan the ultrasounds on the transplant patients, and I would think to myself, ‘Man, I hope I never have to have a liver transplant.’ You know what it entails. Granted, it’s been 17 years ago, and I’m sure recovery time is better now, but I think sometimes you do know too much,” she said.
Grote said her first reaction when she heard her diagnosis was to think of her husband, Larry, and children, Peyton, 12, and Gracie, 11.
“I traveled with my job when I was doing it, and it makes you slow down and appreciate life and not to take it for granted. You never know. When they tell you you have cancer, my first reaction was, ‘I want to see my children grow up, graduate and get married.’ From a mother’s standpoint, that’s what I would like to see. You just want to make sure you tell the people you love how you feel. You take it one day at a time and appreciate every day you have,” she said.
If she doesn’t have a transplant by October, Grote’s doctors will re-evaluate her and submit another letter to try to earn her more points toward her MELD score, a system that determines the severity of liver cancer and prioritization on a transplant list.
“Right now, my score is a 22 and the highest score is a 40. That’s a pretty good score. I feel completely normal. I still don’t have any symptoms. It’s hard for me to think that I have cancer and that I’m going to go in and be sick for a while.”
Grote said blood type, tissue matching and size are all important when matching an organ donor with the person receiving the organ.
“We could also do living donor. They would rather me get an entire liver, so we haven’t gone that route yet. I’ve had a lot of people who would like to be tested to donate part of their liver for me. I struggle with that — having someone go through all that. I just really have a hard time with it. I don’t know when they will decide we should look into that,” she said.
Grote said she encourages everyone to consider becoming an organ donor. “My blessing is going to be someone else’s tragedy, and that’s very difficult to think about, but if you can have a tragedy and turn it into some good, for all the people on the transplant lists out there, I think to donate life is a true blessing.”
Grote said she has relied on her faith and prayer to stay positive.
“I’m a very positive individual. I really am. You have your down days when you sit and think, ‘I have cancer and I’m just waiting. I’m not doing anything. Is it going to go somewhere else?’ That’s definitely my biggest fear, that it will spread somewhere else. You just have to have hope, and that helps you conquer the fear. I have a lot of support through family and friends,” she said.
Several of Grote’s friends plan a benefit for her and her family at 5 p.m. Friday at the Overton Golf Course.
“It’s very overwhelming. The generosity that I have received has been overwhelming. I don’t even have words to describe it. I’ve had support from my work. My daughter’s 4-H group had a horse show and donated money to me from that benefit. I mean, it’s just been amazing,” she said.
“I have cancer, but I’ve had a lot of blessings with the cancer. I was able to find it and had the resources and the knowledge. I knew Dr. Sorrell, who helped me get in to see his father. There have just been huge blessings through all of it.”